Esophageal Varices Bleed Quiz

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Reviewed By:

Maxwell J. Nanes, DO

Maxwell J. Nanes, DO (Emergency Medicine)

Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |

Aiko Yoshioka, MD

Aiko Yoshioka, MD (Gastroenterology)

Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.

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Content updated on Mar 31, 2024

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How Ubie Can Help You

With an easy 3-min questionnaire , Ubie's AI-powered system will generate a free report on possible causes.

Questions are customized to your situation and symptoms, including the following personal information:

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  • Age - adjusts our guidance based on any age-related health factors.

  • History - considers past illnesses, surgeries, family history, and lifestyle choices.

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People with similar symptoms also use Ubie's symptom checker to find possible causes

  • Blood vomit after repeatedly throwing up

  • Tarry stools

  • Stool is black like hair

  • My body is jerking

  • Blood in vomit after vomiting the second time

  • Black shiny stools

  • Blacking out

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What is Esophageal Varices Bleed?

Rupture of blood vessels in the esophagus (food pipe), leading to significant bleeding. This typically occurs in advanced liver disease when veins enlarge due to high pressure.

Typical Symptoms of Esophageal Varices Bleed

  • Black, shiny stool

  • Vomited blood

  • Tachycardia

  • Seizure

  • Losing consciousness

  • Nausea or vomiting

  • Systolic pressure is 80 mmHg or below, or unreadable

  • Stomach feels bloated

Doctor's Diagnostic Questionson Esophageal Varices Bleed

Your doctor may ask these questions to check for this disease:

  • Are your stools black and shiny like hair?

  • Did you vomit blood?

  • Have you had a seizure?

  • Have you temporarily lost consciousness?

  • Are you feeling nauseous or have you been vomiting?

Treatmentof Esophageal Varices Bleed

The goal of treatment is to stop the bleeding and maintain the patient's blood pressure. This is typically done through a camera "scope" procedure to tie off the bleeding areas. Medications and "drip" fluids are administered in the meantime. In some cases, surgery is required to redirect blood flow away from the varices or for a liver transplant.

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References

  • Pimenta JR, Ferreira AR, Fagundes ED, Queiroz TC, Baptista RA, de Araújo Moreira EG, de Resende CB, Bittencourt PF, Carvalho SD, Neto JA, Penna FJ. Factors Associated With Bleeding Secondary to Rupture of Esophageal Varices in Children and Adolescents With Cirrhosis. J Pediatr Gastroenterol Nutr. 2017 Feb;64(2):e44-e48. doi: 10.1097/MPG.0000000000001362. PMID: 27496799.

    https://journals.lww.com/jpgn/Fulltext/2017/02000/Factors_Associated_With_Bleeding_Secondary_to.32.aspx

  • Hatayama K, Washio Y, Okamura T, Noda T, Tsukahara H. Neonatal hemochromatosis associated with rupture of esophageal varices. Pediatr Int. 2019 Jul;61(7):735-737. doi: 10.1111/ped.13908. PMID: 31359540.

    https://onlinelibrary.wiley.com/doi/10.1111/ped.13908

User Testimonials

Reviewed By:

Maxwell J. Nanes, DO

Maxwell J. Nanes, DO (Emergency Medicine)

Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |

Aiko Yoshioka, MD

Aiko Yoshioka, MD (Gastroenterology)

Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.

From our team of 50+ doctors

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Maxwell J. Nanes, DO

Maxwell J. Nanes, DO

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Waukesha Memorial Hospital, Waukesha Wisconsin, USA

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