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PRACTICE GUIDELINES nature publishing groupCMEACG Clinical Guideline: Diagnosis and Management of Small Bowel Bleeding Lauren B. Gerson, MD, M.Sc., FACG1, Jeff L. Filler, MD2, David R. Cave, MD, PhD,
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How to fill out small bowel bleeding:

01
Assess the patient's symptoms and medical history: Start by evaluating the patient's symptoms such as abdominal pain, vomiting blood, or passing dark, tarry stools. Review their medical history to identify any potential risk factors or underlying conditions that could contribute to small bowel bleeding.
02
Perform a physical examination: Conduct a thorough physical examination to assess the patient's vital signs, abdominal tenderness, and overall condition. Look for signs of acute or chronic bleeding, such as pallor, rapid heart rate, or decreased blood pressure.
03
Order appropriate diagnostic tests: The diagnosis and management of small bowel bleeding often require specialized tests. Consider ordering tests like capsule endoscopy, double-balloon enteroscopy, angiography, or computed tomography (CT) enterography to visualize the small bowel and locate the source of bleeding.
04
Stabilize the patient: If the patient is in an unstable condition, provide immediate medical interventions to stabilize them. Administer intravenous fluids, blood transfusions, or medications to control bleeding, as deemed necessary.
05
Consult with a gastroenterologist or specialist: Small bowel bleeding is a complex condition, and it is advisable to involve an experienced gastroenterologist or specialist in the assessment and management of the patient. They can provide expert guidance and collaborate with other healthcare professionals to achieve the best outcome for the patient.

Who needs small bowel bleeding?

Small bowel bleeding can occur in individuals of any age and sex. However, certain groups may be more at risk or require special attention when it comes to small bowel bleeding. These include:
01
Individuals with a history of gastrointestinal conditions: Patients with a history of conditions like Crohn's disease, intestinal tumors, vascular malformations, or previous bowel surgeries may be more prone to small bowel bleeding.
02
Older adults: Advanced age can increase the risk of small bowel bleeding due to age-related changes in the blood vessels and gastrointestinal tract.
03
Patients on blood-thinning medications: Individuals taking anticoagulants or antiplatelet medications are at a higher risk of experiencing bleeding, including small bowel bleeding.
04
Those with a family history of gastrointestinal disorders: Some familial conditions or inherited disorders may predispose individuals to small bowel bleeding.
05
People with chronic kidney disease: Patients with kidney disease may have an increased risk of small bowel bleeding due to uremia-related gastrointestinal changes.
It is essential to identify these high-risk groups and ensure appropriate monitoring, early detection, and management of small bowel bleeding to prevent complications and improve patient outcomes.
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Small bowel bleeding is the loss of blood from the small intestine.
Healthcare providers or facilities are required to report cases of small bowel bleeding.
Small bowel bleeding can be reported through medical records or electronic health records.
The purpose of reporting small bowel bleeding is to track and monitor cases for further analysis and research.
Information such as patient demographics, symptoms, medical history, and test results must be reported.
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