Recurrent Hemetemesis in a young Girl

A young girl aged 18 years Chief Complaints Recurrent Hemetemsis Small volume, 15-20 ml altered blood a/w Malaena since 1 month Physical Examination Grossly Normal Investigations UGIE showed these lesions in gastric body Diagnosis What are these lesions and how to manage

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Bland diet, PPI are cornerstones of treatment. Biopsy could have been taken to rule out HP. Breath test for urea canan be done. A course of anti HP treatment can be given empirically. NSAIDs, tobacco chewing to be avoided

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Achieve hemostasis on OGIE These are petechial submucosal patches Sclerosing will stop it

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Multiple gastric erosion Conservative management with antacids,ppi etc

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Peptic ulcer? Anti h pyelori test must be done ..

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No need to further investigation only gives syp. Sucralfate -o qid

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