Melena causes: Difference between revisions
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===Life Threatening Causes=== | ===Life Threatening Causes=== | ||
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | ||
*[[Anthrax]] | |||
*[[Ebola virus]] | |||
===Common Causes=== | ===Common Causes=== | ||
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===Causes by Organ System=== | ===Causes by Organ System=== | ||
{|style="width:80%; height:100px" border="1" | {|style="width:80%; height:100px" border="1" | ||
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" |'''Cardiovascular''' | |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" |'''Cardiovascular''' | ||
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | | |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Cholesterol embolism]], [[mesenteric ischemia|mesenteric vascular occlusion]], [[vasculitis]] | ||
|- | |- | ||
|bgcolor="LightSteelBlue"| '''Chemical/Poisoning''' | |bgcolor="LightSteelBlue"| '''Chemical/Poisoning''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Arsenic trioxide]], [[arsenicals]], [[corrosive|caustic ingestion]], [[ethylene glycol]], [[mercury]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Dermatologic''' | | '''Dermatologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| Craniomandibular dermatodysostosis, [[Degos disease]], [[dermatomyositis]], [[hereditary haemorrhagic telangiectasia]], [[Osler-Weber-Rendu syndrome]], [[vasculitis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Drug Side Effect''' | | '''Drug Side Effect''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Alendronate]], [[alosetron]], [[anticoagulants]], [[aspirin]], [[bevacizumab]], [[Bicalutamide]], [[Ceftibuten]], [[clopidogrel]], [[Cidofovir]], [[colchicine]], [[dicoumarol]], [[indomethacin]], [[iron|iron compounds]], [[melarsoprol]], [[Meropenem]], [[miltefosine]], [[Nilutamide]], [[NSAIDS]], [[Oxaprozin]], [[Pergolide]], [[phenprocoumon]], [[phenylbutazone]], [[potassium chloride]], [[quinidine]], [[sertraline]], [[tetracycline]], [[Tiagabine]], [[warfarin]], [[zinc]], ziv-aflibercept, [[Zonisamide]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Ear Nose Throat''' | | '''Ear Nose Throat''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Hereditary haemorrhagic telangiectasia]], [[Osler-Weber-Rendu syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Endocrine''' | | '''Endocrine''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Carcinoid]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Gastroenterologic''' | | '''Gastroenterologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Alcoholic cirrhosis]], [[alcoholic fatty liver]], [[anal fissure]], [[angiodysplasia]], aortoenteric fistula, [[Banti's syndrome]], [[biliary atresia]], [[bowel ischemia]], [[bowel obstruction]], [[volvulus|bowel strangulation]], [[Budd-Chiari syndrome]], [[portal vein thrombosis|chronic portal vein thrombosis]], coats plus syndrome, [[solitary rectal ulcer syndrome|colitis cystica profunda]], [[colitis]], [[diverticulosis|colonic diverticulosis]], [[colonic tubular adenomata]], [[colonic villous adenomata]], [[colonoscopy]], [[colorectal cancer]], [[Crohn's disease]], [[Degos disease]], [[Dieulafoy's lesion|Dieulafoy's ulcer]], [[polypectomy|duodenal polypectomy]], [[duodenal ulcer]], duodenal webs, [[enteric duplication cysts|duplication cysts]], [[esophageal cancer]], [[esophageal cyst]], [[esophageal varices]], [[familial adenomatous polyposis]], [[Gardner syndrome]], [[gastric antral vascular ectasia]], [[Gastric cancer]], [[gastric polyps]], [[gastric ulcer]], [[gastric volvulus]], gastric webs, [[gastritis]], [[gastroduodenal ulcers]], gastrointestinal duplications, [[hemorrhoids]], [[hemobilia]], hepatic arterioportal fistula, [[intussusception]], [[liver cirrhosis]], [[Mallory-Weiss syndrome]], [[Mallory-Weiss tear]], [[Meckel's diverticulum]], [[Ménétrier's disease]], [[mesenteric ischemia|mesenteric vascular occlusion]], [[peptic ulcer]], [[Peutz-Jeghers syndrome]], [[pneumatosis intestinalis|pneumatosis cystoides intestinalis]], [[portal hypertension]], [[portal hypertensive gastropathy]], [[proctitis]], [[esophageal varices|ruptured esophageal varices]], [[solitary rectal ulcer syndrome]], [[stomach cancer]], [[gastritis|stress gastritis]], [[peptic ulcer|stress ulcer]], [[superior mesenteric artery|superior mesenteric artery occlusion]], [[ulcerative colitis]], [[watermelon stomach]], [[Zollinger-Ellison syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Genetic''' | | '''Genetic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Banti's syndrome]], [[carbamoylphosphate synthetase deficiency]], coats plus syndrome, [[Crohn's disease]], [[Ehlers-Danlos syndrome]], [[familial adenomatous polyposis]], [[Gardner syndrome]], [[hepatorenal tyrosinemia]], [[Kasabach-Merritt syndrome]], [[neurofibromatosis type I]], [[Peutz-Jeghers syndrome]], [[pseudoxanthoma elasticum]], [[Wiskott-Aldrich syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Hematologic''' | | '''Hematologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[coagulopathy|Blood clotting disorders]], [[carcinoid]], [[coagulopathy]], [[essential thrombocytosis]], [[hemophilia]], [[haemorrhagic disease of the newborn]], [[essential thrombocytosis|hemorrhagic thrombocythemia]], [[Henoch-Schoenlein purpura]], [[iron deficiency anemia]], [[Kasabach-Merritt syndrome]], [[systemic mastocytosis]], [[thrombocytopenia]], [[Wiskott-Aldrich syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Iatrogenic''' | | '''Iatrogenic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[total parenteral nutrition|Parenteral nutrition-induced liver disease]], [[anastomosis|post-surgical anastomosis]], [[telangiectasia|radiation-induced telangiectasia]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Infectious Disease''' | | '''Infectious Disease''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Acanthocephaliasis]], [[ancylostoma duodenale]], [[angiostrongyliasis]], [[anthrax]], [[bacillary dysentery]], [[balantidiasis]], [[candida albicans]], [[cytomegalovirus]], [[ebola virus]], [[entamoeba histolytica]], [[giardiasis]], [[helicobacter pylori]], [[herpes simplex virus]], [[Katayama fever ]], [[necator americanus|necator americanus (hookworm)]], [[parasites]], [[schistosoma mansoni]], [[strongyloidiasis]], [[trichuriasis]], [[typhoid fever]], [[yellow fever]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Musculoskeletal/Orthopedic''' | | '''Musculoskeletal/Orthopedic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| Craniomandibular dermatodysostosis, [[Ehlers-Danlos syndrome]], [[pelvic fracture]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Neurologic''' | | '''Neurologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Degos disease]], [[hereditary haemorrhagic telangiectasia]], Labrune syndrome, [[neurofibromatosis type I]], [[Osler-Weber-Rendu syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Nutritional/Metabolic''' | | '''Nutritional/Metabolic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Carbamoylphosphate synthetase deficiency]], [[hepatorenal tyrosinemia]], [[milk protein intolerance]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Obstetric/Gynecologic''' | | '''Obstetric/Gynecologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Choriocarcinoma]], [[endometriosis]], [[leiomyoma]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Oncologic''' | | '''Oncologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Adenocarcinoma]], [[anal cancer]], [[blue rubber bleb nevus syndrome]], [[carcinoid]], [[cecum|cecal carcinoma]], [[choriocarcinoma]], [[colorectal cancer]], [[esophageal cancer]], [[familial adenomatous polyposis]], [[Gardner syndrome]], [[gastric cancer]], [[hemangioma]]s, [[kaposi sarcoma]], [[lipoma]], [[lymphoma]], [[malignancy]], [[melanoma]], [[neoplasm|mesenchymal neoplasm]], [[metastatic tumor]], [[Peutz-Jeghers syndrome]], [[small bowel cancer]], [[small bowel lymphoma]], [[tumor|small bowel tumors]], [[stomach cancer]], [[systemic mastocytosis]], [[tumors]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Ophthalmologic''' | | '''Ophthalmologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| Coats plus syndrome | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Overdose/Toxicity''' | | '''Overdose/Toxicity''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Drug overdose]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Renal/Electrolyte''' | | '''Renal/Electrolyte''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Cholesterol embolism]], [[chronic renal failure]], craniomandibular dermatodysostosis, [[Henoch-Schoenlein purpura]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Rheumatology/Immunology/Allergy''' | | '''Rheumatology/Immunology/Allergy''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Crohn's disease]], [[dermatomyositis]], [[food allergy]], [[food allergy|food protein-induced enterocolitis syndrome (FPIES)]], [[Henoch-Schoenlein purpura]], [[microscopic polyangiitis]], [[polyarteritis nodosa]], [[systemic mastocytosis]], [[vasculitis]], [[Wiskott-Aldrich syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Trauma''' | | '''Trauma''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Trauma]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Miscellaneous''' | | '''Miscellaneous''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Foreign body]], swallowed maternal blood | ||
|- | |- | ||
|} | |} | ||
===Causes in Alphabetical Order=== | ===Causes in Alphabetical Order=== | ||
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*[[Anthrax]] | *[[Anthrax]] | ||
*[[Anticoagulants]] | *[[Anticoagulants]] | ||
* | *Aortoenteric fistula | ||
*[[Arsenic trioxide]] | *[[Arsenic trioxide]] | ||
*[[Arsenicals]] | *[[Arsenicals]] | ||
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*[[Bowel ischemia]] | *[[Bowel ischemia]] | ||
*[[Bowel obstruction]] | *[[Bowel obstruction]] | ||
*[[Bowel strangulation]] | *[[volvulus|Bowel strangulation]] | ||
*[[Budd-Chiari syndrome]] | *[[Budd-Chiari syndrome]] | ||
*[[Candida albicans]] | *[[Candida albicans]] | ||
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*[[Carcinoid]] | *[[Carcinoid]] | ||
*[[corrosive|Caustic ingestion]] | *[[corrosive|Caustic ingestion]] | ||
*[[Cecal carcinoma]] | *[[cecum|Cecal carcinoma]] | ||
*[[Ceftibuten]] | |||
*[[Cholesterol embolism]] | *[[Cholesterol embolism]] | ||
*[[Choriocarcinoma]] | *[[Choriocarcinoma]] | ||
*[[portal vein thrombosis|Chronic portal vein thrombosis]] | *[[portal vein thrombosis|Chronic portal vein thrombosis]] | ||
*[[Chronic renal failure]] | |||
*[[Cidofovir]] | |||
*[[Clopidogrel]] | *[[Clopidogrel]] | ||
*[[Coagulopathy]] | *[[Coagulopathy]] | ||
* | *Coats plus syndrome | ||
*[[Colchicine]] | *[[Colchicine]] | ||
*[[Colitis]] | *[[Colitis]] | ||
*[[Colitis cystica profunda]] | *[[solitary rectal ulcer syndrome|Colitis cystica profunda]] | ||
*[[diverticulosis|Colonic diverticulosis]] | *[[diverticulosis|Colonic diverticulosis]] | ||
*[[Colonic tubular adenomata]] | *[[Colonic tubular adenomata]] | ||
*[[Colonic villous adenomata]] | *[[Colonic villous adenomata]] | ||
{{col-break|width=33%}} | |||
*[[Colonoscopy]] | *[[Colonoscopy]] | ||
*[[Colorectal cancer]] | *[[Colorectal cancer]] | ||
* | *Craniomandibular dermatodysostosis | ||
*[[Crohn's disease]] | *[[Crohn's disease]] | ||
*[[Cytomegalovirus]] | *[[Cytomegalovirus]] | ||
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*[[Dieulafoy's lesion|Dieulafoy's ulcer]] | *[[Dieulafoy's lesion|Dieulafoy's ulcer]] | ||
*[[Drug overdose]] | *[[Drug overdose]] | ||
*[[Duodenal polypectomy]] | *[[polypectomy|Duodenal polypectomy]] | ||
*[[Duodenal ulcer]] | *[[Duodenal ulcer]] | ||
* | *Duodenal webs | ||
*[[Duplication cysts]] | *[[enteric duplication cysts|Duplication cysts]] | ||
*[[Ebola virus]] | *[[Ebola virus]] | ||
*[[Ehlers-Danlos syndrome]] | *[[Ehlers-Danlos syndrome]] | ||
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*[[Gastric ulcer]] | *[[Gastric ulcer]] | ||
*[[Gastric volvulus]] | *[[Gastric volvulus]] | ||
* | *Gastric webs | ||
*[[Gastritis]] | *[[Gastritis]] | ||
*[[Gastroduodenal ulcers]] | *[[Gastroduodenal ulcers]] | ||
* | *Gastrointestinal duplications | ||
*[[Giardiasis]] | *[[Giardiasis]] | ||
*[[Haemorrhoids]] | *[[Haemorrhoids]] | ||
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*[[Hemobilia]] | *[[Hemobilia]] | ||
*[[Hemophilia]] | *[[Hemophilia]] | ||
*[[ | *[[Haemorrhagic disease of the newborn]] | ||
*[[Hemorrhagic thrombocythemia]] | *[[essential thrombocytosis|Hemorrhagic thrombocythemia]] | ||
{{col-break|width=33%}} | |||
*[[Henoch-Schoenlein purpura]] | *[[Henoch-Schoenlein purpura]] | ||
* | *Hepatic arterioportal fistula | ||
*[[Hepatorenal tyrosinemia]] | *[[Hepatorenal tyrosinemia]] | ||
*[[Hereditary haemorrhagic telangiectasia]] | *[[Hereditary haemorrhagic telangiectasia]] | ||
*[[Herpes simplex virus]] | *[[Herpes simplex virus]] | ||
*[[Indomethacin]] | *[[Indomethacin]] | ||
*[[Intussusception]] | *[[Intussusception]] | ||
*[[Iron compounds]] | *[[iron|Iron compounds]] | ||
*[[Iron deficiency anemia]] | *[[Iron deficiency anemia]] | ||
*[[Kaposi sarcoma]] | *[[Kaposi sarcoma]] | ||
*[[Kasabach-Merritt syndrome]] | *[[Kasabach-Merritt syndrome]] | ||
*[[Katayama fever ]] | *[[Katayama fever ]] | ||
* | *Labrune syndrome | ||
*[[Leiomyoma]] | *[[Leiomyoma]] | ||
*[[Lipoma]] | *[[Lipoma]] | ||
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*[[Ménétrier's disease]] | *[[Ménétrier's disease]] | ||
*[[Mercury]] | *[[Mercury]] | ||
*[[Mesenchymal neoplasm]] | *[[neoplasm|Mesenchymal neoplasm]] | ||
*[[Mesenteric vascular occlusion]] | *[[Mesenteric vascular occlusion]] | ||
*[[Metastatic tumor]] | *[[Metastatic tumor]] | ||
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*[[Milk protein intolerance]] | *[[Milk protein intolerance]] | ||
*[[necator americanus|Necator americanus (hookworm)]] | *[[necator americanus|Necator americanus (hookworm)]] | ||
*[[Neurofibromatosis type | *[[Neurofibromatosis type I]] | ||
*[[Nilutamide]] | |||
*[[NSAIDS]] | *[[NSAIDS]] | ||
*[[Osler-Weber-Rendu syndrome]] | *[[Osler-Weber-Rendu syndrome]] | ||
*[[Parenteral nutrition-induced liver disease]] | *[[Oxaprozin]] | ||
*[[total parenteral nutrition|Parenteral nutrition-induced liver disease]] | |||
*[[Pelvic fracture]] | *[[Pelvic fracture]] | ||
*[[Peptic ulcer]] | *[[Peptic ulcer]] | ||
*[[Pergolide]] | |||
*[[Peutz-Jeghers syndrome]] | *[[Peutz-Jeghers syndrome]] | ||
*[[Phenprocoumon]] | *[[Phenprocoumon]] | ||
*[[Phenylbutazone]] | *[[Phenylbutazone]] | ||
*[[Pneumatosis cystoides intestinalis]] | *[[pneumatosis intestinalis|Pneumatosis cystoides intestinalis]] | ||
*[[Polyarteritis nodosa]] | *[[Polyarteritis nodosa]] | ||
*[[Portal hypertension]] | *[[Portal hypertension]] | ||
*[[Portal hypertensive gastropathy]] | *[[Portal hypertensive gastropathy]] | ||
*[[Post-surgical anastomosis]] | *[[anastomosis|Post-surgical anastomosis]] | ||
*[[Potassium chloride]] | *[[Potassium chloride]] | ||
{{col-break|width=33%}} | |||
*[[Proctitis]] | *[[Proctitis]] | ||
*[[Pseudoxanthoma elasticum]] | *[[Pseudoxanthoma elasticum]] | ||
*[[Quinidine]] | *[[Quinidine]] | ||
*[[Radiation-induced telangiectasia | *[[telangiectasia|Radiation-induced telangiectasia]] | ||
*[[esophageal varices|Ruptured esophageal varices]] | |||
*[[Ruptured esophageal varices]] | |||
*[[Schistosoma mansoni]] | *[[Schistosoma mansoni]] | ||
*[[Small bowel cancer]] | *[[Small bowel cancer]] | ||
*[[Small bowel lymphoma]] | *[[Small bowel lymphoma]] | ||
*[[Small | *[[tumor|Small bowel tumors]] | ||
*[[Solitary rectal ulcer syndrome]] | *[[Solitary rectal ulcer syndrome]] | ||
*[[Stomach cancer]] | *[[Stomach cancer]] | ||
*[[Stress gastritis]] | *[[gastritis|Stress gastritis]] | ||
*[[Stress ulcer]] | *[[peptic ulcer|Stress ulcer]] | ||
*[[Strongyloidiasis]] | *[[Strongyloidiasis]] | ||
*[[Superior mesenteric artery occlusion]] | *[[superior mesenteric artery|Superior mesenteric artery occlusion]] | ||
* | *Swallowed maternal blood | ||
*[[Systemic mastocytosis]] | *[[Systemic mastocytosis]] | ||
*[[Tetracycline]] | *[[Tetracycline]] | ||
*[[Thrombocytopenia]] | *[[Thrombocytopenia]] | ||
*[[Tiagabine]] | |||
*[[Trauma]] | *[[Trauma]] | ||
*[[Trichuriasis]] | *[[Trichuriasis]] | ||
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*[[Typhoid fever]] | *[[Typhoid fever]] | ||
*[[Ulcerative colitis]] | *[[Ulcerative colitis]] | ||
*[[Vasculitis]] | *[[Vasculitis]] | ||
*[[Warfarin]] | *[[Warfarin]] | ||
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*[[Yellow fever]] | *[[Yellow fever]] | ||
*[[Zinc]] | *[[Zinc]] | ||
* | *Ziv-aflibercept | ||
*[[Zollinger-Ellison syndrome]] | *[[Zollinger-Ellison syndrome]] | ||
{{col-end}} | {{col-end}} | ||
== References == | == References == | ||
{{ | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Mature chapter]] | [[Category:Mature chapter]] | ||
[[Category: | [[Category:Crowdiagnosis]] | ||
Latest revision as of 22:40, 29 July 2020
Melena Microchapters
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Diagnosis |
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Treatment |
Case Studies |
Melena causes On the Web |
American Roentgen Ray Society Images of Melena causes |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [2]
Overview
The most common cause of melena is peptic ulcer disease. Any other cause of bleeding from the upper gastro-intestinal tract, or even the ascending colon, can also cause melena. Melena may also be a sign of drug overdose if a patient is taking anti-coagulants, such as warfarin. A less serious, self-limiting case of melena can occur in newborns two to three days after delivery, due to swallowed maternal blood.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
Common Causes
- Duodenal ulcer
- Esophagitis
- Esophageal varices
- Gastric tumors
- Gastric ulcer
- Gastritis
- Mallory-Weiss syndrome
- Peptic ulcer