Melena Stool

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The amount of bleeding and hemodynamic stability is obviously significant. Patients can have small amounts of blood in their GI tract that can only be confirmed by lab testing. Patients with a chronic GI bleed that causes anemia may or may not be symptomatic (generalized weakness, shortness of breath, etc.). On the other end of the spectrum are your acute, massive bleeders. These patients can go into hypovolemic shock and may die.

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