Description
Refers to a superficial tear in the lower part of the esophagus that occurs during forceful vomiting, prolonged vomiting, or persistent coughing. These tears may cause severe bleeding. Any disorder that causes vomiting or coughing can cause this disorder.
Symptoms
Vomiting blood, vomiting coffee ground material, bloody stools, black stools (melena), chest pain.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Additional tests include: an EGD (esophagogastroduodenoscopy), tests to measure the blood count and ability to clot blood, X-ray and/or CT scan to rule out esophageal rupture.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, X-ray
Other Specific Tests: EGD (esophagogastroduodenoscopy), PT, PTT (Partial Thromboplastin Time)
Specialists:
Gastroenterology, Pediatric Gastroenterology
Workup:
A history and physical exam will be performed. Additional tests include: an EGD (esophagogastroduodenoscopy), tests to measure the blood count and ability to clot blood, X-ray and/or CT scan to rule out esophageal rupture.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, X-ray
Other Specific Tests: EGD (esophagogastroduodenoscopy), PT, PTT (Partial Thromboplastin Time)
Specialists:
Gastroenterology, Pediatric Gastroenterology
Treatment
The tear and bleeding usually resolve without special treatment. Surgery is rarely required. Proton pump inhibitors (omeprazole/Prilosec, pantoprazole/Protonix) or H2 blockers (cimetidine/Tagamet, ranitidine/Zantac) may be given. Blood transfusions may be necessary if the bleeding is severe. Excessive bleeding or persistent bleeding may require endoscopy or surgery to stop the bleeding.