Mallory-Weiss Syndrome is a tear in the lining of the lower esophagus or upper stomach where they meet. The esophagus is a tube that connects your mouth and stomach.
When these tears bleed they can pass blood down into the digestive system or upwards with vomit. These tears will most often heal on their own but some may require additional care.
Mallory Weiss tears are caused by too much pressure in the abdomen. This can be caused by: Prolonged vomitingIntense coughingIntense physical activities like seizures or childbirthDirect trauma to the area
Certain factors may increase your chance of Mallory Weiss tears. These include conditions that may induce intense vomiting or increased pressure in stomach such as: Gastrointestinal illnessAlcoholism Seizure disorder
If you have any of these symptoms, do not assume they are due to Mallory Weiss tears. Other things may cause these symptoms. Tell your doctor if you have: Blood in vomitVomit that looks like coffee groundBlack, tarry stoolBlood in the stool
Sometimes, bleeding from the tears can occur suddenly and be severe. You may notice symptoms like: Weakness Dizziness or faintness Shortness of breath Abdominal pain DiarrheaPaleness
Bleeding that is light and occurs over a long period of time may make you feel tired and short of breath.
Your doctor will ask about your symptoms and medical history. You may also be asked if you noticed the blood after vomiting, retching or seizures. A physical exam will also be done.
To determine the location, cause, and amount of your bleeding your doctor may take a: Complete blood countStool test—to check for blood in the stool Endoscopy—a thin, lighted tube is inserted down the throat to examine the digestive tract and collect tissue samples Nasogastric lavage—a tube placed through the nose and into the stomach removes contents to check for bleeding
Angiography—an x-ray of the blood vessels, that may also be used as treatment
Mallory Weiss tears will often heal by themselves without treatment.
If the tear is severe your doctor may recommend further treatment. You may need surgery to close the tear or a blood transfusion for excessive blood loss.
Angiography can control bleeding. The angiography will help locate the bleeding. The doctor will then inject medicines or other materials into the blood vessels. These medicines will control the bleeding until the tear can heal.
Endoscopy can also be used to stop bleeding. An endoscope is a tube that is placed into the mouth and passed through the esophagus. Your doctor can stop the bleeding by several methods including: Injecting chemicals into the bleeding site Using a heat probe, electric current, or laser to seal off the bleeding site Using a band or clip to close off blood vessels
To help reduce your chance of Mallory Weiss tears take these steps: Avoid excess alcohol use Treat conditions that cause excessive coughing or vomiting
Acute upper gastrointestinal bleeding. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/. Updated May 19, 2011. Accessed July 13, 2012.
Bleeding in the digestive tract. National Digestive Diseases Information Clearinghouse website. Available at: http://digestive.niddk.nih.gov/ddiseases/pubs/bleeding/index.aspx. Accessed July 2012.
Mallory-Weiss Syndrome. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/. Updated May 28, 2010. Accessed July 13, 2012.
Last reviewed June 2014 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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