How should I manage a patient presenting with melena that has a red smear, indicating an upper gastrointestinal bleed?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board

Educational purpose only • Exercise caution as content is pending human review

Article Review Status

Submitted

Under Review

Approved

Last updated: February 6, 2026 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

What is the initial emergency management of a patient presenting with melena due to an acute upper gastrointestinal bleed?

How can cardiovascular complications be managed in patients with upper gastrointestinal bleeding (UGIB)?

An 80-year-old male patient with a 2-week history of intermittent bright red blood in his stools, now presenting with a large amount of blood, tachycardia, conjunctival pallor, and low hemoglobin, taking low-dose Aspirin (Acetylsalicylic acid), what is the most appropriate immediate next step?

What is the treatment for an older adult patient presenting with black tarry stools, potentially indicating gastrointestinal bleeding, with a history of gastrointestinal disease?

Can I give Zofran (ondansetron) to a patient with coffee ground emesis indicating possible upper gastrointestinal bleeding?

In a 63-year-old man with known sarcoidosis and an elevated ferritin level, what is the most appropriate initial evaluation and management?

In an acute COPD exacerbation with hypercapnic respiratory failure (pH < 7.35, PaCO₂ > 45 mm Hg) and no contraindications, when and how should non‑invasive ventilation be initiated and managed?

What is the best acute management for a patient with catastrophic antiphospholipid syndrome presenting with severe hypothermia?

Is pressure support the same as inspiratory positive airway pressure (IPAP)?

What medication with proven cardiovascular benefit should be added for a patient with type 2 diabetes mellitus and established coronary artery disease who is already taking metformin and glyburide?

What were the management strategies for atherosclerotic coronary disease in the pre‑statin era?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.