From the Guidelines
The top 5 most common symptoms of Mallory-Weiss Syndrome are: hematemesis (vomiting blood), melena (black, tarry stools), epigastric pain, nausea, and vomiting.
Common Symptoms
- Hematemesis (vomiting blood) is a common presentation of Mallory-Weiss Syndrome, as seen in a case report where a patient presented with sudden haematemesis followed by melena 1.
- Melena (black, tarry stools) is another frequent symptom, often accompanied by hematemesis 1.
- Epigastric pain, nausea, and vomiting are also common symptoms, although the evidence does not provide specific frequencies or studies to support this 1.
Treatment and Diagnosis
Patients with Mallory-Weiss Syndrome may also present with signs of hypovolemic shock, including tachycardia and hypotension. Treatment typically involves supportive care, including fluid resuscitation and administration of proton pump inhibitors, such as omeprazole 20mg IV every 8 hours, to reduce gastric acid production and promote healing 1. Endoscopic evaluation is often necessary to confirm the diagnosis and rule out other causes of upper gastrointestinal bleeding 1.
From the Research
Symptoms of Mallory-Weiss Syndrome
The top 5 most common symptoms of Mallory-Weiss Syndrome are:
- Hematemesis (vomiting blood) 2, 3, 4, 5, 6
- Melena (black, tarry stools) 2
- Retching 2
- Vomiting 2, 3, 4, 5, 6
- Abdominal pain or discomfort is not explicitly mentioned in the provided studies as a common symptom, however, nausea is implied as a cause of increased abdominal pressure leading to tears 3, 4
Clinical Presentation
The clinical presentation of Mallory-Weiss Syndrome typically involves a history of repeated bouts of retching and/or vomiting followed by the sudden onset of hematemesis or melena 2. The severity of hemorrhage can vary from mild to severe 2.
Diagnosis and Treatment
Diagnosis is usually confirmed by upper gastrointestinal endoscopy, which shows a longitudinal mucosal tear at the esophagogastric junction 2, 3, 5, 6. Treatment may involve endoscopic hemostatic techniques, such as heater probe thermocoagulation or hemoclipping, as well as medical management with proton pump inhibitors and antiemetics 3, 6.