Also known as: Mucosal lacerations - gastroesophageal junction
- Bloody stools
- Vomiting blood (bright red)
- CBC, possibly showing low hematocrit
- Esophagogastroduodenoscopy (EGD), more likely to be done when there is active bleeding
A Mallory-Weiss tear occurs in the mucus membrane of the lower part of the esophagus or upper part of the stomach, near where they join. The tear may bleed.
Any condition that leads to violent and lengthy bouts of coughing or vomiting can cause these tears.
Symptoms may include:
Exams and Tests
Tests may include:
The tear usually heals in a few days without treatment. The tear may also be fixed by clips that are put in during an EGD. Surgery is rarely needed. Drugs that suppress stomach acid (proton pump inhibitors or H2 blockers) may be given, but it is not clear if they are helpful.
If blood loss has been great, blood transfusions may be needed. In most cases, bleeding stops without treatment within a few hours.
Repeated bleeding is uncommon and the outcome is most often good. Cirrhosis of the liver and problems with blood clotting make future bleeding episodes more likely to occur.
Hemorrhage (loss of blood)
When to Contact a Medical Professional
Call your health care provider if you begin vomiting blood or if you pass bloody stools.
Treatments to relieve vomiting and coughing may reduce risk. Avoid excessive alcohol use.
Jensen DM. Gastrointestinal hemorrhage and occult gastrointestinal bleeding. In: Goldman L, Ausiello D, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011: chap 137.
Katzka DA. Esophageal disorders caused by medications, trauma, and infection. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, PA: Elsevier Saunders; 2010:chap 45.
- Review date:
- December 07, 2016
- Reviewed by:
- Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Aria Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2008 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.