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[1] [9] Sometimes in those with small amounts of bleeding no symptoms may be present. [1] Bleeding is typically divided into two main types: upper gastrointestinal bleeding and lower gastrointestinal bleeding. [2] Causes of upper GI bleeds include: peptic ulcer disease, esophageal varices due to liver cirrhosis and cancer, among others. [3]
Feline idiopathic cystitis (FIC) is by far the most common form of FLUTD in young to middle-aged cats. It is a disease whose cause is not fully understood but is thought to be related to stress events and a cat's pre-disposition to anxiety, as well as certain lifestyle choices (e.g. a dry food diet, no access to outdoor space).
Cats who are younger/middle-aged (i.e. those less than 10 years old) Indoor cats and/or cats who are unable express natural feline behaviour (e.g. hunting) [16] Cats fed a dry food diet who may be inadequately hydrated [16] [17] Increased body weight [18]
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Peptic ulcer disease is when the inner part of the stomach's gastric mucosa (lining of the stomach), the first part of the small intestine, or sometimes the lower esophagus, gets damaged. An ulcer in the stomach is called a gastric ulcer , while one in the first part of the intestines is a duodenal ulcer . [ 1 ]
Based on evidence from people with other health problems crystalloid and colloids are believed to be equivalent for peptic ulcer bleeding. [15] In people with a confirmed peptic ulcer, proton pump inhibitors do not reduce death rates, later bleeding events, or need for surgery. [18] They may decrease signs of bleeding at endoscopy however. [18]
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A lower gastrointestinal bleed is defined as bleeding originating distal to the ileocecal valve, which includes the colon, rectum, and anus. [2] LGIB was previously defined as any bleed that occurs distal to the ligament of Treitz, which included the aforementioned parts of the intestine and also included the last 1/4 of the duodenum and the entire area of the jejunum and ileum. [1]