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a Sengstaken-Blakemore tube can be used in severe or uncontrollable cases as a temporary control to compress the bleeding Upper GI malignancies will require biopsies to be taken and a definitive surgical and oncological management plan is required Key Points Peptic ulcer disease, oesophageal varices, and malignancy are the most common causes of melena Urgent resuscitation is the mainstay of initial treatment for any cases of melena Definitive investigation in most cases of melena is via gastroscopy, however further investigations may be required if normal
If youre waking at 2am with nausea, your sleep architecture is disrupted in ways that hit energy levels the following day
Savor, Dont Rush : Eat slowly to enjoy every bite and allow your GLP-1 treatment to signal fullness
Regular physical activity improves insulin sensitivity, reduces hepatic fat accumulation, and enhances blood flow through the liver
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