Abstract:

Introduction: Upper gastrointestinal bleeding is an important emergency problem that can occur at any age in childhood and requires urgent treatment for the underlying cause. The etiological causes of gastrointestinal bleeding vary depending on life and geographical area. In this study, we aimed at investigating the demographic characteristics, etiological causes, endoscopic initiative results, and the relationship between the use of analgesic/antipiretic drugs and the bleeding of patients who apply for child emergency. Methods: In January 2017-2019, the records of patients aged 1 month to 18 years of age who apply to our child emergency service with upper gastrointestinal bleeding were reviewed backward. Demographic characteristics, application complaints, etiological causes, endoscopic findings, diagnoses, antipyretic/analysis drug use were recorded. Results: 53.7% of 108 patients with upper gastrointestinal bleeding were male. The average age was 76.7±58.3 months. Hundreds of patients were complainted. 82.4 percent of patients complain of vomiting, 36.1 percent of patients complain of upper respiratory infection, 29.6 percent of patients complain of fever and 25.9 percent of patients complain of abdominal pain. 52 of the patients had a history of antipyretic and/or analgesic medication. Seventy-four patients were endoscopically examined. In patients under endoscopic examination, pathological changes were detected in 26 of 32 patients taking the drug and in 30 of 42 patients not taking it. Result: In patients who apply to child emergency with upper gastrointestinal bleeding, bleeding is usually acute and begins with self-limits but requires urgent diagnosis and treatment. Nearly half of the patients in our study had a history of antipyretic/analysis drug use in the ethology. Compared to the group that used these medications with the group that did not take the drug, there was no statistically significant difference in pathological endoscopic findings.

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