Occult GI Bleed

DDx (etiology)

Medication Causes

• NSAID (e.g., Ibuprofen)
• Anti-Platelet (e.g., Aspirin)
• Anti-Coagulant (e.g., Apixaban, Warfarin)
• SSRI/SNRI (e.g., Sertraline)
• BP - Biphosphonate PO (e.g., Risedronate )
• Non-DHP CCB CCB antihypertensives (Diltiazem ,Verapamil )

Approach to GIB

PMHx

• Cirrhosis → increase risk of variceal
• Coagulopathy
• Hx of CAD + Fresh Stent (MIN DAPT time: 1 mon., drug-alluding 3 mon.)

Med

• Cirrhosis: beta-blocker?
• Bleeding: anti-plt, anti-coagulant
• NSAID