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    What do the following blood test reports indicate?

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Posted on Thu, 10 Aug 2017 in Digestion and Bowels
Question: I was hospitalized and suffered a massive internal bleed. My medical record says: "Fast transit of BR clots, with rapid drop in BP. Emergent Central line inserted. Continued UGIB with fast transit-time BR clots per rectum."
What does this mean? What is "Fast transit BR clots"? What does BR clots per rectum mean?
Thank you very much! I was unconscious at the time, and it was never explained fully to me. This is what MR says.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh 36 minutes later
Brief Answer:
Information

Detailed Answer:
Hello and welcome,

It sounds like you were pretty sick - glad you are doing better.

BR stands for "bright red". Sometimes it is written BRBPR for "bright red blood per rectum" to indicate that there was brink bleeding of fresh blood being passed via the rectum.

Fast transit BR clots would mean that you were passing clots of fresh blood briskly via the rectum. It means that you were bleeding and fresh blood was being passed out of the rectum. If the bleeding was from the upper GI and being passed out of the rectum as bright red blood, this indicates that the bleeding was fast (and most likely copious) as if there is a trickle of blood happening from the stomach, then there is time for the stomach acid to chemically act on the blood which makes the stool look black and tarry. Faster bleeding would put bright red blood on the outside of the stool. But if the bleeding is fast and copious, it is just going to come out as bright red. This indicates a lot of bleeding and it will move though the digestive tract fast, or be vomited up (if source is the esophagus or stomach).

I hope I've explained this clearly. Please let me know if I can provide further information or clarification.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh 1 hour later
Thank you for that answer..it makes sense....I didn't know the acronyms..

It was a massive hemorrhaging of veins in my esophagus...a central line was immediately put in, but throughout was larger than transfusion rate..
A
Blakemore Tube was inserted and inflated..air transported by helo to UMMC Shock trauma,.....7 major bleeds in esophagus were (miraculously banded via emergency endoscopic surgery...I am alive, and well, and grateful as hell...f
doctor
Answered by Dr. Bonnie Berger-Durnbaugh 8 minutes later
Brief Answer:
So glad!

Detailed Answer:
I am very glad they provided the right care and quickly! Excellent.

If you are willing to tell me, do they know what caused this massive vein hemorrhaging? Did you have Barrett's Esophagus from chronic acid reflux?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh 1 hour later
No, I do not. I had a massive "Portal vein thrombosis", along with portal vein hypertension...from cirhosis.

Follow up question...1 what do you mean by the term "Brink" in your first answer..did you mean "Brisk"?
2. Are you familiar with a "Blakemore tube"? I googled it, and seems like a semi-obsolete device, not often used...does this seem like right action to you? (I 'm not looking for any info to use in any type of lawsuit or anything.I am grateful ul to the entire hospital staff at both hospitals..I just didn't get much info on Blakemore tube.

The original plan was to put a TIPs in my portal vein, but thrombosis prevented it, leaving endoscopy as the only option..apparently, they can't leave the BT inflated for too long, but deflating it reinitiated the bleed...endoscope lens was constantly covered in blood...they did deflate it, with a fast transfusion set up, and passed through 14 units of RBC, 6 units plasma while banding...I don't think it was an optimum situation...
I was unconscious for 6 days afterwards...no memory of anything in that window (probably a good thing...
I would like an answer to my last question please. It's important to me, since I was in a coma...

thank you in advance...

doctor
Answered by Dr. Bonnie Berger-Durnbaugh 4 hours later
Brief Answer:
Thoughts on this

Detailed Answer:
Sorry I could not get back with you sooner.

Brink should have been brisk - typo.

I do remember Sengstaken-Blakemore tubes when I was in medical training some years ago. My guess is that if there was too much bleeding, as you described, they would not be able to see anything with the endoscope, so they reverted back to creating a tamponade of putting pressure on the bleeding blood vessels by blowing up the balloons of the Blakemore tube.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh 11 hours later
I found out today, that is exactly what they did...TU...it might have been somewahat outdated, but it saved my life ! Apparently, it's not even in a lot of hospital ER's these days...thank you.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh 4 hours later
Brief Answer:
Your welcome

Detailed Answer:
I am glad they had it on hand! Please let me know if there are any other medical terms that you would like explained. I hope your strength is better each day.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3138 Questions

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