A case-based approach to pediatric upper GI bleeding emphasizes systematic evaluation and management tailored to the child’s presentation. Initial assessment focuses on airway, breathing, and circulation, with prompt stabilization if necessary. History should include onset, quantity, color of blood, prior illnesses, medications, and family history. Common causes include esophageal varices, gastritis, peptic ulcers, and Mallory-Weiss tears. Physical examination looks for signs of shock, hepatosplenomegaly, or stigmata of liver disease. Laboratory tests and endoscopy guide diagnosis and therapy. Case discussions help budding clinicians apply clinical reasoning, prioritize differential diagnoses, and choose appropriate interventions, ensuring safe and effective pediatric patient care.
Consultant Pediatric Gastroenterologist, Lifestyle Medicine Physician, Sir H N Reliance Hospital, Mumbai
Dr. Priyanka Udawat is a Consultant Pediatric Gastroenterologist and Lifestyle Medicine Physician at Sir H. N. Reliance Foundation Hospital, Mumbai. With specialized expertise in managing complex gastrointestinal, liver, and nutritional disorders in children, she is committed to providing holistic and evidence-based care. Dr. Udawat integrates principles of lifestyle medicine into her pediatric practice, focusing on long-term health outcomes through nutrition, physical activity, and preventive strategies. She is passionate about early intervention, patient education, and improving quality of life for children with chronic GI conditions.