What are the key clinical features that suggest a Mallory-Weiss tear in a patient with upper GI bleeding?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 17 August 2025Updated: 17 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

A key clinical feature that may suggest a Mallory-Weiss tear in a patient presenting with upper gastrointestinal bleeding is its association with specific medical procedures . For example, upper gastrointestinal bleeding from a Mallory-Weiss tear has been characterized in the syndrome associated with transesophageal echocardiography . The overall management of acute upper gastrointestinal bleeding in over 16s should follow national guidelines .

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