Mallory-Weiss syndrome history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Mohamed Diab, MD [2]

The hallmark of Mallory-Weiss syndrome is acute onset of bloody vomiting. A positive history of forceful vomiting and retching are suggestive of Mallory-Weiss syndrome, but may present as an old blood in the stool with no history of retching.

Patients usually have a history of forceful vomiting or retching, but some patients may have no history of vomiting or retching.

Specific histories should be obtained about about predisposing factors such as:

• Alcohol intake
• Hiatal hernia
• Straining or lifting
• Coughing
• Seizures

• Bloody vomiting
• Epigastric pain
• Bloody stool
• Light-headedness

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