Major Symptoms Of Churg-Strauss Syndrome

Gastrointestinal Bleeding

During the eosinophilic (second) stage of Churg-Strauss syndrome, the patient may develop gastrointestinal bleeding. The amount of bleeding may range from mild to severe, and patients could experience rectal bleeding and black or tar-colored stools. Some patients could have blood in the urine, and vomiting blood has also been observed. Along with these outward signs of gastrointestinal bleeding, patients might have lightheadedness, chest pain, or shortness of breath, and some individuals experience coughing and severe abdominal pain. Doctors generally evaluate gastrointestinal bleeding with blood, stool, and urine tests, and patients will also need imaging studies to find the source of the bleeding. Nasogastric lavage, endoscopy, colonoscopy, angiography, and balloon-assisted enteroscopy are useful in locating bleeding from certain sites. While some gastrointestinal bleeding may stop on its own, patients who have lost a significant amount of blood might require blood transfusions. Patients who have had this type of bleeding should not take acetylsalicylic acid, and they may also need to stop taking blood thinners and nonsteroidal anti-inflammatory drugs.

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