Treatments for associated precipitating factors, such as retching, vomiting, coughing, and straining, may reduce the risk of MWT. Limiting intake of alcohol may also help to prevent MWT.
Primary prevention
Secondary prevention
Recurrence of Mallory-Weiss tear is rare. However, it is important to counsel patients about precipitating factors such as alcohol, vomiting, excessive straining, lifting, and persistent cough that may lead to a recurrence. Limiting endoscopy time and the air inflow during endoscopy may prevent further or new tearing of the oesophago-gastro-enteric mucosa.[Figure caption and citation for the preceding image starts]: Bleeding Mallory Weiss Tear viewed on retroflexionFrom the personal collection of Douglas Adler; used with permission [Citation ends].
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