Comparing Early Capsule Deployment to Current Standard of Care for Management of Gastrointestinal Bleeding

Inclusion Criteria: * Age greater than 18 years old * New onset of melena or hematochezia * Able to sign consent * Hemodynamically stable (i.e. blood pressure \>100/60 or pulse \<110 at the time of consent) * ED must plan to admit patient to the hospital or Clinical Decision Unit. Exclusion Criteria: * Adults unable to consent * Individuals who are not yet adults (infants, children, teenagers) * Pregnant women * Prisoners * Prior history of gastroparesis * Prior history of gastric, or small bowel surgery * Prior history of Crohn's disease * Concern for infectious colitis * Non-English speaking * Evidence of dysphagia at the time of presentation * Presence of bright red blood per rectum concerning for hemorrhoids * Allergy to metoclopramide or erythromycin * Code status of Do Not Resuscitate/Do Not Intubate (DNR/DNI) or Comfort Measures Only (CMO) * Prior history of abdominal radiation * Presence of Implantable Cardioverter Defibrillator (ICD) or pacemaker or other implanted electronic devices * Abdominal pain suggesting an acute abdomen or obstruction. In clinical practice, only patients with crampy abdominal pain due to Crohn's disease, previous intestinal surgery and a previous history of radiation therapy require a patency capsule or CT enterography before capsule endoscopy. * Patients who cannot undergo surgery