Metoclopramide in Upper Gastrointestinal Bleed

Inclusion Criteria: * Age 18 and above * Admitted to ER or inpatient services at Javon Bea Hospital MercyHealth Riverside * Present with upper GI bleeding defined as fresh and bright red hematemesis, coffee-ground hematemesis or melena * Plan to undergo EGD within 24 hours since admission or since first symptoms * Calculated Glasgow-Blatchford score ≥ 2 Exclusion Criteria: * Failure to obtain informed consent * Known allergy to metoclopramide * Concurrent use of medications known to cause tardive dyskinesia (TD)/extrapyramidal symptoms/neuroleptic malignant syndrome * History of TD or dystonic reaction to metoclopramide * Pheochromocytoma, catecholamine-releasing paragangliomas * Parkinson's Disease * Epilepsy * Pregnancy or lactation * Previous gastrectomy