In addition, there's connecting service from Canada, Europe, South America and the Far East. Commuter service between San Juan, St. Croix and St. Thomas is also available. Commuter airlines can transport you between islands in as little as 17 minutes.n addition, there's connecting service from Canada, Europe, South America and the Far East. Commuter service between San Juan, St. Croix and St. Thomas is also available. Commuter airlines can transport you between islands in as little as 17 minutes.
A rough estimate is that it takes about 14 hours for blood to be broken down within the intestinal lumen; therefore if transit time is less than 14 hours the patient will have hematochezia, and if greater than 14 hours the patient will exhibit melena.
The most common cause of melena is peptic ulcer disease. Any other cause of bleeding from the upper gastrointestinal tract, or even the ascending colon, can also cause melena. Melena may also be a sign of drug overdose if a patient is taking anticoagulants, such as warfarin.