Hey guys. Is Malory Weiss painful or painless?? I had a question in NBME 1 that really mixed things up in my head. Any help? Thank you in advance

Mallory weiss tear is upper GIT mucosal tear( submucosal AV plexus bleeding) caused by the forceful retching . It presents as vomiting,hematemesis,epigastric pain .so it means these are painful ,on the other hand Esophageal varices are the painless bleeding of dilated submucosal veins in lower 1/3 of esophagus due to portal hypertension.