What should I do if gastric bleeding recurs?

The stomach is an organ we use for eating every day. Although it can accommodate a variety of foods throughout a person's life, it also requires our careful care. Usually, the stomach will not have problems when eating normally. However, some people have irregular diet and rest, which causes damage to the gastric mucosa. If not taken care of, it may worsen into gastric erosion or even gastric bleeding. Some people also experience recurrence of gastric bleeding after the initial treatment. So, how to treat the recurrence of gastric bleeding?

The best treatments for gastric bleeding are:

1. Conventional treatment of gastric bleeding:

① The patient should lie in a supine position and 10 mg of diazepam can be injected intramuscularly if the patient is restless.

② Those who vomit blood should fast, while those who have simple black stools can eat liquid food.

③ Those with serious conditions should receive oxygen.

④ Place a gastric tube to aspirate the blood in the stomach, understand the bleeding situation, and infuse drugs.

⑤ Strengthen care to prevent vomitus from being inhaled into the respiratory tract and causing pneumonia or suffocation.

2. General treatment methods:

The diagnosis of acute gastric bleeding is mainly based on acute massive hematemesis and black stools. Generally, the bleeding does not exceed 500 ml, and most of the cases are vomiting blood, but some cases are bloody stool. The patient feels nauseous before vomiting blood, feels the urge to defecate before having bloody stools, and has black eyes, panic attacks, and even fainting after defecation. The patient looks pale, is thirsty, has a rapid and weak pulse, and has low blood pressure. Patients with ulcer disease often experience regular upper abdominal pain, which can be relieved by alkaline drugs.

X-ray barium meal examination is of great significance in the diagnosis of ulcer disease. In addition to the possibility of feeling a mass, gastric cancer patients also have obvious symptoms such as loss of appetite, upper abdominal discomfort, indigestion, and weight loss, and the disease progresses rapidly. X-ray barium meal examination and gastroscopy can help to confirm the diagnosis. Patients with acute ulcers caused by drugs or stress ulcers caused by trauma usually have a history of long-term oral administration of aspirin, cortisone and other drugs, or have recently undergone major surgery or suffered severe burns.

Most patients with acute gastric bleeding can be treated with non-surgical methods. Specific measures include blood transfusion, infusion, and the use of various hemostatic drugs through different routes. Surgery may be considered for bleeding caused by gastric cancer and gastric bleeding that cannot be controlled by the above treatment measures.

3. Hemostasis treatment methods

(1) Application of hemostatic agents:

① Choose Anluoxue, Hemostatic Min or Hemostatic Aromatic Acid as appropriate and add it to the infusion solution for drip.

② Infuse norepinephrine or thrombin at a concentration of 80 mg/L through the gastric tube.

③ Local hemostasis under gastroscopy can be achieved by spraying hemostatic agents, such as 80 mg/L norepinephrine or thrombin; or injecting hemostatic agents, such as 1-2 mg epinephrine added to 10 ml of 10% saline and injected at multiple points; or high-frequency electrocoagulation hemostasis; or microwave hemostasis; or laser hemostasis.

(2) First aid measures for gastric bleeding:

① Estimation of blood transfusion volume: Mild bleeding is mainly treated with infusion and blood transfusion may not be required temporarily; moderate bleeding requires 400-600ml of blood supplementation; severe bleeding requires 900-1200ml of blood transfusion, or even more.

② In principle, the amount of fluid to be infused should be estimated based on how much goes out. The infusion volume and speed can be adjusted according to the central venous pressure measurement. The fluids used are crystalloids and dextran.

③Correct acid-base and electrolyte balance.

Warm reminder: Honey is a traditional, pure natural food with a fragrant smell. Honey is sweet and refreshing, easily digested and absorbed by the human body. It can also eliminate the burning sensation of gastritis, has anti-inflammatory effects, promotes wound healing, enhances the function of the digestive system and has a nourishing effect. Therefore, patients with a history of gastrointestinal bleeding should eat it.

The stomach needs special care. For example, many modern office workers are so busy that they don’t eat breakfast in the morning and just have a quick lunch. At night, in order to socialize, they eat a lot of greasy food and drink a lot of alcohol. These lifestyles and eating habits are simply the nemesis of the stomach. Therefore, if you want to completely avoid gastric bleeding, you should pay attention to eating a light diet and eating three meals a day at regular times and in regular quantities.