Which department should I visit for gastric bleeding?

Nowadays, apart from being busy with work, people probably just sleep and eat every day, and have no spare time to exercise, which causes their physical condition to deteriorate day by day. If this continues for a long time, the body's immunity will be greatly reduced and illness is inevitable. In addition, most people do not pay attention to their diet, which makes them prone to gastrointestinal diseases. So, after suffering from gastric bleeding, which department of the hospital should I go to for examination?

If the condition is not serious, you can go to the gastroenterology department for conservative treatment. If the condition is serious and requires open treatment, you can go to the general surgery department.

Gastric bleeding examination items

1. Laboratory tests

In case of acute gastrointestinal bleeding, key tests should include routine blood tests, blood type, clotting time, occult blood test in stool or vomitus, liver function, blood creatinine, urea nitrogen, etc.

2. Special inspection methods

(1) Endoscopic examination

Direct observation through gastroscopy can confirm the condition and give appropriate hemostatic treatment according to the condition of the lesion. There are several points to note when doing fiber gastroscopy: ① The best time to perform gastroscopy is within 24 to 48 hours after bleeding. ② For patients in hemorrhagic shock, blood volume should be replenished first, and it is safer to perform gastroscopy after the blood pressure has stabilized. ③ Generally, there is no need to prepare for gastric lavage in advance, but if there is excessive bleeding and it is estimated that blood clots will affect observation, gastric lavage with ice water can be used for examination.

(2) Selective arteriography

In some special cases, such as when the patient is in an emergency state of continuous severe and massive upper gastrointestinal bleeding, so that gastroscopy cannot be performed safely or the bleeding focus cannot be identified due to blood accumulation affecting the visual field, selective mesenteric artery angiography may reveal the bleeding site and perform embolization therapy.

Many patients believe that gastric bleeding requires surgery to cure, but this view is not entirely correct. For some patients with more serious conditions, surgical treatment is necessary. However, for patients with milder conditions, surgery is not a good treatment method. Therefore, whether surgical treatment is needed or not still depends on the doctor's advice.