What is the best way to treat gastric bleeding?

Everyone will be under certain pressure, especially young people today. Because of the pressure of life and work, it is easy for them to suffer from some serious diseases. Irregular diet, staying up late to work, emotional stress and other reasons can cause gastric bleeding, which is a type of gastrointestinal bleeding and a chronic stomach disease. Gastric bleeding is not a minor illness. Once it develops, it may be fatal. So, how to treat gastric bleeding?

1. General treatment

In case of heavy bleeding, the patient should lie flat with the lower limbs raised and the head turned to the side to avoid suffocation caused by blood reflux when vomiting large amounts of blood. Oxygen inhalation and fasting should be adopted if necessary. If there is a small amount of bleeding, the patient can take liquid food appropriately. Morphine and barbiturates should be avoided for patients with liver disease. Nursing should be strengthened, blood pressure, pulse, bleeding volume and hourly urine output should be recorded, intravenous access should be maintained, and central venous pressure measurement and electrocardiogram monitoring should be performed when necessary.

2. Replenish blood volume

When hemoglobin is lower than 70g/L and systolic blood pressure is lower than 90mmHg, sufficient whole blood should be transfused immediately. People with cirrhosis should receive fresh blood transfusions. Infusion should be started quickly, but the elderly and patients with heart failure should not receive too much or too fast transfusion, otherwise it may cause pulmonary edema. It is best to monitor central venous pressure. If blood supply is difficult, dextran or other plasma substitutes can be given.

3. Surgery

After the above treatment, most upper gastrointestinal bleeding can be stopped. If it still doesn't work, surgical treatment can be considered. For ruptured esophageal and gastric fundus varicose veins, surgery such as oral or splenorenal vein anastomosis may be considered. Early surgery for patients with massive bleeding from gastric and duodenal ulcers can reduce the mortality rate, especially for the elderly who have difficulty stopping bleeding and are prone to recurrence. Early surgery is more appropriate. If there is ulcer perforation, pyloric obstruction, or suspected ulcer malignancy, timely surgery is recommended.

Some patients with gastric bleeding believe that the disease can be cured as long as they do a good job of stopping bleeding. This perception is very wrong, because in addition to necessary treatment, gastric bleeding also needs to be regulated through diet and other methods. Never take hemostatic drugs casually. It is the wisest approach to take therapeutic drugs under the doctor's advice.