Stomach bleeding is serious enough to bleed! What kind of disease is this? Come in and talk ... Can it be cured?

Brief introduction of gastric bleeding

Gastrorrhagia is commonly known as upper gastrointestinal bleeding, of which more than 40% is caused by gastric and duodenal ulcers. People with a history of digestive tract diseases such as overwork, irregular diet and abnormal mood are prone to get sick. Followed by gastric bleeding caused by acute hemorrhagic gastritis, most of the gastric bleeding caused by these two reasons can be effectively treated after formal treatment. The other is gastric bleeding caused by cirrhosis. Patients with liver cirrhosis usually have esophageal varices. If you eat coarse grains again, the emotional stimulation will be excessive, and the venous vessels in the fundus of the esophagus will rupture and there will be massive bleeding. The mortality rate of gastric bleeding is as high as 10%, so don't underestimate gastric bleeding.

If there is hematemesis or melena, the possibility of bleeding from gastric and duodenal ulcers should be considered. Some people just complain about black stool, while others show sudden syncope or even shock. After being sent to the hospital for emergency treatment, after a series of tests, it was found that it was bleeding from gastric and duodenal ulcers.

Clinical symptoms of gastric bleeding:

Acute gastric bleeding is the most common cause of upper gastrointestinal bleeding, accounting for about 70%. Common diseases that cause acute gastric bleeding include gastric and duodenal ulcer, gastric cancer, hemorrhagic gastritis, acute ulcer caused by oral aspirin, cortisone and other drugs, severe burns caused by major surgery and stress ulcer.

The main symptoms of gastric bleeding are hematemesis and hematochezia. The patient had nausea before hematemesis, defecation before hematochezia, black eyes, palpitation and even syncope after defecation, pale face, thirst, weak pulse and blood pressure. [edit this paragraph] tonic, be careful to make up for stomach bleeding.

Winter is a period of recuperation, with less physical exertion. Choosing winter tonic can make drugs stored in the body and play a greater role. So winter tonic is determined by the natural characteristics of winter. However, in daily life, many people often lack the knowledge of dialectical tonic, not to mention tonic also has contraindications, so they have entered the misunderstanding of tonic. To sum up, there are roughly the following situations.

The first is error compensation. If diabetics don't know that cream contains a certain amount of maltose, it is not suitable for them and they eat cream containing maltose by mistake. Some families have supplements, and if they don't eat them, they are afraid of overdue waste, so the whole family will make them up, and the result is counterproductive.

The second is urgent repair. For example, some tumor patients heard that soft-shelled turtle can nourish and fight cancer, regardless of spleen and stomach weakness, eating a catty of soft-shelled turtle a day, leading to poor stomach and intestines; Some patients with dampness blocking the spleen and stomach used ginseng, which caused abdominal distension and was difficult to digest, so that they could not sleep at night and aggravated their illness. I met a patient with chronic gastritis and duodenal ulcer. On the solstice of winter, two branches of 35g sun-dried ginseng are stewed on hooves, regardless of whether the spleen and stomach can accept such a highly creamy supplement. Stomach bleeding the next day after taking it is really not worth the loss.

The third is foreign subsidies. For example, it is believed that raw ginseng with low price is definitely not as good as more expensive American ginseng. Obviously weak and afraid of cold, but determined to eat imported American ginseng. As a result, the tongue coating is getting greasy and the physical condition is getting worse.

Therefore, tonic must also be treated according to syndrome differentiation. The characteristics of tonic vary greatly with people's physique: ginseng nourishes yin, ginseng nourishes qi, pilose antler strengthens yang, and donkey-hide gelatin nourishes blood. Taking tonic medicine should be based on the principle of "deficiency makes up the deficiency, but actually diarrhea, leveling its surplus and making up its deficiency", and it must be supplemented every day, and it should be trickle. If the spleen and stomach function is poor, it will lead to loss of appetite, bloating and loose stools. , first regulate the spleen and stomach function, and then eat tonic cream. This is what Chinese medicine often says. In addition, you should pay attention to taboos during taking nourishing cream, avoid eating raw radish and drinking strong tea water. If you take ointment for relieving cough and resolving phlegm, clearing heat and cooling blood, you should avoid greasy and cold things to avoid dampness, phlegm and heat. When taking the ointment for clearing the liver and promoting diuresis and regulating the stomach, you should avoid spicy and irritating foods such as ginger, onion, wine, garlic and pepper. When taking ointment for expelling wind and dampness, warming channels and dredging collaterals, avoid eating cold food such as fruits, crabs and duck eggs. When you have a cold and fever, you should stop taking ointment. [Edit this paragraph] Diagnosis and treatment of acute gastric bleeding

Acute gastric bleeding is the most common cause of upper gastrointestinal bleeding, accounting for about 70%. Common diseases that cause acute gastric bleeding include gastric and duodenal ulcer, gastric cancer, hemorrhagic gastritis, acute ulcer caused by oral aspirin, cortisone and other drugs, severe burns caused by major surgery and stress ulcer.

The diagnosis of acute gastric bleeding is mainly based on acute hematemesis and melena. Generally, the bleeding does not exceed 500 ml, mostly hematemesis, but also hematemesis. The patient had nausea before hematemesis, defecation before hematochezia, blackness in the eyes, palpitation and even syncope after defecation. The patient was pale, thirsty, with weak pulse and decreased blood pressure. Patients with peptic ulcer often have regular epigastric pain, which can be relieved by alkaline drugs. X-ray barium meal examination is of great significance to the diagnosis of ulcer. In addition to the possibility of touching the mass, patients with gastric cancer also have obvious manifestations such as loss of appetite, epigastric discomfort, indigestion and emaciation, and their condition develops rapidly. X-ray barium meal examination and gastroscopy are helpful for diagnosis. Most patients with acute ulcer caused by drugs or stress ulcer caused by trauma have long-term oral history of aspirin, cortisone and other drugs, or have recently undergone major surgery and severe burns.

Most patients with acute gastric bleeding can be treated by non-surgical methods. Specific measures include blood transfusion, infusion and the use of various hemostatic drugs through different channels. For bleeding caused by gastric cancer and gastric bleeding that cannot be controlled by the above treatment measures, surgery can be considered. [Edit this paragraph] Dietary care of patients with gastric bleeding

Gastrorrhagia is a common complication of peptic ulcer. Generally speaking, you can eat it when you have stomach bleeding, as long as you don't vomit blood. However, patients with hematemesis must fast to prevent suffocation caused by vomiting or hematemesis. Usually, after stopping hematemesis 12 hours, whether there is black stool or not, you can consider resuming eating. If you vomit blood again, fast again.

Generally speaking, the following principles should be mastered in the dietary problems after gastric bleeding: it is better to eat liquid, rice soup and lotus root powder first, and drink milk in moderation. Don't drink too sour and sweet food, which will increase the acid production. Eating a small amount of food, warm diet and overheated food may dilate gastric mucosal blood vessels, which is not conducive to hemostasis. Strong tea and coffee should be avoided. If the food is light and tasteless, adding a little salt is harmless. After the bleeding stops, you can gradually increase the variety and quantity of food.

At the same time, we should also pay attention to the following:

1. Have a full rest and avoid staying up late and overworking.

2. Eat three meals regularly and quantitatively. It is advisable to eat a little more. Don't overeat.

3. Quit smoking and avoid the intake of alcohol, caffeine (coffee, strong tea, cola, cocoa), peppers, peppers and other irritating foods. The food should not be too sweet and salty, too cold and too hot.

4. Eat slowly, relax and have a rest before starting work.

5. Live regularly, avoid staying up late, stay happy and reduce unnecessary troubles.

6. Digestible cooking methods (such as steaming, boiling and stewing). [Edit this paragraph] Gastrorrhagia often occurs in autumn.

An adult has about 4500 ml of blood. These flowing blood are usually enclosed in a circulatory system consisting of large and small blood vessels and the heart. When a blood vessel in a certain part breaks, blood will overflow from the crack. This is what people often call "bleeding". There are many reasons for bleeding, but there are two main ones: first, the blood vessel wall is invaded by some kind of lesion, which reduces the firmness of the blood vessel wall; Second, the pressure in the blood vessel suddenly rises, which leads to the rupture of the weak part of the wall.

The expansion and contraction of human blood vessels are affected by climate change: in hot weather, in order to keep the body temperature constant, skin blood vessels expand to increase heat dissipation; When the weather is cold, the skin blood vessels contract, reducing the heat dissipation on the body surface. The contraction of skin blood vessels will "drive" a large amount of blood originally distributed on the body surface into the body, which will suddenly increase the blood volume and the pressure in the blood vessels.

In late autumn and early winter, digestive tract ulcers are prone to recurrence and activity. Once the blood vessels in the lesion are eroded by inflammation or ulcer, the firmness of the wall will be reduced. In addition, due to the cold climate, the pressure in blood vessels will increase, which will naturally lead to blood vessel rupture and bleeding. This is the reason why stomach bleeding is easy to occur in late autumn and early winter.

In order to prevent gastric bleeding, patients with digestive tract ulcer should strengthen treatment every autumn and winter (don't stop taking drugs hastily) and pay attention to rest and diet. [Edit this paragraph] The harm of gastric bleeding can lead to sudden death.

Patients with liver cirrhosis generally have esophageal varices. If they eat coarse grains again and have excessive emotional stimulation, the venous vessels in the fundus of the esophagus will rupture and there will be massive bleeding. Patients with liver cirrhosis usually have no obvious symptoms, but feel weak. If it is not rescued in time, the condition will be too serious, and multiple organ failure may occur and eventually death will occur.

In order to avoid gastric bleeding in patients with liver cirrhosis, besides taking medicine and performing vascular decompression surgery under the guidance of a doctor, we should also avoid eating meat with bones and vegetables that are too thick.