Does gastric bleeding need surgical treatment?
It depends on the cause of stomach bleeding. If it is capillary rupture and a small amount of bleeding caused by inflammatory stimulation, surgery is generally not needed. Under the guidance of doctors, lansoprazole can achieve good therapeutic effect. For severe peptic ulcer, the ulcer surface is deep, and even the ulcer is broken and perforated. This ulcer surface needs repair or even subtotal gastrectomy. During the treatment, patients should take medicine in strict accordance with the doctor's requirements, and go back to the hospital for review regularly to grasp the recovery of the disease. In addition, the bleeding of gastric tumor and duodenal ulcer is relatively large, and the ulcer base is deep, which requires surgery. In addition, recurrent gastric ulcer, gastric perforation and other acute abdomen often need to be considered comprehensively to formulate surgical plans.
Does gastrorrhagia need gastroscopy?
Gastroscopy can be done when gastric bleeding occurs. Emergency gastroscopy is helpful to find the location and situation of gastric bleeding, and it can also be used for minimally invasive hemostasis under endoscope, such as titanium clip hemostasis or electrocoagulation hemostasis. If the bleeding persists, interventional hemostasis or surgical hemostasis can be used. Gastrorrhagia is mostly caused by basic diseases, such as esophageal tumor, esophageal ulcer, gastric mucosal tear, esophageal varices rupture, gastric ulcer, duodenal ulcer, Duchenne ulcer, gastric malignant tumor and so on. Pay attention to differential diagnosis. Gastrorrhagia is not recommended if it is active. It is suggested that gastroscopy should be done when the bleeding is improved and the wound is stable. During the period of massive gastric bleeding, if you go under the gastroscope, the visual field will be polluted by blood, and the focus can't be seen clearly, and the effect of hemostasis or examination can't be achieved. The gastric tube is easy to scratch the injured gastric mucosa, which will aggravate the bleeding symptoms. It is suggested to stop bleeding under gastroscope after bleeding is stable. If you suspect gastric cancer, please do a biopsy under gastroscope.
Does gastric bleeding need infusion?
If you find hematemesis in the digestive tract or black stool in your life, you should consider stomach bleeding. In this case, it is recommended to be sent to the hospital for treatment in time. Moreover, going to the hospital for treatment also requires infusion treatment, because eating and drinking are not allowed in the early stage of gastric bleeding, and eating and drinking will have a certain impact on the condition. Because patients with gastric bleeding can be treated surgically if they are not well controlled. If you don't eat or drink, you must rely on liquid rehydration, and the drugs used are also intravenous infusion. Generally, this kind of gastrorrhagia will cause nausea and vomiting, and if the amount of bleeding is large, it will vomit. I suggest you go to a professional gastroenterology department now, and check the gastroscope first, so as to make a clear judgment. It is definitely necessary to choose to protect gastric mucosa, inhibit gastric acid secretion, provide nutritional support and carry out infusion therapy.
Does gastrorrhagia need gastric lavage?
Gastric bleeding generally does not require gastric lavage. If there is gastric bleeding, you must go to a regular hospital in time and get corresponding treatment under the guidance of a specialist. If the amount of bleeding is not much, you can temporarily stop drinking water and give symptomatic treatment such as acid suppression and gastric mucosal protection. If the amount of bleeding is relatively large, it is necessary to have an emergency gastroscopy, and identify the bleeding site under the gastroscope and give corresponding treatment. If no obvious bleeding site is found under gastroscope, interventional therapy can also be carried out under the guidance of interventional doctors to improve angiography. If it is vascular bleeding, local treatment can be given. In short, patients with gastric bleeding should try not to lavage their stomachs. They can closely observe vital signs and actively give conservative treatment. If there is a lot of bleeding, and they can't find a clear bleeding site, they can ask a surgeon for assistance.