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What to do if your stomach bleeds more than once
Do a gastroscopy after the disease is stabilized. If the bleeding is recurrent, aim for an emergency gastroscopy within 24-48 hours to determine the site and cause of the bleeding.
How to do gastric hemorrhage without vomiting blood
Generally speaking, patients with gastric hemorrhage will have blood in the stool, and if the amount is relatively large, then there will be blood in the vomit, which is used to determine whether it belongs to the upper gastrointestinal tract hemorrhage, you can look at the character of the stool, the upper gastrointestinal tract hemorrhage is often manifested as tarry stools, and the rectal and colonic hemorrhage is manifested as blood, gastric hemorrhage can be accompanied by abdominal pain, dizziness, and other symptoms, but the main thing is that it is not a gastrointestinal hemorrhage. The blood in the stool and vomiting blood, gastric bleeding need to be hospitalized in the local hospital, and check the causes of gastric bleeding, the specific treatment needs to be adjusted according to different situations, pay attention to quit smoking and alcohol, do not eat spicy stimulating food, and fasting is also necessary.
Diet for gastric bleeding
It is better to start eating fluids, rice soup, lotus root powder, and drinking milk in moderation. Don't drink foods that are too sour or too sweet, as these increase acid production. The first thing you need to do is to eat a small amount of food and eat warm food, too hot food may make the blood vessels of the gastric mucosa dilate, which is not conducive to stopping the bleeding. 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.
Stomach bleeding is a common complication of ulcer disease. In general, you can eat when you have gastric bleeding, as long as there is no vomiting of blood. However, the patient who vomits blood must be fasting, in order to prevent eating vomit ko, test big collection of organization or vomit blood caused by choking. Usually 12 hours after the cessation of vomiting blood, regardless of whether there is still black stool can be considered to resume eating. If the blood is again vomited, then fasting again.
Surgical treatment of gastric hemorrhage
1, esophagogastric fundus variceal bleeding Adopting non-surgical treatments, such as blood transfusion, medication, triple lumen tubes, sclerosing agents and embolization can not control the bleeding, it should be an emergency variceal ligation, this method has the effect of hemostasis, but the rate of recurrence of bleeding is high. If the splenorenal vein shunt surgery can be performed at the same time, the recurrence rate can be reduced. Other surgeries, such as portacaval shunt, H-shaped superior mesenteric vein inferior vena cava shunt, splenic vena cava shunt, etc., are also in clinical use. Elective portacaval shunt has a low operative mortality rate and has prophylactic significance. Liver transplantation can also be considered for those caused by severe cirrhosis.
2, ulcerative bleeding When the upper gastrointestinal bleeding persists for more than 48 hours and still can not be stopped; blood transfusion of 1500 ml within 24 hours can not be corrected blood volume, unstable blood pressure; conservative treatment during the occurrence of re-bleeding; endoscopy found to have an arterial activity bleeding and other conditions, the mortality rate is as high as 30%, should be as early as possible surgical operation.
3, thrombosis or arterial embolism of the superior mesenteric artery often occurs in middle-aged and elderly people with atherosclerosis, sudden abdominal pain and blood in the stool, causing extensive intestinal necrosis with a mortality rate of up to 90%, the need for surgical removal of necrotic intestinal tissue.
We not only need to do a good job of first aid and treatment, but also the main thing is to prevent the occurrence of this disease. If we have some primary disease (gastric ulcer, cirrhosis of the liver, etc.) have to be in the doctor's knowledge of active treatment, usually also have to pay attention to the regular life, diet, do not overeat, no smoking and no alcohol.