How to care for gastric ulcer bleeding

Written by Ren Zheng Xin
Gastroenterology
Updated on January 21, 2025
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Gastric ulcer bleeding is a relatively common complication. First, it is important to soothe the patient's emotions, encourage rest, reduce mental stress, and pay attention to significant bleeding, which can cause vomiting of blood. It is necessary to promptly clean the blood stains in the mouth to prevent aspiration, provide timely symptomatic treatment, and choose to use proton pump inhibitors combined with endoscopic hemostasis. Vascular intervention or surgery may be required when necessary. Dietary management should be strengthened, with regular meals, consumption of soft, easily digestible food, and avoidance of hard, cold foods. It is crucial to strictly abstain from smoking and alcohol, and to consume less strong tea, coffee, etc., while actively treating any complications. (Please use medications under the guidance of a doctor.)

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Written by Li Xue Qing
Gastroenterology
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What department should I go to for gastric ulcers?

Gastric ulcer is a gastrointestinal disease. Therefore, it requires consultation in the department of gastroenterology or gastroenterology clinic. Gastric ulcer is caused by infection with Helicobacter pylori, inappropriate medication use, irregular diet, or certain psychological factors, and can arise in emergency situations. It presents with periodic, rhythmic upper abdominal pain, more often occurring in the autumn and winter seasons, and can be diagnosed through gastroscopy. For treatment, methods mainly include triple therapy or quadruple therapy to eradicate Helicobacter pylori and facilitate gastric recovery.

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Written by Zhu Dan Hua
Gastroenterology
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What should I do if I have a stomach ulcer?

Gastric ulcers are generally treated with internal medicine medications in clinical settings, primarily through oral medications. Patients may select from antacid and stomach-protecting drugs for a course of 6-8 weeks, after which most ulcers can be healed. It is advised that patients eat clean, easily digestible foods, and avoid intake of spicy, stimulative, and pickled foods, as well as foods like raw fish and strong coffee. If the patient has a habit of drinking alcohol, it is advised to abstain from alcohol for these two months. It is also important to focus on resting and maintaining adequate sleep. Gastric ulcers are relatively common in clinical settings and generally improve with active treatment. Patients typically seek treatment for abdominal pain or complications, with the pain usually manifesting as upper abdominal pain. The most common complication is gastrointestinal bleeding, presenting as vomiting blood or bloody stools. Therefore, it is recommended that patients experiencing such discomfort should actively seek a comprehensive gastroscopy examination.

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Written by Zhu Dan Hua
Gastroenterology
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Gastric ulcer clinical symptoms

Gastric ulcers are a common clinical manifestation, with diverse symptoms. Typical symptoms include abdominal pain, bloating, nausea, vomiting, or early satiety. Typically, the abdominal pain is more noticeable after eating and presents as postprandial abdominal pain, but it can naturally subside after several hours. Of course, when accompanied by complications such as decreased appetite, nausea, and vomiting, it can manifest as vomiting blood or bloody stools, with the stools often being loose and black in color. Therefore, clinically, if you encounter situations like bleeding stools or vomiting blood accompanied by abdominal pain, ulcers should be considered, and it is recommended to seek timely treatment at a local hospital. If these conditions are relatively stable, they can be managed with medication.

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Written by Jiang Guo Ming
Gastroenterology
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Gastric ulcer and duodenal ulcer

Gastric ulcers and duodenal bulb ulcers both belong to upper gastrointestinal ulcers. Their symptoms slightly differ; gastric ulcers typically manifest as postprandial pain in the upper abdomen, whereas duodenal bulb ulcers present as hunger pains in the upper abdomen, sometimes accompanied by nocturnal pain. Both types generally exhibit symptoms such as acid reflux and heartburn. The predominant cause for these is infection by Helicobacter pylori, detectable through tests such as the carbon-13 or carbon-14 breath test. If an infection is present, antimicrobial treatment can typically lead to a complete recovery of the ulcers. If there is no Helicobacter pylori infection, the initial approach should still focus on symptomatic treatment. Additionally, adopting good dietary and living habits can facilitate regular gastroscopic follow-ups.

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Written by Li Xue Qing
Gastroenterology
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How to treat gastric ulcers?

The treatment of gastric ulcers mainly consists of general management and pharmacotherapy. General management involves patients avoiding spicy, stimulating, and cold foods, eating regular meals, and avoiding medications that may harm the stomach, such as non-steroidal anti-inflammatory drugs. Pharmacotherapy mainly includes gastroprotective therapy and treatment against Helicobacter pylori. Gastroprotective therapy includes neutralizing stomach acid with agents such as magnesium carbonate chewing tablets, acid-suppressing medications like proton pump inhibitors and H2 receptor antagonists, pantoprazole, cimetidine, etc. Medications to protect the gastric mucosa, such as sucralfate, bismuth preparations, etc., are also used. Treatment against Helicobacter pylori mainly includes triple and quadruple therapy. Triple therapy involves a proton pump inhibitor or a bismuth agent combined with two types of antibiotics, and quadruple therapy consists of a proton pump inhibitor, a bismuth agent, and two types of antibiotics. Antibiotics commonly used include amoxicillin, clarithromycin, furazolidone, levofloxacin, metronidazole, tetracycline, etc. Treatment generally lasts seven to ten days, with overall therapy for gastric ulcers spanning about a month. (Please undertake any medication under the guidance of a doctor.)