How to stop bleeding from a gastric ulcer?

Written by Ren Zheng Xin
Gastroenterology
Updated on March 15, 2025
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Gastric ulcer bleeding is a relatively common complication. Treatment methods can be selected based on the endoscopic characteristics of the bleeding lesion. Active bleeding can be treated with acid-suppressing medications such as proton pump inhibitors, combined with endoscopic treatment, and if necessary, vascular interventional treatment or surgery. For those with blood clots, proton pump inhibitors can also be chosen, with endoscopic treatment if necessary. During endoscopy, fibrin glue can be sprayed on the surface of the ulcer, adrenaline can be injected at the bleeding site, and endoscopic hemostatic clip techniques can be used. During treatment, it’s important to adjust the diet. For those with significant bleeding, temporary parenteral nutrition should be chosen, and no food should be consumed to avoid further gastrointestinal irritation. (Please use medications under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
45sec home-news-image

What should be noted for bleeding from gastric ulcers?

After a gastric ulcer bleeds, the first thing to pay attention to is emotional control. Many people will feel emotionally excited and fearful when they experience bleeding and vomiting, and at this time, family members should soothe them promptly; Secondly, dietary adjustments should be made. Eat more soft, easily digestible foods, such as noodles, soft rice, soy milk, eggs, as well as a lot of green vegetables and fresh fruits. Supplementing with vitamin C can help heal the ulcer. In addition, restrict some raw, spicy, and fried foods. You should eat less food that is too sweet, too hot, too acidic, or too salty, and actively quit smoking and drinking.

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Written by Li Xue Qing
Gastroenterology
1min 36sec home-news-image

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.)

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Written by Zhu Dan Hua
Gastroenterology
1min 5sec home-news-image

Does gastric ulcer cause vomiting?

Gastric ulcers are a common disease in gastroenterology, especially prevalent among outpatient clients. The symptoms of gastric ulcers vary widely, and some patients may not show any symptoms, only presenting with a decrease in appetite, which can lead to nausea and vomiting. Common symptoms of gastric ulcers include nausea, vomiting, abdominal distension, abdominal pain, and even a decrease in appetite. The abdominal pain is typically felt in the upper abdomen, can worsen after eating, and may resolve on its own without fever. However, if a gastric ulcer is accompanied by bloody stools, especially black stools or even vomiting blood, it is recommended that the patient seek further treatment at a local hospital. Therefore, for patients with gastric ulcers who experience symptoms such as nausea, vomiting, and abdominal pain, it is suggested to provide protective gastric treatment, typically lasting four to eight weeks.

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Written by Jiang Guo Ming
Gastroenterology
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Is bleeding from a gastric ulcer serious?

Upper gastrointestinal bleeding is one of the common complications of peptic ulcers. If gastric ulcers cause vomiting blood, it often indicates that the bleeding is not minor and the condition is generally severe. It is usually considered that when about 250-300mL of blood accumulates in the stomach, vomiting blood may occur. Clinically, if vomiting blood occurs, it is firstly necessary to promptly hospitalize for treatment, including establishing venous access, nutritional support, and hemostatic treatment. Proton pump inhibitors or somatostatin analogs are commonly used. Additionally, if the bleeding does not stop, endoscopic treatment can be performed, such as spraying hemostatic drugs, electrocoagulation, or mechanical hemostasis. It is also necessary to monitor the patient's vital signs. If repeated bleeding occurs, a comprehensive treatment plan may be needed.

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Written by Zhu Dan Hua
Gastroenterology
1min 22sec home-news-image

Can stomach ulcers cause bleeding?

Gastric ulcers with bleeding are relatively common in clinical practice, and bleeding is a common complication of gastric ulcers, so it is considered that gastric ulcers can lead to bleeding. The typical clinical manifestation of a gastric ulcer is abdominal pain. Of course, gastrointestinal bleeding is a common complication, generally presenting as vomiting blood or passing bloody stools, with a considerable amount of bleeding leading to vomiting blood in patients. The diagnosis of gastric ulcers relies on gastroscopy. Therefore, in clinical practice, if patients seek medical advice due to abdominal pain or gastrointestinal bleeding, and gastric ulcers are suspected, we recommend that patients promptly complete a gastroscopy to assess the condition. When patients with gastric ulcers experience bleeding, it is advisable for them to fast and intensify treatment with oral stomach-protecting drugs. Of course, if the blood pressure is low and vital signs are unstable, some medications to replenish blood volume might be added, and if necessary, surgical operations to stop the bleeding may be performed.