Treatment of gastric ulcer with bleeding

Written by Jiang Guo Ming
Gastroenterology
Updated on January 31, 2025
00:00
00:00

For the treatment of gastric ulcers with bleeding, it is primarily necessary to determine the treatment plan based on the amount of bleeding. If the bleeding is minor, it can be treated with oral medication, and whether there is an infection with Helicobacter pylori must be considered. If there is an infection of Helicobacter pylori, the typical treatment is a quadruple therapy, which includes a proton pump inhibitor, two antibiotics, and a bismuth agent. If there is no Helicobacter pylori infection, symptomatic treatment is sufficient, commonly using proton pump inhibitors. If the bleeding is severe, timely hospitalization is needed. The treatment usually involves the intravenous use of proton pump inhibitors primarily, and if the medication is ineffective, endoscopic treatment might be necessary. This could include the application of hemostatic medications, electrocoagulation, or the use of titanium clips, etc. (Please use medication under the guidance of a doctor.)

Other Voices

doctor image
home-news-image
Written by Ren Zheng Xin
Gastroenterology
1min home-news-image

Precautions for Gastric Ulcer

Patients with gastric ulcers should pay more attention to rest, reduce mental stress, and, moreover, enhance health education, maintain regular eating habits, have meals at fixed times and in fixed amounts, eat less greasy, spicy, and irritating food, strictly abstain from smoking and drinking alcohol, and drink less strong tea, coffee, and other such beverages. Actively use medical treatment, commonly using medications that suppress stomach acid secretion and protect the gastric mucosa. To achieve ulcer healing, the course of acid-suppressing medication generally lasts 4 to 6 weeks. One should maintain a relaxed mood, as excessive tension and anxiety can aggravate ulcer symptoms. Through effective medical treatment, the cure rate of peptic ulcers can reach over 95%. Even after healing, strict attention must be paid to dietary habits. (Please use medication under the guidance of a doctor.)

doctor image
home-news-image
Written by Ren Zheng Xin
Gastroenterology
58sec home-news-image

Are stomach ulcers prone to recurrence?

After healing from a gastric ulcer, it is not easy to relapse if health education is strengthened. Usually, it is important to rest more, reduce stress, as excessive tension can lead to excitement of the vagus nerve, stimulate gastric acid secretion, and easily induce ulcers. Additionally, improving dietary habits, strictly quitting smoking and drinking, minimizing consumption of strong tea and coffee, and ceasing the use of medications that irritate the gastric mucosa when necessary, such as non-steroidal anti-inflammatory drugs and corticosteroid hormones, are essential. Meals should be on a regular schedule and in controlled portions, avoiding overeating and overdrinking. If gastrointestinal irritation symptoms occur, treatment should be proactive, and if infected with Helicobacter pylori, the bacteria should be actively eradicated. (Use of medications should be under the guidance of a doctor.)

doctor image
home-news-image
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.

doctor image
home-news-image
Written by Zhu Dan Hua
Gastroenterology
1min 23sec home-news-image

Can stomach ulcers bleed?

Gastric ulcers can cause gastrointestinal bleeding, as gastrointestinal bleeding is a common complication of gastric ulcers. Clinically, gastric ulcers may present as gastrointestinal bleeding or simply as rhythmic pain, typically manifested as upper abdominal pain related to eating. Bleeding caused by gastric ulcers may present as vomiting blood in some patients. Of course, if the bleeding is minor and there is no vomiting blood, there might only be blood in the stool. The diagnosis of gastric ulcers primarily relies on gastroscopy; therefore, for patients suspected of having gastric ulcers, we generally recommend an early gastroscopy to confirm the diagnosis and assess the condition. The treatment of gastric ulcers mainly depends on medication, with options including acid-reducing and stomach-protecting drugs. The treatment duration is about 6 weeks, and most patients can be well controlled. Of course, attention should be paid to diet, rest, and regular follow-up appointments in the future. (The use of drugs should be under the guidance of a doctor.)

doctor image
home-news-image
Written by Ren Zheng Xin
Gastroenterology
54sec home-news-image

Can you smoke with a stomach ulcer?

Patients with gastric ulcers should not smoke, as the tar and nicotine in tobacco can damage the gastric mucosa and worsen ulcer symptoms. Patients should pay attention to proper rest, reduce mental stress, avoid excessive tension and irritability, develop regular living habits, eat meals at fixed times and in fixed amounts, eat more vegetables and fruits, eat less spicy and greasy food, and avoid smoking and drinking alcohol. It's also important to consume less strong tea and coffee. Actively use medications for treatment, commonly including drugs that inhibit gastric acid secretion and drugs that protect the gastric mucosa. If there is Helicobacter pylori infection, it is necessary to eradicate Helicobacter pylori. (Medications should be used under the guidance of a doctor.)