Common Causes of Upper Gastrointestinal Bleeding

Written by Wang Li Bing
Intensive Care Medicine Department
Updated on September 11, 2024
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The common causes of upper gastrointestinal bleeding mainly include the following points:

First, esophageal diseases, such as esophagitis, Mallory-Weiss syndrome.

Secondly, peptic ulcers, gastric cancer, acute erosive hemorrhagic gastritis, and then esophageal gastric variceal rupture caused by portal hypertension.

There are also diseases of neighboring organs or tissues of the upper digestive tract, such as biliary bleeding, pancreatic diseases involving the duodenum, such as pancreatic cancer, acute pancreatitis complicated by abscess rupture and bleeding.

Additionally, there are systemic diseases, such as allergic purpura, hemophilia, leukemia, etc.

Other Voices

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Written by Zhu Dan Hua
Gastroenterology
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Emergency measures for upper gastrointestinal bleeding

The treatment of upper gastrointestinal bleeding temporarily focuses on fasting and symptomatic fluid replacement. If the patient exhibits significant anemia, actively transfusing red blood cells to correct the anemia is advised. It is recommended that the patient rests in bed, with heart monitoring, blood pressure, and pulse being monitored. As for medications, acid-suppressing, stomach-protecting, and hemostatic drugs may initially be chosen for observation. Once the vital signs and condition have stabilized, it is important to promptly complete routine blood tests, electrocardiograms, and gastroscopy. Among these, gastroscopy is the most crucial diagnostic method, as it can clarify the cause and nature of the bleeding, such as gastric ulcer bleeding, gastric cancer bleeding, etc. Treatment plans vary depending on the cause; if the bleeding is suspected to be due to peptic ulcer disease, medication support is generally the first choice. If the bleeding is suspected to be from malignant transformation of gastric cancer, surgical intervention is typically necessary.

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Written by Wang Li Bing
Intensive Care Medicine Department
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What causes upper gastrointestinal bleeding?

The most common causes of upper gastrointestinal bleeding. The first is hemorrhage due to peptic ulcers. The second is bleeding from ruptured esophageal and gastric varices. The third is acute erosive hemorrhagic gastritis. The fourth is bleeding caused by gastric cancer. The fifth is bleeding caused by Mallory-Weiss syndrome. After the occurrence of gastrointestinal bleeding, it is necessary to seek medical attention promptly, undergo treatments like hemostasis and blood transfusion in the hospital, and actively manage the symptoms. If necessary, a gastroscopy can be performed for endoscopic hemostasis. If not treated actively, emaciated individuals' lives may be at risk, so caution is necessary.

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Written by Wang Li Bing
Intensive Care Medicine Department
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Upper gastrointestinal bleeding examination methods

Upper gastrointestinal bleeding is relatively common in clinical practice. The main diagnostic methods include gastroscopy, barium meal examination of the gastrointestinal tract, and DS imaging of the gastrointestinal tract, among others. If a patient experiences a large amount of bleeding at a rapid pace after upper gastrointestinal bleeding, it can lead to a drop in blood volume and hypovolemic shock, which can be life-threatening. In such cases, it is crucial to seek prompt medical treatment and use hemostatic drugs, and even endoscopic hemostasis or surgical intervention may be necessary to actively save the patient's life.

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Written by Si Li Li
Gastroenterology
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Black stool is bleeding from the upper gastrointestinal tract.

Black stools are generally caused by upper gastrointestinal tract bleeding, which can stem from several reasons: The first one is peptic ulcer, including stomach ulcers and duodenal ulcers; The second is bleeding caused by varices rupturing in the esophagus or stomach due to liver cirrhosis; The third is acute gastric mucosal injury, for example, gastric bleeding caused by orally taken non-steroidal anti-inflammatory drugs; The fourth is gastric hemorrhage caused by gastric cancer. No matter what causes the upper gastrointestinal bleeding, one should promptly visit a hospital, undergo a gastroscopy to determine the cause, and receive timely rescue and treatment. Moreover, during the treatment period, one cannot eat while experiencing gastric bleeding, and must fast until the bleeding stops, after which a liquid diet can be introduced, followed by a transition to a semi-liquid diet.

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Written by Wu Hai Wu
Gastroenterology
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Mild upper gastrointestinal bleeding symptoms

Symptoms of mild upper gastrointestinal bleeding mainly include dizziness, fatigue, poor appetite, etc., and there may also be cases of passing black stools. Once a patient experiences black stools accompanied by symptoms such as dizziness and fatigue, upper gastrointestinal bleeding should be considered. It is advisable to visit the gastroenterology department of a reputable hospital as soon as possible to undergo a gastroscopy to promptly determine the cause of the condition. Depending on the different causes, appropriate and active treatment measures should be taken. Additionally, endoscopic hemostasis treatment can also be considered. Patients with mild upper gastrointestinal bleeding should also be extra cautious, as delayed treatment may lead to the possibility of severe upper gastrointestinal bleeding.