What are the symptoms of upper gastrointestinal bleeding?

Written by Wang Li Bing
Intensive Care Medicine Department
Updated on September 03, 2024
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Upper gastrointestinal bleeding is relatively common in clinical practice. Its clinical manifestations mainly relate to the volume and rate of bleeding. Clinically, patients may experience vomiting blood and black stools. If a patient has a large amount of bleeding, they may develop hemorrhagic shock or hemorrhagic anemia, presenting symptoms such as dizziness, palpitations, and weakness. In such cases, patients should seek prompt treatment at a hospital, where they can receive blood transfusions, hemostasis, and volume repletion as active measures. If conditions permit, a gastroscopy can be performed to further clarify the diagnosis.

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Written by Wang Li Bing
Intensive Care Medicine Department
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The most common symptom of upper gastrointestinal bleeding

The most common symptoms of upper gastrointestinal bleeding mainly include: vomiting blood, black stools, or symptoms such as dizziness, palpitations, and fatigue, and even hypovolemic shock and hypovolemic anemia, etc. Therefore, when gastrointestinal bleeding occurs, if the patient has a large amount of bleeding and the bleeding is rapid, it is necessary to seek medical attention promptly, to administer fluid replenishment, volume expansion, and blood transfusion to replenish blood volume, along with symptomatic treatment such as medication and endoscopic hemostasis. If conservative treatment is ineffective, surgical treatment may be considered to avoid life-threatening risks.

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Written by Wang Li Bing
Intensive Care Medicine Department
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The most common cause of upper gastrointestinal bleeding.

Upper gastrointestinal bleeding is also relatively common in clinical practice, and its common causes mainly include the following points: The first is bleeding from gastric and duodenal ulcers; the second is liver cirrhosis leading to portal hypertension, which causes rupture and bleeding of gastric varices; the third is acute erosive gastritis leading to acute ulcer bleeding; the fourth category includes gastric cancer and various systemic diseases, such as bleeding caused by hematologic diseases. Therefore, if upper gastrointestinal bleeding occurs and the patient has a large amount of bleeding or rapid bleeding, they must seek medical attention immediately.

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Written by Wang Li Bing
Intensive Care Medicine Department
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Preferred examination method for upper gastrointestinal bleeding

Upper gastrointestinal bleeding is very common clinically. If the patient's respiratory and circulatory systems are stable, an esophagogastroduodenoscopy can be performed to further identify the bleeding site. Of course, it is also necessary to dynamically monitor blood tests and coagulation function, and pay attention to the patient's vomiting and rectal bleeding. The clinical treatment of upper gastrointestinal bleeding mainly involves transfusions to replenish blood volume and conservative medical treatment for hemostasis. If conservative medical treatment is not effective, surgical intervention can be considered.

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Written by Wang Li Bing
Intensive Care Medicine Department
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Upper gastrointestinal bleeding gastroscopy time

Upper gastrointestinal bleeding is also relatively common in clinical practice. The most common causes are bleeding from peptic ulcers, rupture of esophageal and gastric varices, bleeding caused by gastric cancer, and various emergency bleedings. Once gastrointestinal bleeding occurs, medical attention should be sought promptly. If the patient experiences hemorrhagic shock or hemorrhagic anemia, it is necessary to provide blood transfusions and hemostasis, and replenish blood volume as active treatments. Additionally, for upper gastrointestinal bleeding, it is generally advisable to complete a gastroscopic examination within 24 to 48 hours, which can help clarify the cause of the patient’s gastrointestinal bleeding.

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Written by Wu Hai Wu
Gastroenterology
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What is the most urgent measure for shock due to upper gastrointestinal bleeding?

When shock occurs due to upper gastrointestinal bleeding, the most urgent treatment measure is to quickly establish intravenous access and actively and rapidly replenish fluids and blood volume. Consideration can be given to the intravenous drip of balanced solutions, Ringer's solution or 5% glucose saline. Fluid replenishment should follow the principles of starting quickly then slowing, and using crystalloids before colloids. At the same time, after shock correction, it is crucial to perform a thorough gastroscopic examination to identify the cause and location of the bleeding, and to undertake the relevant endoscopic treatments. Additionally, patients with upper gastrointestinal bleeding need comprehensive treatment including suppressing acid secretion and protecting the gastric mucosa.