Mild upper gastrointestinal bleeding symptoms

Written by Wu Hai Wu
Gastroenterology
Updated on February 08, 2025
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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.

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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 Zhu Dan Hua
Gastroenterology
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What medicine is used to stop bleeding in the upper gastrointestinal tract?

Pharmacological treatment for upper gastrointestinal bleeding may include aggressive fluid resuscitation to improve symptoms of hypovolemia, transfusion of red blood cells when necessary to correct anemia, and the use of acid-suppressive and gastroprotective medications to prevent further bleeding. Common causes of upper gastrointestinal bleeding include gastric ulcers, duodenal ulcers, and even vascular anomalies. Therefore, in the early stages, it is advisable to choose acid-suppressive and gastroprotective medications to treat common causes such as gastric ulcers and gastritis, which lead to bleeding. The main symptoms of upper gastrointestinal bleeding are vomiting blood or bleeding from the bowels. In severe cases, the patient may also experience dizziness and fatigue due to low blood volume. For such patients, once the condition stabilizes, it is important to conduct routine blood tests, electrocardiography, and gastroscopy to identify the specific cause of the bleeding. Different causes require different treatment approaches. If the bleeding is suspected to be caused by a tumor, pharmacological treatment may not be very effective, and surgical intervention might be more appropriate. (The use of medications should be under the guidance of a doctor.)

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Written by Wang Li Bing
Intensive Care Medicine Department
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Common Causes of Upper Gastrointestinal Bleeding

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.

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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.

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Written by Zhu Dan Hua
Gastroenterology
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Clinical manifestations of upper gastrointestinal bleeding

Patients with upper gastrointestinal bleeding typically present with vomiting blood or bleeding from the stool. Of course, if the bleeding amount is small, there may be no other discomfort. However, if the bleeding is significant, symptoms may include dizziness, fatigue, chest tightness, and palpitations related to low blood volume. Some patients might also experience abdominal discomfort, such as abdominal pain, bloating, or even indigestion. For those suspected of upper gastrointestinal bleeding, it is advisable to further complete blood tests, stool analysis, and electrocardiograms. It is necessary to promptly carry out a gastroscopy when needed to clarify the cause of the bleeding, and consider if it is due to ulcers or vascular malformations. In the early stages of treatment, symptomatic management should be prioritized, and patients are advised to actively rehydrate to improve symptoms of low blood volume and to transfuse red blood cells if necessary to correct anemia. Once the cause is identified, causative treatment should be added, such as the use of acid-suppressing and gastric-protecting drugs for bleeding associated with peptic ulcers. (The use of medications should be under the guidance of a doctor.)