Upper gastrointestinal bleeding

Ulcer disease (including gastric ulcer, duodenal ulcer, anastomotic ulcer) the number of patients in our country about 1 million or more, more common in adults (20 to 50 years). Ulcer disease itself is not fatal, but it is not only high incidence of complications, but also extremely harmful, and sometimes the first symptoms appear, which can easily be neglected or lack of knowledge. Let us know and alert them one by one.

Upper gastrointestinal bleeding

Ranks of upper gastrointestinal bleeding ulcer complications in the first. According to statistics, every 3 to 4 patients had a bleeding occurred. Light were detected only by fecal occult blood test, severe vomiting, blood in the stool up to 1000 ml or more and shock. Upper gastrointestinal bleeding are ulcer disease, especially in the elderly above 60 years old the first cause of death.

Upper gastrointestinal bleeding due to erosion of the stomach ulcers (intestinal) wall the size of the veins or small arteries, if the small arteries, large amount of bleeding, especially dangerous. The blood of patients with vomiting or brown material (such as for the latter prompted large amount of bleeding, severe illness), while with black stools, less blood loss, the stool was brown-black; bleeding is heavy, mostly for dilute tarry stools, more severe, there may be sweating, dry mouth, heart rate, blood pressure and other symptoms of shock. Once the shock, the amount of bleeding that has reached more than 1500 ml, if not up to the amount of discharge, will be there within the intestine, which need to go to hospital emergency room. Another characteristic of this disease is that once bleeding occurs, the original symptoms of abdominal pain but will magically disappear.

Once bleeding occurs, do not even think the hospital immediately.

So dangerous on the gastrointestinal bleeding, ulcer patients must pay attention to prevent it from happening. Note the following general effective prevention can be achieved:

(1) to avoid tension and fatigue, such as violent mood swings, excessive physical or mental work and so on.

(2) prone to bleeding in the autumn, winter and spring when the temperature suddenly changes, special attention should be some preventive treatment at this time.

(3) ulcers in patients unfit for human consumption of ibuprofen, indomethacin, inflammation, and aspirin and other pain Xikang drugs, adrenal corticosteroids such as prednisone, dexamethasone, nor affordable. These drugs are often bleeding incentives.

(4) alcohol: recent research confirms that alcohol is also a factor causing bleeding.

(5) formal, to eradicate the H. pylori can significantly reduce the incidence of bleeding, even after no longer bleeding.

(6) to observe the stool develop the habit of stool color, speed suspicious to see a doctor.

Gastric (or duodenal) perforations

About 5% to 15% of patients perforation may occur, due to duodenal wall is thin, easily perforated ulcer. Recent years due to the application of effective drugs, the incidence of perforation decreased.

The sub-acute chronic perforation. Sudden severe abdominal pain, acute perforation and refused to press; chronic recurrent abdominal pain, perforation, but not as severe acute perforation of the passage of time, while penetrating the gastrointestinal wall, but the opening smaller, often wrapped in tissue inflammation. Others are in sub-acute perforation stage, symptoms range from between acute and chronic.

First found to be regular and complete treatment of ulcers, symptoms of pain must not think that because there is no disease is cured, otherwise planted the seeds. Once the suspected perforation, be sure to fasting, forbidden to drink, avoid stomach contents into the abdominal cavity through the break, cause or aggravate peritonitis.

Ulcer patients should avoid overeating and heavy manual labor (such as lifting, heavy lifting), otherwise it would be increased abdominal pressure, leading to perforation.

Obstruction

Active ulcer - healing scars - ulcer recurrence - a new scar formation - ulcer recurrence ... ... so the cycle repeated, hard scar tissue can form, much like the usual post-traumatic keloid skin left. This is easy to scar contraction of the original narrow pyloric, duodenal blocked the passage of food and liquid can not remain in the stomach, the stomach capacity of more than vomit when they have come to relieve the pressure on the stomach. Over time, because of the lack of stomach or intestinal nutrition and water, the patient will appear thinner, dehydration, malnutrition and electrolyte imbalance, this is a chronic obstruction. Also due to edema caused by acute obstruction, upper abdominal fullness, mobile positioning can be heard the sound of water vapor, such as jitter does not exhaust hot water bottle.

Vomiting is a common symptom, often occurs during or before a meal in the dining, and even spit out the day before the meal, more than a sour smell of vomit. After vomiting, abdominal distension reduced abdominal distension still had not a few days, and vomiting, general medical therapy.

Prevention of obstruction above the basic measures to deal with gastrointestinal bleeding. Before dinner before admission should strictly control the volume. Thorough treatment of the initial attack, can reduce the incidence of obstruction.

Canceration

Cancerous gastric ulcer mainly refers to the current pathology has been observed from ulcers to cancer in multiple stages.

When cancerous ulcer disease, most patients with abdominal pain, bloating, delayed healing of long-term, the recent exacerbations, accompanied by loss of appetite, weight loss, gastrointestinal bleeding may also occur on or sudden obstruction. Therefore, it is a long history of ulcers, those symptoms have increased recently, you must go to the hospital review, without delay autonomy.