Nursing measures for gastric ulcer bleeding

Written by Ren Zheng Xin
Gastroenterology
Updated on December 08, 2024
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Gastric ulcer bleeding is quite common clinically. If the bleeding is severe, it can cause vomiting of blood. At this time, it is important to promptly clear the respiratory tract secretions, maintain oral cleanliness and hygiene, and prevent aspiration. For elderly people who are bedridden long-term, in nursing work, it is important to prevent pressure ulcers and the formation of deep vein thrombosis, by frequently patting the patient's back, moving their lower limbs, and wiping their lower back skin. The bleeding caused by the ulcer may cause the patient to panic. At this time, psychological care should be strengthened, communicate more with the patient, conduct counseling, try to avoid excessive agitation of the patient, and then actively cooperate with the doctor's treatment.

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Written by Ren Zheng Xin
Gastroenterology
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How is a gastric ulcer diagnosed?

Gastric ulcers are inflammatory defects that occur on the gastric mucosa, related to the gastric acid and digestive actions of gastric juices. Diagnosis mainly relies on clinical manifestations and auxiliary examinations, with typical symptoms including recurring or periodic upper abdominal pain that worsens after eating, as well as occurrences of belching. X-ray barium meal examinations can reveal filling defects, and gastroscopy can provide a full view of the ulcer. Treatment primarily involves the use of medications that suppress gastric acid secretion and protect the gastric mucosa. Additionally, it is important to enhance health education, eat less spicy and greasy food, have meals regularly and in measured amounts, and consume more green vegetables. (Specific medication use should be carried out under the guidance of a doctor.)

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Written by Jiang Guo Ming
Gastroenterology
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What to eat for nutrition when suffering from bleeding gastric ulcers?

This condition should be a benign gastric ulcer with bleeding, during the recovery period after treatment. In addition to adhering to medical advice and maintaining medication, daily living habits are especially important. The stomach needs care; firstly, it is essential to quit smoking and drinking, avoid getting cold, and one can engage in appropriate activity, but avoid strenuous sports. Regarding diet, it should consist of light, easily digestible foods, such as soft rice, noodles, and porridge, among others. In particular, various fresh vegetables and fruits should be chosen. Try to avoid consuming too much raw, greasy, spicy foods, and alcoholic beverages. Patients with gastric ulcers need to have regular check-ups, and it's also important to maintain a positive mindset.

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Written by Ren Zheng Xin
Gastroenterology
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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.

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Written by Li Xue Qing
Gastroenterology
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Complications of gastric ulcers

The main complications of gastric ulcers are fourfold: one is upper gastrointestinal bleeding; the second is perforation; the third is pyloric obstruction; the fourth is malignant transformation. Upper gastrointestinal bleeding is the most common complication of gastric ulcers. If a patient has experienced bleeding, there is a high likelihood of recurrence. Perforations mainly occur in elderly individuals. Pyloric obstruction is primarily caused by ulcers in the pyloric canal and pre-pyloric area. It is divided into mechanical obstruction and functional obstruction. Mechanical obstruction results from scarring after the ulcer heals, which narrows the pyloric opening. Functional obstruction is due to congestion and edema of the mucosa after the ulcer, causing relative narrowing of the pylorus. As for malignant transformation, it is still controversial, but it is generally believed to be around 1%-7%.

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Written by Ren Zheng Xin
Gastroenterology
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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.)