Treatment of gastric ulcer with bleeding

Written by Jiang Guo Ming
Gastroenterology
Updated on January 31, 2025
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For the treatment of gastric ulcers with bleeding, it is primarily necessary to determine the treatment plan based on the amount of bleeding. If the bleeding is minor, it can be treated with oral medication, and whether there is an infection with Helicobacter pylori must be considered. If there is an infection of Helicobacter pylori, the typical treatment is a quadruple therapy, which includes a proton pump inhibitor, two antibiotics, and a bismuth agent. If there is no Helicobacter pylori infection, symptomatic treatment is sufficient, commonly using proton pump inhibitors. If the bleeding is severe, timely hospitalization is needed. The treatment usually involves the intravenous use of proton pump inhibitors primarily, and if the medication is ineffective, endoscopic treatment might be necessary. This could include the application of hemostatic medications, electrocoagulation, or the use of titanium clips, etc. (Please use medication 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 Zhu Dan Hua
Gastroenterology
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Does gastric ulcer cause vomiting?

Gastric ulcers are a common disease in gastroenterology, especially prevalent among outpatient clients. The symptoms of gastric ulcers vary widely, and some patients may not show any symptoms, only presenting with a decrease in appetite, which can lead to nausea and vomiting. Common symptoms of gastric ulcers include nausea, vomiting, abdominal distension, abdominal pain, and even a decrease in appetite. The abdominal pain is typically felt in the upper abdomen, can worsen after eating, and may resolve on its own without fever. However, if a gastric ulcer is accompanied by bloody stools, especially black stools or even vomiting blood, it is recommended that the patient seek further treatment at a local hospital. Therefore, for patients with gastric ulcers who experience symptoms such as nausea, vomiting, and abdominal pain, it is suggested to provide protective gastric treatment, typically lasting four to eight weeks.

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Written by Ren Zheng Xin
Gastroenterology
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Causes of gastric ulcers

Gastric ulcers refer to inflammatory defects in the gastric mucosa, with several common causes as follows: First, infection with Helicobacter pylori is directly related to the development of peptic ulcers. Second, various drugs that damage the gastric mucosa, such as non-steroidal anti-inflammatory drugs, corticosteroid hormones, etc. Third, dietary factors. Long-term alcohol consumption, spicy foods, strong tea, and coffee can all cause gastric ulcers. Fourth, the digestive actions of gastric acid and pepsin damage the gastric mucosa, leading to a decline in the protective barrier function of the mucosa and causing ulcers. Fifth, abnormalities in gastric motility and decreased emptying ability, leading to food retention in the stomach, continuously irritating the gastric mucosa, causing increased gastric acid secretion and resulting in ulcers.

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Written by Wang Li Wei
Gastroenterology
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How long should you fast if you have a bleeding gastric ulcer?

Primarily, it depends on whether the bleeding has stopped. If the bleeding has ceased, the patient shows no signs of vomiting blood, and their gastrointestinal symptoms in the abdomen are slightly improving, generally, they can gradually start eating after about two days. If the patient still experiences vomiting of blood, or has black stools, increased frequency of bowel movements, heartburn, or if a gastroscopy confirms that the bleeding vessels from the gastric ulcer are relatively large, the duration of fasting might be comparatively longer. Therefore, the duration of fasting for a gastric ulcer bleed mainly depends on whether there is active bleeding in the patient.