What should be noted for bleeding from gastric ulcers?

Written by Ren Zheng Xin
Gastroenterology
Updated on November 30, 2024
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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.

Other Voices

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Written by Li Xue Qing
Gastroenterology
1min 3sec home-news-image

What is a stomach ulcer?

Peptic ulcer is caused by long-term Helicobacter pylori infection and the consumption of stomach-irritating medications such as corticosteroids, aspirin, and long-term use of non-steroidal anti-inflammatory drugs, as well as irregular intake of spicy, stimulating, and cold foods, coupled with long-term emergency mental factors, leading to postprandial pain. The main symptoms are periodic rhythmic upper abdominal pain, which may be accompanied by nausea, vomiting, and acid reflux. Diagnosis can be made by performing a gastroscopy. Treatment mainly involves the eradication of Helicobacter pylori and protective stomach treatments among other symptomatic treatments. Complications may include upper gastrointestinal bleeding, perforation, pyloric obstruction, and malignant transformation. Dietary recommendations include avoiding smoking, alcohol, strong tea, coffee, indigestible foods, and some stimulating condiments.

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Written by Li Xue Qing
Gastroenterology
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What foods to eat for gastric ulcers?

People with stomach ulcers should eat foods that are easy to digest and high in protein and vitamins, such as soft rice, porridge, and noodles. Foods rich in protein include fish, milk, and walnuts. Foods high in vitamins include tomatoes, carrots, bean sprouts, and spinach. Patients with stomach ulcers should avoid spicy and stimulating foods such as chili peppers, garlic, leeks, and ginger, as well as seasonings like cinnamon, star anise, and Sichuan pepper. They should also avoid overly acidic foods, raw and cold foods, fried foods, and foods that are high in rough fiber.

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Written by Wang Hui Jie
Gastroenterology
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Medications for treating gastric ulcers

Here I will introduce several major types of medications for treating gastric ulcers, but specific medication use should be consulted with a doctor or pharmacist according to individual conditions. The first major type is anti-gastric acid medications. Since gastric acid plays a significant role in ulcerative lesions, it is considered appropriate to treat gastric ulcers by adjusting the stomach environment to a pH of 3.5. Anti-acid medications include antacids, H2 receptor antagonists, proton pump inhibitors, and others. The second major type is gastric mucosal protectants, which include some class B drugs, prostaglandin derivatives, and some containing sucralfate. The third major type is medications that treat Helicobacter pylori, with quadruple therapy currently being a common practice. Note: Medications should be used under the guidance of a doctor.

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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.)

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Written by Jiang Guo Ming
Gastroenterology
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Gastric ulcer and duodenal ulcer

Gastric ulcers and duodenal bulb ulcers both belong to upper gastrointestinal ulcers. Their symptoms slightly differ; gastric ulcers typically manifest as postprandial pain in the upper abdomen, whereas duodenal bulb ulcers present as hunger pains in the upper abdomen, sometimes accompanied by nocturnal pain. Both types generally exhibit symptoms such as acid reflux and heartburn. The predominant cause for these is infection by Helicobacter pylori, detectable through tests such as the carbon-13 or carbon-14 breath test. If an infection is present, antimicrobial treatment can typically lead to a complete recovery of the ulcers. If there is no Helicobacter pylori infection, the initial approach should still focus on symptomatic treatment. Additionally, adopting good dietary and living habits can facilitate regular gastroscopic follow-ups.