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.

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Written by Ren Zheng Xin
Gastroenterology
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How to stop bleeding from a gastric ulcer?

Gastric ulcer bleeding is a relatively common complication. Treatment methods can be selected based on the endoscopic characteristics of the bleeding lesion. Active bleeding can be treated with acid-suppressing medications such as proton pump inhibitors, combined with endoscopic treatment, and if necessary, vascular interventional treatment or surgery. For those with blood clots, proton pump inhibitors can also be chosen, with endoscopic treatment if necessary. During endoscopy, fibrin glue can be sprayed on the surface of the ulcer, adrenaline can be injected at the bleeding site, and endoscopic hemostatic clip techniques can be used. During treatment, it’s important to adjust the diet. For those with significant bleeding, temporary parenteral nutrition should be chosen, and no food should be consumed to avoid further gastrointestinal irritation. (Please use medications under the guidance of a doctor.)

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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 Li Xue Qing
Gastroenterology
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How should gastric ulcers be treated?

The treatment of gastric ulcers is divided into general treatment and medication treatment. General treatment mainly requires patients to avoid spicy, irritating, and cold foods, maintain a calm mindset, have regular meals, and avoid the use of some drugs that can damage the stomach, such as non-steroidal anti-inflammatory drugs. Medication treatment can be administered through gastric protection, which includes drugs that neutralize stomach acid, such as magnesium aluminum carbonate chewable tablets. Drugs that suppress stomach acid include proton pump inhibitors and H2 receptor blockers. Medications that protect the gastric mucosa include sucralfate, bismuth preparations, etc. Additionally, there is targeted eradication treatment for Helicobacter pylori, which clinically includes triple and quadruple therapies. Triple therapy refers to a proton pump inhibitor or a bismuth agent combined with two antibiotics. Quadruple therapy consists of a proton pump inhibitor added to a bismuth agent and two antibiotics, which could include amoxicillin, clarithromycin, levofloxacin, furazolidone, metronidazole, tetracycline, etc. Treatment generally lasts seven to ten days, and the overall treatment for gastric ulcers is typically around one month. (Medications should be used under the guidance of a doctor based on the specific situation.)

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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 Li Xue Qing
Gastroenterology
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How to treat gastric ulcers?

The treatment of gastric ulcers mainly consists of general management and pharmacotherapy. General management involves patients avoiding spicy, stimulating, and cold foods, eating regular meals, and avoiding medications that may harm the stomach, such as non-steroidal anti-inflammatory drugs. Pharmacotherapy mainly includes gastroprotective therapy and treatment against Helicobacter pylori. Gastroprotective therapy includes neutralizing stomach acid with agents such as magnesium carbonate chewing tablets, acid-suppressing medications like proton pump inhibitors and H2 receptor antagonists, pantoprazole, cimetidine, etc. Medications to protect the gastric mucosa, such as sucralfate, bismuth preparations, etc., are also used. Treatment against Helicobacter pylori mainly includes triple and quadruple therapy. Triple therapy involves a proton pump inhibitor or a bismuth agent combined with two types of antibiotics, and quadruple therapy consists of a proton pump inhibitor, a bismuth agent, and two types of antibiotics. Antibiotics commonly used include amoxicillin, clarithromycin, furazolidone, levofloxacin, metronidazole, tetracycline, etc. Treatment generally lasts seven to ten days, with overall therapy for gastric ulcers spanning about a month. (Please undertake any medication under the guidance of a doctor.)