The most common cause of upper gastrointestinal bleeding

Written by Wang Li Bing
Intensive Care Medicine Department
Updated on September 25, 2024
00:00
00:00

Upper gastrointestinal (GI) bleeding is very common in clinical settings, and the main causes of upper GI bleeding include the following: First, gastric and duodenal ulcers, esophageal diseases. Second, esophageal and gastric fundal varices rupture caused by portal hypertension. Third, diseases of organs or tissues adjacent to the upper digestive tract, such as biliary bleeding or pancreatic diseases involving the duodenum, such as pancreatic cancer, as well as aortic aneurysms breaking into the esophagus, stomach, or duodenum. Fourth, systemic diseases, such as allergic purpura, hemophilia, etc., can all lead to upper GI bleeding. After such bleeding occurs, it is essential to seek medical attention promptly.

Other Voices

doctor image
home-news-image
Written by Wang Li Bing
Intensive Care Medicine Department
39sec home-news-image

Upper gastrointestinal bleeding examination methods

Upper gastrointestinal bleeding is relatively common in clinical practice. The main diagnostic methods include gastroscopy, barium meal examination of the gastrointestinal tract, and DS imaging of the gastrointestinal tract, among others. If a patient experiences a large amount of bleeding at a rapid pace after upper gastrointestinal bleeding, it can lead to a drop in blood volume and hypovolemic shock, which can be life-threatening. In such cases, it is crucial to seek prompt medical treatment and use hemostatic drugs, and even endoscopic hemostasis or surgical intervention may be necessary to actively save the patient's life.

doctor image
home-news-image
Written by Wang Li Bing
Intensive Care Medicine Department
39sec home-news-image

How to treat upper gastrointestinal bleeding?

After gastrointestinal bleeding, the patient should be kept in a recumbent position to rest and ensure that the airway is clear to avoid aspiration of blood due to vomiting. Close monitoring of the patient's vital signs, such as heart rate, blood pressure, and breathing, is necessary. It is important to actively replenish blood volume, correct hypovolemic shock, and administer medications for hemostasis. Endoscopic hemostasis with a gastroscope can also be used. If conservative drug treatment is not effective, surgical treatment may be considered. Emergency treatment is essential after gastrointestinal bleeding, as delays can be life-threatening.

doctor image
home-news-image
Written by Wang Li Bing
Intensive Care Medicine Department
42sec home-news-image

What are the symptoms of upper gastrointestinal bleeding?

Upper gastrointestinal bleeding is relatively common in clinical practice. Its clinical manifestations mainly relate to the volume and rate of bleeding. Clinically, patients may experience vomiting blood and black stools. If a patient has a large amount of bleeding, they may develop hemorrhagic shock or hemorrhagic anemia, presenting symptoms such as dizziness, palpitations, and weakness. In such cases, patients should seek prompt treatment at a hospital, where they can receive blood transfusions, hemostasis, and volume repletion as active measures. If conditions permit, a gastroscopy can be performed to further clarify the diagnosis.

doctor image
home-news-image
Written by Wang Li Bing
Intensive Care Medicine Department
42sec home-news-image

The most common symptom of upper gastrointestinal bleeding

The most common symptoms of upper gastrointestinal bleeding mainly include: vomiting blood, black stools, or symptoms such as dizziness, palpitations, and fatigue, and even hypovolemic shock and hypovolemic anemia, etc. Therefore, when gastrointestinal bleeding occurs, if the patient has a large amount of bleeding and the bleeding is rapid, it is necessary to seek medical attention promptly, to administer fluid replenishment, volume expansion, and blood transfusion to replenish blood volume, along with symptomatic treatment such as medication and endoscopic hemostasis. If conservative treatment is ineffective, surgical treatment may be considered to avoid life-threatening risks.

doctor image
home-news-image
Written by Wang Li Bing
Intensive Care Medicine Department
48sec home-news-image

What causes upper gastrointestinal bleeding?

The most common causes of upper gastrointestinal bleeding. The first is hemorrhage due to peptic ulcers. The second is bleeding from ruptured esophageal and gastric varices. The third is acute erosive hemorrhagic gastritis. The fourth is bleeding caused by gastric cancer. The fifth is bleeding caused by Mallory-Weiss syndrome. After the occurrence of gastrointestinal bleeding, it is necessary to seek medical attention promptly, undergo treatments like hemostasis and blood transfusion in the hospital, and actively manage the symptoms. If necessary, a gastroscopy can be performed for endoscopic hemostasis. If not treated actively, emaciated individuals' lives may be at risk, so caution is necessary.