Upper gastrointestinal hemorrhage rescue process

Written by Ren Zheng Xin
Gastroenterology
Updated on February 08, 2025
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First, it is important to address the most life-threatening situations by promptly clearing the airway to prevent blood clots from gastrointestinal bleeding from blocking the bronchi, which can cause choking or asphyxiation. Additionally, it is crucial to timely replenish blood volume, as significant blood loss can directly lead to shock. While combating shock, actively identify the cause of the bleeding. Use a gastroscope for examination, and blood can be stopped under gastroscopy. If it cannot be stopped under gastroscopy, an emergency laparotomy should be performed to carry out a major gastrectomy. Postoperatively, intensive care should be strengthened, actively identifying the cause of gastric bleeding, providing symptomatic treatment, and maintaining regular dietary habits, with meals being on schedule and in fixed amounts.

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Written by Si Li Li
Gastroenterology
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Black stool is bleeding from the upper gastrointestinal tract.

Black stools are generally caused by upper gastrointestinal tract bleeding, which can stem from several reasons: The first one is peptic ulcer, including stomach ulcers and duodenal ulcers; The second is bleeding caused by varices rupturing in the esophagus or stomach due to liver cirrhosis; The third is acute gastric mucosal injury, for example, gastric bleeding caused by orally taken non-steroidal anti-inflammatory drugs; The fourth is gastric hemorrhage caused by gastric cancer. No matter what causes the upper gastrointestinal bleeding, one should promptly visit a hospital, undergo a gastroscopy to determine the cause, and receive timely rescue and treatment. Moreover, during the treatment period, one cannot eat while experiencing gastric bleeding, and must fast until the bleeding stops, after which a liquid diet can be introduced, followed by a transition to a semi-liquid diet.

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Written by Wang Li Bing
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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.

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Written by Wang Li Bing
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Upper gastrointestinal bleeding clinical manifestations

Upper gastrointestinal bleeding primarily refers to bleeding above the Treitz ligament. The most common causes in clinical practice are peptic ulcers, rupture of esophagogastric varices, acute erosive hemorrhagic gastritis, gastric cancer, etc. The clinical manifestations of upper gastrointestinal bleeding mainly depend on the volume and speed of the bleeding, with the main symptoms being vomiting blood and black stools. After significant blood loss, patients may experience symptoms of peripheral circulatory failure due to reduced circulating blood volume, such as dizziness, palpitations, fatigue, cold limbs, increased heart rate, and low blood pressure. If the patient enters a state of shock, it could even be life-threatening.

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Written by Wang Li Bing
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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.

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Written by Wang Li Bing
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What to eat when there is upper gastrointestinal bleeding?

Upper gastrointestinal bleeding is relatively common in clinical practice. Its main causes include bleeding from gastroduodenal ulcers, rupture of esophagogastric varices, and bleeding caused by gastric cancer, among others. When upper gastrointestinal bleeding occurs, it is crucial to seek medical attention promptly. After systematic treatment, if the symptoms of bleeding are controlled, the patient can then consume small amounts of clear broth and thin porridge, and gradually transition back to a normal diet. However, the patient should avoid spicy and irritating foods to prevent the recurrence of gastrointestinal bleeding.