Upper gastrointestinal bleeding, vomiting blood, amount of bleeding.

Written by Wu Hai Wu
Gastroenterology
Updated on November 15, 2024
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Patients with upper gastrointestinal bleeding may experience vomiting blood once the stomach bleeding reaches more than 200 mL. The occurrence of vomiting blood also indicates a significant amount of bleeding. Therefore, patients who experience vomiting blood need to actively seek medical attention as soon as possible at the gastroenterology department of a reputable hospital. If the condition permits, a thorough examination with an electronic gastroscope should be carried out promptly to determine the cause, location, and amount of the bleeding. Endoscopic hemostasis can also be performed at the same time. If necessary, oral or intravenous medications that suppress gastric acid secretion can be administered, along with other comprehensive treatments.

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Written by Wang Li Bing
Intensive Care Medicine Department
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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
Intensive Care Medicine Department
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Which department should I go to for upper gastrointestinal bleeding?

The upper gastrointestinal system primarily refers to bleeding from the digestive system above the Treitz ligament. Therefore, if there is acute massive bleeding in the digestive tract, patients may present with symptoms such as vomiting blood and black stools. If the bleeding is significant and blood volume rapidly decreases, it can cause acute peripheral circulatory disorders, and may even be life-threatening. The causes of upper gastrointestinal bleeding include long-standing conditions like peptic ulcers, rupture of esophagogastric varices, acute erosive hemorrhagic gastritis, and stomach cancer, among others. If upper gastrointestinal bleeding occurs, patients should actively seek medical attention at major hospitals' gastroenterology departments, undergo relevant examinations, and receive prompt treatment.

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Written by Jiang Guo Ming
Gastroenterology
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Upper gastrointestinal bleeding causes

The most common cause of upper gastrointestinal bleeding is likely peptic ulcers, such as stomach ulcers, duodenal bulb ulcers, and compound ulcers. Other conditions, such as acute gastric mucosal lesions caused by medication, can also lead to gastrointestinal bleeding. Gastrointestinal tumors, such as esophageal cancer, stomach cancer, and duodenal cancer, can also invade blood vessels and cause upper gastrointestinal bleeding. Vascular diseases, such as varicose veins of the esophagus and stomach base caused by liver cirrhosis, can rupture and lead to upper gastrointestinal bleeding. Massive bleeding can also occur due to the rupture of the gastric artery. Other conditions, like systemic diseases and blood disorders, can lead to thrombocytopenia or coagulation dysfunction, which can also result in upper gastrointestinal bleeding.

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Written by Wang Li Bing
Intensive Care Medicine Department
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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.

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Written by Wang Li Bing
Intensive Care Medicine Department
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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.