Can stomach polyps cause bleeding?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 07, 2024
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With the increasing popularity of gastroscopy, the detection rate of gastric polyps is rising year by year. Gastric polyps refer to the protrusions from the gastric mucosa into the gastric cavity, forming either round or semi-circular elevations. They are usually benign lesions, including hyperplastic polyps and adenomatous polyps. However, adenomatous polyps can potentially become cancerous and require prompt attention. If a polyp becomes eroded, it may cause a small amount of bleeding, but this generally does not lead to blood in the stool. Blood in the stool typically refers to intestinal bleeding, which can appear as bright red, dark red, or even jam-like or purplish colors. This is often caused by diseases around the anus or colon diseases, such as polyp ulceration or even tumors, etc., which should not have a significant connection with gastric polyps.

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Postoperative care for gastric polyp electrocautery

After undergoing endoscopic polypectomy for gastric polyps, dietary adjustments should be made according to the number and severity of the polyps removed, as well as the patient's constitution. Generally, food should be prohibited for a few days post-surgery to minimize the burden on the gastrointestinal tract. Nutritional support can be provided parenterally, especially for elderly bedridden patients who should avoid pressure sores. It is important to frequently turn elderly patients, and wipe their backs and buttocks. About two weeks after surgery, the patient can transition to a normal diet, including milk and other nutritional supplements. The healing process for gastric polyp removal by electrosurgery typically takes about 6-8 weeks.

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How to deal with vomiting caused by gastric polyps?

If you have a gastric polyp and experience nausea and vomiting, symptomatic treatment can be used, including medications that aid digestion and regulate the stomach and spleen. Also, medications to control the symptoms of vomiting can be taken orally. In severe cases, it may also be necessary to go to a hospital for an antiemetic injection. It is essential to undergo a gastroscopy to determine the size of the polyp and to perform a pathological biopsy to check for malignant changes. Additionally, it is important to remove the polyp promptly, as long-term presence of the polyp in the body can easily lead to malignant transformation.

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Symptoms of gastric polyps

Gastric polyps are also relatively common in clinical practice, especially in the outpatient department of gastroenterology. The symptoms of gastric polyps can generally be divided into several types. The first type is asymptomatic; patients undergo gastroscopy due to abdominal discomfort or incidental findings, discovering gastric polyps that are generally small, usually less than 0.5 cm. From a treatment perspective, regular observation can be sufficient without intervention, and a gastroscopy recheck every six months to a year is advisable. However, a small portion of patients may experience certain symptoms such as nausea, early satiety, burping, and belching, etc. Generally, the symptoms are mild and do not affect daily life or sleep, so there is no need for undue concern. The treatment of gastric polyps generally falls into two categories; the first is regular observation, possibly because the polyps are relatively small; the second, if the polyps are larger, or if they have been found to increase in size during regular check-ups, considering removal through endoscopy might be necessary.

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Are stomach polyps likely to lead to stomach cancer?

Gastric polyps are precancerous lesions of gastric cancer, posing a significant risk of developing gastric cancer. There are several types of gastric polyps, including fundic gland polyps, hyperplastic polyps, and adenomatous polyps. Adenomatous polyps, in particular, have a higher rate of malignant transformation, with 11% of patients developing gastric cancer through dysplastic growth over four years. Therefore, patients with gastric polyps should undergo early removal under gastroscopy, followed by pathological classification. After treatment, regular gastroscopic examinations are necessary. It is also important to adjust the diet, avoid eating moldy food, and reduce consumption of salty and pickled foods, while increasing intake of fresh foods, fresh green vegetables, and fruits, and maintaining a positive mental attitude.

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Can stomach polyps be felt by touch?

Gastric polyps are relatively common in gastroenterology and are generally asymptomatic. However, if the polyps are relatively large or numerous, symptoms such as early satiety, abdominal distension, and nausea may occur. Gastric polyps cannot be detected through physical examination, which generally yields negative results. There may be some abdominal tenderness, but gastric polyps cannot be detected through physical examination. The diagnosis of gastric polyps primarily relies on completing a gastroscopic examination, which can provide reference values for the size, scope, and quantity of the polyps. Therefore, gastric polyps cannot be detected by physical examination, and it is recommended to complete a gastroscopic examination for further clarification. Thus, as mentioned above, gastric polyps cannot be detected by physical examination; a comprehensive gastroscopic examination is recommended.