After seeing the color early to find gastrointestinal bleeding

Interviewed expert/Association Professor Wang Wei, Emergency Department Director, Sun Yat Sen Memorial Hospital, Sun Yat Sen University

Although it is nearly clear and bright, there are still cold air attacks from time to time in Guangzhou. Associate Professor Wang Yan, director of the emergency department of Sun Yat-sen Memorial Hospital, Sun Yat-sen University Hospital, introduced that patients with upper gastrointestinal bleeding received increased these days, and patients with stomach and duodenal bleeding were particularly common.

Director Wang Yan said that gastric ulcer, duodenal ulcer, liver cirrhosis, and gastric varices are common diseases of the digestive tract. When the temperature drops, it will cause vasoconstriction of the gastrointestinal tract, causing stomach pain and Other symptoms. Plus some people have bad eating habits, like eating cold, hard food. The sick stomach and duodenum are unbearably irritated and can fester and even bleed. Patients with esophageal and gastrointestinal cancers, vascular malformations, cardiac tears, digestive polyps, and bleeding disorders should also be alert to the occurrence of upper gastrointestinal bleeding. In patients with advanced liver cancer, esophageal and gastric varices bleeding may also occur.

Upper gastrointestinal bleeding generally refers to blood loss of more than 1000 milliliters in a few hours, or more than 20% of systemic blood volume. If not rescued in time, it is often life-threatening. Wang Xi explained that patients with upper gastrointestinal bleeding will experience dizziness, rapid heart rate, pale face, and pale palms. However, the most characteristic manifestations are vomiting and melena, both of which are present in most patients with upper gastrointestinal bleeding.

Therefore, Wang Xi reminded that regardless of whether or not there are underlying diseases, middle-aged and elderly people should develop a habit of taking a look after row, because changes in the color, shape, and color of the stool all indicate different diseases: white clay-like stool prompts Biliary tract obstruction or gallbladder cancer; deep yellow stool may be jaundice; stool with blood, it may be acne or rectal cancer; if the stool is dark and shiny tarry stool, then most of the gastrointestinal bleeding. Therefore, once abnormal stools are found, it is best to keep a small amount of samples on your own and bring them to the hospital immediately for testing.

Wang Hao said that patients with stomach ulcers, duodenal ulcers, cirrhosis, and varices of the gastric fundus, if the disease is active, then it is necessary to maintain regular treatment and medication, pay attention to diet and rest, avoid eating spicy and irritating Food, wine, coffee, strong tea, sour vinegar, etc. should not be consumed excessively. Active upper gastrointestinal hemorrhage patients must absolutely fast, the water must not drink, to ensure that the gastrointestinal mucosa is rested. If you find yourself with symptoms such as vomiting blood or black stools, do not take medication yourself. You must come to the hospital as soon as possible to find out the cause and wait for the doctor to deal with it. Patients with gastric ulcers and duodenal ulcers do not stop the bleeding and stop medications and diet control on their own, or perform arduous tasks that lead to recurrence of bleeding. The doctor must be consulted and related examinations must be stopped before stopping the drug.

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