Patient's question:
Male, 59, my father had a recurrence of transient shock this morning. After a thorough ultrasound examination, it was determined to be gastric bleeding. What should be done about gastric bleeding?Doctor's answer:
Upper gastrointestinal bleeding refers to the breakdown of the mucosa in the digestive tract above the Treitz ligament, including the esophagus, stomach, duodenum, or pancreas and biliary tract, caused by inflammation. Post-gastrojejunostomy jejunal inflammation also falls under this category. There are many causes of significant mucosal damage in the upper gastrointestinal tract, with common ones including peptic ulcers, acute gastric mucosal injury, esophageal and gastric varices, and gastric cancer. Patients with severe bleeding should be placed in a supine position with their legs elevated and turned onto their side to prevent blood reflux during vomiting, which could lead to breathing difficulties. Oxygen supplementation and fasting may be necessary if needed. For very minor damage, a liquid diet may be appropriate to aid in blood volume reduction, while topical medications should also be applied.