Therapy
Acute and especially injecting bleeding must be treated immediately in order to counteract high blood loss in the patient and to prevent a life-threatening situation. To stop an injecting bleeding, a clip could be placed on the injecting vessel during gastroscopy to close it. In addition, a substance could be injected near the source of bleeding to contract the vessel and thus seal it.
Gastroscopy is a method with few side effects, and serious complications rarely occur. Both after treatment of acute bleeding and after diagnosis of non-acute bleeding (in which case no further action would be taken during gastroscopy), one should start a gastric protection medication to reduce the corrosive acid of the stomach. In addition, anti-inflammatory medication should be paused to allow the protective stomach lining to re-form. Regular follow-up of the stool and repeated gastroscopy should be performed.
Summary
The most common causes of gastric bleeding are stomach ulcers, which initially burrow into the stomach lining unnoticed for years and can eventually cause bleeding. Less common are malignant tumors and vascular malformations. Erosion of the stomach wall, which is caused by prolonged use of the group NSAID drugs, can also lead to gastric bleeding.
Symptoms of a gastric bleeding are A conspicuous blood count with Hb drop also indicates a blood loss possibly due to bleeding in the stomach. As a diagnostic tool, in addition to the During the examination, targeted bleeding can be stopped by means of an inserted clip. Furthermore, drugs can be injected at the source of bleeding to cause the vessels to contract. Once a gastric bleeding has been diagnosed, anti-inflammatory drugs should be paused and an acid-inhibiting treatment (e.g. proton pump inhibitor) should be started.
- Performance drop and
- Fatigue (with slow bleeding) and so-called
- Tarry stools (in case of chronic bleeding) or
- Breaking of blood (coffee grounds) during acute splashing bleeding.
- Blood count and stool diagnostics (hemoccult) also a
- Perform gastroscopy.
