Friday, December 25, 2009

Winter! Beware of gastrointestinal bleeding

Winter has come, the weather was cold at this time is the high season of gastrointestinal bleeding. Experts said that ulcer disease is one of the most common complications of gastrointestinal bleeding, such as gastric ulcer, duodenal ulcer, gastric variceal bleeding occurs such as the probability of about 50% of upper gastrointestinal bleeding, of which mostly with duodenal ulcer. Experts remind that the winter addition to diet in patients with gastric laws, eat soft, easy to digest food, but also to keep warm, because patients with chronic gastroenteritis most likely to catch cold after the induced gastric ulcer recurrence, even lead to gastrointestinal bleeding .

Particular should pay attention to keep warm in patients with gastric

Each cold wave coming, many of the old stomach illness on the increase due to Haner, bleeding ulcer disease is one of the most common complication. Guangdong Provincial Hospital of Gastroenterology Peiping Zhang, deputy chief physician, said: "Although upper gastrointestinal bleeding have occurred within a year, but clinical observation, alternately warm and cold weather change is larger, the number of such patients increased significantly." This may be because the cold weather, the blood vessels, can cause poor blood supply to gastric mucosa, resulting in gastrointestinal mucosal ulceration, in the presence of ulcers, gastric varices and other lesions on the basis of the original, more due to exacerbations caused by gastrointestinal bleeding .

Therefore, the Director Zhang reminded people who have upper gastrointestinal ulcers, when the weather's warm attention of the stomach is very important. Should always pay attention to the law of timing meals to avoid hunger satiety, eat digestible, nutritious and a small residue of food, cooking also requires attention to some fine, soft more. Avoid alcohol stimulation, eating sour, sweet, spicy and warm dry spicy food.

In addition, some determined to cerebrovascular disease in elderly patients, long-term aspirin, or the festival long-term use in patients with pain, disease, painkillers, are likely to cause gastric mucosal damage caused by bleeding, and such bleeding in patients who often have no symptoms of stomach pain just to loss of appetite as a symptom, and some patients even a row of black will know that this is a gastrointestinal bleeding.

How to find upper gastrointestinal bleeding

Gastrointestinal ulcers in patients with long-term 80% -90% had a history of upper abdominal pain regularly, and poor diet, mental fatigue, catch cold and other incentives under the hemorrhage, bleeding pain will be alleviated, generally do gastric endoscopy ulcer bleeding site can be found. But usually if there is gastrointestinal bleeding, the patient how to find their own condition change?

Zhang Peking said that spits up blood and black of upper gastrointestinal bleeding is the "typical" performance, the majority of acute massive bleeding showed hematemesis; and chronic fecal occult blood positive for a small amount of bleeding Zeyi prevalent; if a serious gastrointestinal bleeding, the vomit of the the blood often to brown liquid; if the amount of bleeding in the day, more than 5ml, stool color change; when the amount of bleeding in the 50-100ml above, it is mostly emitted by the black asphalt was like. Once the above can be found in the initial assumed, upper gastrointestinal bleeding.

Experts also said that if a larger amount of bleeding, the patient will appear dizziness, palpitation, thirst, cold sweats, oliguria, or even drop in blood pressure, disorientation, and so on, this time to be quickly taken to the hospital emergency treatment, or blood loss may occur shock leading to death of patients.

It is noteworthy that the elderly organ functional reserve is low, coupled with the elderly often have cerebral arteriosclerosis, hypertension, coronary heart disease, underlying diseases of aging such as chronic bronchitis, although small amount of bleeding may also cause multiple organ failure, increased the risk of death.

Tips:

Repeated stomach to check as soon as possible

Zhang Peking reminder, if there is a history of recurrent stomach pain episodes, there is pain awake at night, or occasional row melena, anemia symptoms, then you may have stomach or duodenal ulcer disease, and recommends an endoscopy to confirm the diagnosis .

The event of upper gastrointestinal bleeding how to do?

1, remain calm, lie horizontally;

2, heavy bleeding are advised to fast, a small amount of bleeding may be appropriate to eat cold liquid (such as cold water), so that the stomach, weakening the blood vessels contract, reducing blood flow and gastric secretion and digestion can be inhibited.

3, pay attention to maintaining airway patency, hematemesis were the first to be unilateral, to avoid blocking the airway of blood, causing asphyxia;

4, rushed to hospital as soon as possible with the stretcher.