Awareness and prevention of haemorrhage in the upper digestive tract
Abstract: Haemorrhage in the upper digestive tract is one of the most common clinical emergencies that can endanger life in serious cases. The aim of this paper is to develop a comprehensive science-based approach to the causes, symptoms, diagnostic methods, treatments and prevention strategies of haemorrhage in the upper digestive tract in order to increase public awareness of and response to the disease.
Introduction
Haemorrhagic haemorrhage in the upper digestive tract, including haemorrhage from diseases such as oesophagus, stomach, 12-finger intestine or pancreas, as well as haemorrhage from vaginal intestinal aspiration. The incidence of haemorrhage in the upper digestive tract is high, and its severity and prognosis depend on the rate and amount of haemorrhage.
II. Causes of illness
(i) Indigestion ulcer
The most common cause of disease is haemorrhage, which can be caused by stomach ulcer and ulcer with a 12-finger ulcer.
(ii) Disruption of the edible stomach veins
Often in cases of cirrhosis of the liver, the edible dysenteral dysentery is convulsed by the high pressure of the door veins, which can break blood when the vascular pressure is excessive.
(iii) Acute haemorrhagic stomachitis
Acute damage to the stomach mucous membranes is often caused by stress, drugs, alcohol, etc.
(iv) Stomach cancer
Oncological tissues can cause haemorrhage.
(v) Other reasons
Such as edible mucous membrane torn syndrome, hemorrhage of the hectic artery, chord bleeding, etc.
III. Symptoms
(i) Poll blood
When haemorrhage is high and fast, blood can be vomited from the mouth, mostly in coffee colour or fresh red.
(ii) Black shit
The blood is digested through the intestinal tract, and black tar is released.
(iii) Circulatory failure around loss of blood
When haemorrhage is high, it can be characterized by shock symptoms such as dizziness, inactivity, panic, cold sweat and reduced blood pressure.
(iv) Anaemia and fever
Chronic or large-scale haemorrhage can lead to anaemia, with some patients associated with low heat.
IV. Diagnosis
(i) Medical history and medical examination
Information about the patient ‘ s past history, drug use, symptoms, etc., and examination of vital and abdominal signs.
(ii) Laboratory inspection
This includes blood routines, urea nitrogen, liver function, etc., which help to assess haemorrhage and determine the cause of the disease.
(iii) Stomach mirror examination
It is the preferred method for diagnosing the causes of haemorrhage in digestive tracts, which directly detects haemorrhagic tracts and pathologies, and provides treatment for stop bleeding.
(iv) X-link inspection
It applies to patients who are forbidden or unwilling to undergo a gastroscope examination, but has limited diagnostic value for acute haemorrhage.
Treatment
(i) Supplementary blood capacity
(c) Rapidly establish an ivory channel, infusion of crystall and adhesive fluids, maintain effective blood capacity and correct shock.
(ii) Stop the bleeding
1. Drugs for bleeding: Common drugs include proton pump inhibitors, growth inhibitors and their analogues.
Hemorrhaging under the inner lens: This includes injections, thermal condensation, mechanical bleeding.
3. Intervention: For patients whose medication and endoscopy treatment are ineffective, selective angiography and embolism can be considered.
4. Surgery treatment: It applies to patients with ineffective internal medicine, who continue to suffer from massive or repeated haemorrhage.
VI. Prevention strategies
(i) Actively treating primary diseases
For example, digestive ulcers, cirrhosis of the liver, etc., are taken on time and are reviewed regularly.
(ii) Dietary care
To avoid eating spicy, rough, irritating food, and to stop smoking and drinking.
(iii) Avoiding the use of drugs that damage stomach mucous membranes
If use is required, for example, a non-paralytic anti-inflammatory drug, the stomach mucous membrane protection agent shall be administered under medical supervision.
(iv) Maintaining good habits
Avoid overwork and remain in a good mood.
Conclusion
Haemorrhage in the upper digestive tract is a serious disease, but with timely diagnosis and effective treatment, most patients have access to good prognosis. Increased awareness and prevention of haemorrhage in the upper digestive tract are important for reducing morbidity and mortality.
Hemorrhaging in the upper digestive tract.
