Abstract: The cylindrical tear is an acute disease in the upper digestive tract, often caused by, inter alia, severe vomiting, which can lead to serious consequences such as vomiting. This document provides a comprehensive account of the causes of, and the mechanisms for, cylindrosis, clinical performance, diagnostic methods, treatment strategies and prevention elements, with a view to raising the level of public awareness of cytex tearing and promoting its effective prevention and treatment.
Introduction
Breathing is not unusual in clinical terms, especially when it occurs in the context of alcohol abuse, intoxication and certain special conditions. Because of the sudden onset of the disease, which may be accompanied by large amounts of vomiting, failure to respond in a timely manner poses a serious threat to the health of the patient and even to life. Therefore, in-depth knowledge of the ripples is essential for the timely detection, accurate diagnosis and effective treatment of the disease.
II. Causes of illness
(i) Severe vomiting
That’s the most common reason for the ripples. For example, after over-alcoholism, alcohol irritates the stomach mucous membranes, causing strong vomiting reflexes; or after over-extraction, the stomach expands, followed by vomiting actions that dramatically increase the stomach pressure. When the internal pressure of the stomach exceeds the pressure of the oesophagus connection, the mucous membranes are easily torn.
(ii) Severe cough
Chronic and severe coughing, especially in chronic respiratory diseases such as bronchitis, asthma, can cause cylindrical torn doors due to a sharp increase in the internal pressure of the chest from cough.
(iii) Hard defecation
The abdominal pressure rises significantly when the constipated person defecates hard, and the change in the pressure may also affect the oesophagus area, which is one of the contributing factors to the tearing of the cavity.
(iv) Other factors
Some medical practices, such as severe vomiting or struggle by patients during stomach lens examinations, may also cause cylindrical tearing. In addition, pregnant women who throw up during pregnancy have a certain risk of tearing their doors.
III. METHODOLOGY
When these conditions result in a sharp increase in stomach or chest pressure, the pressure is transmitted along the oesophagus to the parts of the door. The mucous membrane at the platinum door is relatively weak and, at high pressure, the mucous membrane is first torn by a long line, with the depth of the mucous membrane and even the muscle layer. Once a tear occurs, the edible and stomach blood will flow out of the torn mouth, leading to vomiting. Hemorrhages may be larger if they are torn to a greater extent or if they damage the blood vessels, and can cause haemorrhagic shock if they are severe.
IV. Clinical performance
(i) Poll blood
This is the main symptom of the cylindrical tear, usually occurring suddenly after a severe vomiting, coughing or severe defecation. The color of the vomiting is red, but it is accompanied by clots, with a somewhat different amount of bleeding. The light may be manifested only in blood filaments in vomiting, and the heavy can be characterized by a large amount of vomiting, leading to haemorrhagic shock, such as dizziness, panic, palae and a drop in blood pressure.
(ii) Black shit
Some of the patients are exposed to black defecation after vomiting, as the blood is digested through the intestinal tract and the iron in the haemoglobin is oxidized, making faeces black. The presence of black poop indicates that a quantity of blood enters the intestinal tract.
(iii) Upper abdominal pain
Most sufferers may experience pain in the upper abdominal, which can be of a perforation, swelling or severe pain, the extent of which is related to the extent of the tear and the amount of haemorrhage. Pain may last for some time after vomiting or may gradually decrease as the condition stabilizes.
V. Diagnosis
(i) Medical history inquiries
Detailed information on whether the patient is induced by severe vomiting, coughing, severe defecation, as well as on the history of alcohol, chronic respiratory diseases, digestive tract diseases, etc., is an important reminder for the diagnosis of cylindrical tearing.
(ii) Clinical performance
Based on typical symptoms such as vomiting of blood, black poop and pain in the upper abdomen, there is a prima facie suspicion that the cavity is torn. However, these symptoms may be similar to other upper digestive diseases, such as stomach ulcer, edible dysentery fractures and haemorrhage, which require further examination and diagnosis.
(iii) Stomach mirror examination
Stomach lenses are an important means of diagnosing the ripples. In general, stomach lenses are performed within 24 – 48 hours of haemorrhaging, which directly detects the torn mouths at the door, and determines the extent, length and depth of the torns, while excluding other upper digestive pathologies. In the course of a gastroscope examination, an ambulatory haemorrhage can also be treated under an endoscope if it is detected.
(iv) Other inspections
For example, routine blood tests provide information on the extent of anaemia and blood loss in patients; biochemical and blood tests assess the liver and kidney function of patients, electrolytic balance, etc.; abdominal ultrasound shows the condition of abdominal organs, such as liver, spleen, pancreas, etc., and supports the exclusion of other diseases that may cause haemorrhage in the upper digestive tract.
Treatment
(i) General treatment
Patients should immediately rest in bed, be quiet and avoid tension, which could increase bleeding. The use of fasting, water restraint to reduce stomach creeping and gastric acidization is conducive to stopping the bleeding. At the same time, the vital signs of the patient, such as blood pressure, heart rate, breathing, etc., are closely monitored, and veins are established to quickly supplement blood capacity and to correct the haemorrhagic shock.
(ii) Drug treatment
1. Acidics: Proton pump inhibitors such as Omera, Lansola, etc. are commonly used to help stop the bleeding by inhibiting gastric acidization, increasing the pH value in the stomach, and promoting the accumulation of slabs and condensation.
2. Hemorrhage meds, such as carbamate, inhibit the decomposition of fibre protein and act as a stopper. However, the efficacy of the herbal drugs is relatively limited and is usually used as complementary treatment.
(iii) Endoscopy treatment
In case of active bleeding or visible vascular nudity in the stomach mirror examination, the treatment can be performed under the inner mirror. Common methods include injections of analgesics (e.g. adrenaline solution), thermal condensation (e.g. high-frequency electrocondensation, ion condensation), metal clamps, etc. Endoscopy treatment has the advantage of small trauma and good bleeding, and is one of the most important means of treating cylindrical bleeding.
(iv) Surgery
Surgical treatment is considered in cases where the patient has been treated conservatively and with an endoscope, or where there are complications such as severe cylindrical lacerations. The procedure consists of cylindrical torn repair, gastrotectomy, etc., with relatively high surgical risks and longer post-operative recovery.
Prevention
(i) Avoidance of induced factors
(c) To develop good eating habits and to avoid eating and drinking. Patients with chronic respiratory diseases should be actively treated to control cough symptoms. Keep the poop open, prevent constipation and avoid excrement.
(ii) Medical operational care
When performing medical operations such as stomach mirrors, doctors should be skilled and gentle, while at the same time providing the patient with an explanation, reducing the stress and discomfort of the patient and reducing the risk of ripples of the cavity.
(iii) Management of pregnancy vomiting
For pregnant women who vomit more intensely during pregnancy, they should be provided with timely medical treatment, appropriate anti-oppression treatment and nutritional support, and closely observe changes in the condition to prevent the ripples from occurring.
Conclusions
Breathing is an acute disease of the upper digestive tract that can be caused by a number of causes, with clinical manifestations dominated by vomiting, black poop and upper abdominal pain. It can be clearly diagnosed by means of detailed medical history inquiries, clinical performance observations and examinations such as stomach glasses. In treatment, the choice of general treatment, medication, endoscopy or surgical treatment should be based on the patient ‘ s specific circumstances. The key to the prevention of cylindrical tearing is to avoid the inducements of severe vomiting, coughing and defecation, and to provide appropriate protection during medical operations and during special physiological periods, such as pregnancy. Raising public awareness and prevention of cylindrical tearing helps to reduce its incidence and safeguard public health.
It’s a mucus torn syndrome.
