Clinical manifestations of acute upper gastrointestinal bleeding

Symptoms of gastrointestinal bleeding: 1. The typical manifestation of pain is that it will produce pain, and often patients will have more severe colic before or after eating. 2. If the symptoms of gastrointestinal bleeding in patients with hematemesis are more serious, and the bleeding site is located above the digestive tract, it is very likely that the phenomenon of hematemesis will occur, and the amount of hematemesis varies greatly according to the severity of the patient's condition.

3. If the patient's gastrointestinal bleeding site is located below the digestive tract, and the amount of bleeding is relatively small, then black stool will occur. 4. Anemia due to long-term chronic or acute bleeding, so most patients with gastrointestinal bleeding will have the problem of anemia, paleness, weakness and cold hands and feet.

Acute upper gastrointestinal bleeding begins with gastrointestinal symptoms. Depending on the amount of bleeding, the patient will have different symptoms of the digestive tract, and if the amount of bleeding is relatively small, the patient will experience nausea, vomiting, and coffee-like substances. However, if the bleeding is heavy and you vomit blood, the prognosis is not particularly good.

Patients will have melena with a small amount of bleeding, but if the bleeding is particularly heavy and urgent, the patient will have a dark red color.

The digestive tract is divided into upper and lower digestive tracts, and is divided into upper and lower digestive tracts with the duodenum as the boundary. Bleeding in any part of the digestive tract is called gastrointestinal bleeding. However, the clinical manifestations vary depending on the amount of gastrointestinal bleeding.

If the amount of bleeding is small, at 5-10ml, no obvious bleeding is visible to the naked eye, but it can be seen under the microscope, and the fecal occult blood is positive; If the amount of bleeding is 50-100ml, the stool may be tarry; If the amount of bleeding is around 250-300, there is often hematemesis; If the amount of bleeding exceeds 1000ml, shock may occur, and circulatory failure such as palpitation, dizziness, and cold sweat may occur. There are many causes of gastrointestinal bleeding, but the common ones are bleeding peptic ulcers, bleeding from esophageal and gastric varices, some mucosal lesions of the colon, and drinking a lot of alcohol at one time can also cause acute upper gastrointestinal bleeding. Some patients have insignificant bleeding symptoms, may only have some abdominal discomfort, or only have abnormal stools, but the stool examination is routine positive for occult blood, in this case the occult blood should be checked several more times, and if it is positive, further examination should be carried out, and should not be ignored.

Acute upper gastrointestinal bleeding is a relatively critical and serious condition. The common cause of upper gastrointestinal bleeding is due to digestive upper gastrointestinal diseases, such as esophageal lesions, gastroduodenal lesions, etc., which are common in peptic ulcer, gastric cancer, gastric vascular abnormalities, etc.

Acute gastrointestinal bleeding occurs due to the following causes:

First, it is the most common peptic ulcer, including gastric ulcer and duodenal ulcer, the patient will have obvious abdominal pain, bloating, nausea, vomiting, in severe cases, combined with blood, manifested as blood in the stool, hematemesis, etc., and even hemorrhagic shock, in case of emergency, the need for capacity expansion and other symptoms**. Clause.

Second, it is caused by malignant tumors of the gastrointestinal tract, and the most common is the tumor of the stomach, the most common malignant tumor is due to the growth of the tumor, the proliferation of local blood vessels, or the blood vessels involved in the stomach wall and caused bleeding. Clause.

3. Acute gastric mucosal lesions after overeating or alcoholism can also lead to acute gastrointestinal bleeding. Clause.

Fourth, it can be seen in the biliary tract trauma or obstruction of the biliary system.

Upper gastrointestinal bleeding, stool is easy to turn black, at that time the amount of bleeding is already a lot, will make the stool black