Ulcer bleeding - severe complication of the disease, which men have more than women. A bleeding duodenal ulcer or stomach can cause anemia or death.
Causes
At risk are people with cardiovascular diseases, diabetes and other diseases. Bleeding ulcer is seen in those who have previously suffered from a peptic ulcer of the digestive system. Among the main causes of the problem and include:
- Chemical and mechanical damage to the body walls.
- Neoplasms.
- Disorder of microcirculation.
- Atherosclerosis or thrombosis.
- Low platelet levels in the blood.
- Uncontrolled use of certain groups of drugs.
If previously the patient has already been diagnosed with an ulcer, cause rebleeding can:
- bad habits;
- improper diet;
- stress;
- heavy exercise;
- inflammation in the affected area.
symptoms
For small signs of blood loss occur to a minor extent, or may be completely absent. With increasing bleeding people may notice:
- pain in the affected area zone;
- vomit with blood;
- shortness of breath;
- cal dark.
Symptoms of bleeding gastric ulcer or duodenal ulcer depend on the degree of blood loss:
- If the patient has lost not more than 5% of the blood pressure is in the aisles norm. There may be a slight increase in pulse rate. The patient feels no discomfort.
- When the blood loss is not more than 15% of people experiencing weakness. It appears tachycardia. Pressure is reduced to 90 mm Hg. Art. The patient should not be without having to get out of bed: possible fainting.
- When a patient loses 30% of the blood, he is in serious condition. A sign of a bleeding ulcer becomes pallor of the mucous membranes and skin. Pulse is almost palpable. The pressure drops to 60 mm Hg. Art.
- If a bleeding ulcer caused losses of more than 30% of the blood, the patient's condition becomes extremely severe. Pulse is not detectable. In some cases, patients fall into a coma.
Diagnostics
Identify bleeding ulcer by using endoscopy, which is considered major diagnostic method. Also, the patient must pass feces analysis, which may be in admixture of blood. In addition, by using laboratory tests need to set the level of hemoglobin, the number of platelets and red blood cells, blood clotting rate.
Treatment
Gastric ulcer bleeding should be cause for immediate treatment to the doctor. Prior to arriving ambulances patient or his relatives must provide first aid. Take drugs and do a gastric lavage is strictly prohibited. The purpose of hemostatic agents should deal with the doctor.
In addition to medicines, specialists used surgery and mechanical ways to stop bleeding - bonding of damaged mucous membranes, doping, overlay clips. For large blood loss can be assigned a blood transfusion.
First aid
First aid for bleeding duodenal ulcer and stomach is similar to the action taken at other internal bleeding:
- The patient should be put on a firm, level surface. To help the brain to avoid oxygen deficiency, should put a roll (of the pillows, folded clothes) under the patient's legs. This will cause a rush of blood to the head.
- Unacceptable physical activity. The patient should avoid unnecessary movements.
- It is forbidden to give the patient food or drinks, even if he is experiencing great hunger or thirst. Acceptable applying a heating pad to the abdomen with ice or cold water. Every 10 minutes, the heating pad should be removed for a few minutes. Cold can cause vasoconstriction and reduce or completely stop bleeding.
- Until the arrival of the doctor is necessary to maintain the patient in mind. With patients should always talk, ask him to tell us something. If the patient loses consciousness, you need to give him a sniff cotton wool soaked with ammonia.
drug therapy
For the treatment of gastric and duodenal ulcer patients can be assigned:
- Vikasol. Means compensates the lack of platelets and normalizes blood clotting. Menadione is not only used in cases where a patient diagnosed with a bleeding ulcer, but for disease prevention.
- Atropine. Crack stops bleeding and promotes regeneration of damaged tissues.
- Aminocaproic acid. Means of the most common methods of hemostasis. Acid acts on the blood vessels, causing them to compress, and accelerates blood clotting. In addition, the medication cleanses the liver from toxins. Aminocaproic acid, not only does not cause allergies, but also commonly used to suppress certain specific adverse reactions.
Operation
By surgery for bleeding ulcers of the stomach and duodenum 12 resort in the event of a large loss of blood to the patient. Depending on the location of the lesion the physician may select the firmware vessels, excision, resection or suturing.
Folk remedies
If the patient is found bleeding stomach ulcer or duodenal ulcer, stop bleeding folk remedies impossible. However, alternative medicine can be applied as further treatment after the patient leaves the hospital home. Traditional medicine uses:
- Juices. 1-2 times a day for 30-40 minutes before eating the patient should take ½ cup freshly squeezed carrot, potato, pumpkin or cabbage juice. This drug has almost no contraindications and promotes healing.
- bee products. Open gastric ulcer and 12 duodenal ulcer, in most cases treated with infusions of honey and propolis, which show high efficiency. However, resort to such drugs is possible only after the approval of a physician. Bee products can cause an allergic reaction.
- Medicinal plants. Accelerate the healing is possible by means of decoction of calendula, rose and flax seeds. It must be mixed in equal proportion of these plants, and then make 1 h. l. collection 1 cup boiling water. The drink is infused for 40-60 minutes and drink half a cup for between meals. For an infusion allowed to use only dried herbs.
- Oil. In duodenal ulcer or gastric recommended to take olive oil or sea buckthorn oil. The drug is added to salads or use on an empty stomach for 1 st. l. 40 minutes before meals.
folk remedies treatment lasts from 10 to 30 days. This is followed by a break for 3-4 weeks.
proper nutrition
To Discharge rediscovered gastrorrhagia, You need to follow a diet. The patient is recommended:
- Semi cereals (rice, semolina or oatmeal). Cooking can porridge in water or milk. The finished dish was added 1 h. l. vegetable oil.
- Dairy products with a low percentage of fat.
- Lean meats and fish. From them you can prepare meals or cooking broths.
- Sweet berries and fruits.
- Vegetables. Desirable methods for cooking vegetables - cooking or stewing.
- Eggs. You can cook an omelette or boiled to cook the product.
- Weak tea, mineral water without gas.
Bleeding from ulcers in the duodenum 12 or the stomach can cause products irritating the mucosa of digestive tract such as acute sauces. In an open ulcer should avoid products that require a long digestion, - smoked sausages, fatty meats and fish, pastries. It is unacceptable consumption of alcoholic beverages. It is worth to give up coffee.
The patient is advised to split meals. You need to eat at least 5 times a day in small portions (300 g). The last meal should be at least 1.5-2 hours before bedtime. Overeating is not allowed. To not open ulcer, the patient should not starve.
complications
If untreated, the patient may experience a myocardial infarction, cerebral edema, hepatic or renal failure. Severe complications also include anemia and death.
Anemia
Continuous bleeding from a stomach ulcer or duodenal ulcer leads to the following condition:
- Weakness.
- Dizziness, often accompanied by fainting.
- Disability.
- Paleness of the skin and mucous membranes. The skin often has a grayish hue.
- Edema of the lower extremities.
- A slight increase in temperature. The symptom is not observed in all patients.
- Increased heart rate.
- Increasing liver. Sign does not occur in all patients.
Death
When the process of profuse bleeding ulcer can lead to death. Within 10-15 minutes, the patient can lose several liters of blood and die.
