What symptom can haemorrhage of upper digestive tract have?

summary

Hematemesis and (or) melena are the characteristic manifestations of upper gastrointestinal bleeding. Hematemesis and melena often occur in patients with bleeding above pylorus, but melena only occurs in patients with bleeding below pylorus. However, the lesions above pylorus with small amount of bleeding and slow speed can only see melena, while the lesions below pylorus with large amount of bleeding and fast speed can cause hematemesis due to blood flowing back into the stomach. What are the symptoms of upper gastrointestinal bleeding?

What symptom can haemorrhage of upper digestive tract have?

First: hemorrhagic peripheral circulation failure can be asymptomatic within 400ml of bleeding volume, moderate bleeding volume can cause anemia or progressive anemia, dizziness, weakness, sudden rise can produce syncope, thirst, limb cold sensation and low blood pressure, etc. Shock can occur when massive hemorrhage reaches 30% - 50% of the whole body blood volume, which is manifested as restlessness or unconsciousness, pale complexion, cold and wet limbs, cyanosis of lips, dyspnea, undetectable blood pressure drop, reduced pulse pressure difference, rapid and weak pulse, etc.

Second: fever moderate or massive bleeding cases, fever within 24 hours, mostly below 38.5 degrees, lasting for several days to a week.

Third: the symptoms of upper gastrointestinal bleeding can be determined by direct observation under gastroscope, and the corresponding hemostasis treatment can be made according to the condition of lesions. The following points should be paid attention to: ① the best time for gastroscopy is 24-48 hours after bleeding. ② In patients with hemorrhagic shock, blood volume should be replenished first, and gastroscopy is safe after blood pressure is stable. ③ Generally, it is not necessary to prepare for gastric lavage in advance, but if there is too much bleeding and it is estimated that the blood clot will affect the observation, the examination can be performed after gastric lavage with ice water.

matters needing attention

1. Usually should pay attention to develop the habit of regular defecation, defecation to thin shape is better. 2. Reduce and increase the posture of abdominal pressure, such as squatting and holding breath. Avoid sitting, standing, walking and overwork. 3. Avoid spicy, hot, greasy, rough and dregs food, alcohol, tobacco and coffee.