Winter beware of gastrointestinal bleeding

WangHaiTing shandong university of Chinese medicine

China's traditional Chinese medicine reported

        A few days ago, Mr. Zhang and his family to restaurants, still quite have the interest to have had a few drinks, and behold the next day in the morning meal feeling top-heavy, general weakness, nausea and vomiting, vomit a pool of brown liquid. Because have previous experience vomiting blood, Mr. Zhang quickly in the wife's hold down to the hospital, fruit as expected, and stomach bleeding.

        Experts explain: it's cold in winter not only easy cause respiratory diseases, but also will bring harm to the digestive system. Winter is the list of upper gastrointestinal bleeding season, 50% of the upper gastrointestinal bleeding occurred in winter, some patients after acute and massive, may be associated with uncontrolled hemorrhagic shock or even endanger patient life. The cold outside stimulate promote vasoconstriction, accelerate the blood circulation and increase the pressure in the blood vessels, increase vascular rupture risk of bleeding. The cold season vulnerable to respiratory infections, performance for cough, sputum, adding to XiongFuQiang pressure, blood pressure increased, cause bleeding; In addition also may and bacteria and toxins stimulate related, such as as peptic ulcer culprit "of h. pylori", its activities to strengthen in qiu dong season, not only the peptic ulcer winter good hair, also likely to cause bleeding ulcer. Many diseases often cause massive hemorrhage of upper gastrointestinal tract:

        The stomach, duodenal ulcer: accounting for more than half of upper gastrointestinal tract resulted. Three quarters of them is duodenal ulcer. The more massive bleeding ulcer for chronic ulcer, generally in the duodenum ball after the wall or stomach amazon, because the arteries of the ulcer base is eroded rupture, gap lack of shrinking capacity, often difficult to stop the bleeding.

        Portal hypertension: about 25%, more cause for cirrhosis, with stomach esophagus of varicose veins. Esophageal, gastric mucous membrane for the arteries and veins and thin, easy to be coarse food damage, also easy to be returned to flow the corrosion of gastric juice, in addition to the portal vein inside the system pressure, the cause of varicosis vein ruptured, to the massive hemorrhage happened since.

        Hemorrhagic gastritis: also called erosive gastritis or stress ulcers, about 5%. Many in the distal, and alcohol, and taking aspirin, phenylbutazone, anti-inflammatory pain or adrenal cortical steroid medicines, such relevant.

        Bile duct bleeding: liver inside a localized infection can cause intrahepatic bile duct expansion, merge multiple abscess; The portal vein or directly abscess hepatic artery branch, leading to a large number of blood pouring into biliary, again into the duodenum. Liver cancer, liver hemangioma and traumatic cause liver parenchyma of central rupture (hematoma), also can lead to liver inside biliary massive hemorrhage.

        Stomach cancer: stomach cancer is also on the cause of gastrointestinal bleeding common diseases. Because of the cancer tissue avascular necrosis, the surface erosion happens or ulcer, erosion caused by vessels and massive bleeding. In addition, for upper gastrointestinal bleeding and older in old people, especially with chronic anemia patients should be vigilant the stomach the possibility of stomach cancer.

        In addition, a large number of drinking or long-term use of certain drugs such as hormones, such as prednisone) or antipyretic analgesics (such as aspirin, anti-inflammatory pain, Finn will be) easy cause stomach duodenal mucosa erosion, induce gastric ulcer, concurrent upper gastrointestinal bleeding.

        Winter how to prevent gastrointestinal bleeding? High-risk groups especially some ulcer disease, liver cirrhosis, stomach and patients, winter is especially important to prevent upper gastrointestinal bleeding, basically should pay attention to the following points.

        Rule daily life, food, and pay attention to regulate mood. Eat the food of the rough may cut the stomach esophagus or varicose veins and cause bleeding, accordingly, want diet birth, cold, thick, stiff and excitant food, such as liquor, strong tea, coffee, ginger, garlic, diet is too sweet, the viscosity which the difficult to digest food, not a hunger, too full.

        Under the guidance of monitoring and related treatment based disease. Such as recurrent stomach, duodenal ulcer or due the bleeding, should according to the guidance of radical gastric helicobacter pylori; Cirrhosis of the liver decompensation period of patients, can be in the guidance of taking some of the portal vein pressure reduce drug prevention bleeding; With, rheumatoid disease, osteoporosis and the joint disease, should be in the guidance of choice nonsteroidal antiphlogistic medicine, especially have definite the ulcer disease. For patients with cirrhosis, prevent all kinds of infections, not into good food, avoid abdominal pressure increased activity (such as lift weights, lift heavy things, such as the defecate), etc. Are all very important.

        Happened after the upper gastrointestinal bleeding, to keep calm. If only for the black, they should be accompanied by the family, go to hospital as soon as possible; If HP is not very big spit, attention shall be paid to keep patients vomit a thing or feces, roughly the amount, and part of the specimen to enrol your biometrics when go to a doctor tests. Close observation of the patient's consciousness, breathing, pulse, as far as possible move patient, more can't let patients walking around, and vomiting blood, it is better to let the patient mouthwash, and then in the heart of cold water bag. This time can not drink, can contain the ice, and emergency arrangement to a hospital or call an ambulance. If there is a lot of blood, and for the blood or dark red blood, and dizziness, flustered, sweat buildup, whole body is weak, want to call for an ambulance as soon as possible, and let the patient immediately reposing, pay attention to keep warm, let it keep side, take the head low feet high, and the surface of bed into 30 degree Angle, that would help lower limb blood backflow to the heart, guarantee of blood to the brain. Hematemesis, the patient's head to turn to a side, lest cause asphyxial blood inhaled the trachea.