29-year-old Xiao Qian (pseudonym)
He is from Haining, Zhejiang
Like most young people
Xiao Qian likes to meet three or five friends after get off work
Have a little wine and some skewers
Have a good time in my spare time
But recently, Xiao Qian is in the office
Suddenly vomited blood and fainted
nearly lost my life
The friends around were startled…
What happened?
A few days ago, after eating breakfast in a hurry as usual, Xiao Qian came to work in the company, but within a few minutes, suddenly felt a dull pain in the stomach. This happened from time to time in the past six months. I used to eat biscuits or Drink some hot water to relieve it.
According to previous experience, Xiao Qian immediately drank a glass of warm water, but who knew that this time, not only did the pain not relieve, but he also felt uncomfortable in his stomach as if he had “turned over the river”. Before Xiao Qian could react, he vomited a mouthful of blood When I came out, I was immediately flustered, dizzy, and dark in front of my eyes…
Fortunately, a colleague passed by and found Xiao Qian who fainted on the ground. He quickly dialed 120 and sent him to Haining People’s Hospital for emergency treatment.
According to Xiao Qian’s recollection, he vomited about five or six times on the way to the hospital, and then vomited several times during the emergency treatment. In one morning, he vomited blood more than 10 times.
The doctor recalled that when Xiao Qian was sent to the emergency department of the hospital, his blood pressure was already very low. A blood routine check showed that the hemoglobin was only 22g/L (above 120g/L for a normal adult male), and the amount of bleeding was extremely large, estimated to be more than 2000ml.
The doctor judged that it was “acute upper gastrointestinal bleeding and hemorrhagic shock”, and immediately rescued the patient. He gave blood transfusion, stomach protection, and hemostasis treatment, and asked a gastroenterologist for emergency consultation.
After evaluating Xiao Qian’s condition, the gastroenterologist considered the patient’s young age, and the bleeding was seriously life-threatening. Although the bleeding has been treated with drugs, the cause of the bleeding is still unclear, and activity cannot be ruled out. Sexual bleeding is possible, and “emergency gastroscopy” should be arranged immediately.
The culprit that caused Xiao Qian’s illness was…
During gastroscopy, the doctor found that Xiao Qian’s duodenal cavity was full of blood. After repeated washing, a fresh “ulcer” was exposed, and an active bleeding point was visible. The culprit of Xiao Qian’s disease.
The doctor introduced that once this type of ulcer bleeds, the hemostatic effect of drugs is poor, the rebleeding rate is high, and the risk of death is high. It is necessary to perform hemostasis surgery under gastroscope as soon as possible. The wound was clipped with clips, hemostatic drugs, etc., and hemostasis was successful.
After the operation, Xiao Qian was transferred to the gastroenterology ward for further treatment. After a period of hard work by doctors and nurses, he finally recovered and was discharged from the hospital.
Don’t take “tummy ache” seriously
Now, Xiao Qian is still afraid when he recalls it. If the bleeding is not stopped in time, his life will be in danger. In fact, Xiao Qian often felt “stomach ache” in the early days, but at that time he felt that he was young and didn’t take it seriously. Now I think it would be better to come to the hospital earlier and have a gastroscope.
In this regard, a gastroenterologist introduced that duodenal ulcer is a kind of peptic ulcer, which also includes gastric ulcer. Its occurrence is mainly due to abnormal secretion of gastric acid and pepsin, Helicobacter pylori infection, and taking certain Some drugs (aspirin, clopidogrel, diclofenac, hormones, etc.), irregular diet (no breakfast, drinking, smoking, liking spicy food, etc.), long-term psychological high pressure, etc. Damaged, lesions penetrate the muscularis mucosae or even deeper.
Many people experience repeated abdominal pain, bloating, hunger pain, and postprandial pain. These symptoms can be relieved after eating or resting. Some citizens like to buy some stomach medicines and take them, and the symptoms may also be relieved. However, these methods can only temporarily relieve the symptoms, and the cause cannot be identified. In the long run, the disease will only be delayed, leading to the progression of ulcers. In severe cases, gastrointestinal bleeding, gastrointestinal obstruction, gastrointestinal perforation, and even canceration may occur.
The right way
If you encounter a similar situation, you should go to the gastroenterology department of the hospital as soon as possible. After the diagnosis is confirmed, the doctor will formulate a standardized treatment plan.
Generally, ulcer disease may require medication for about 6-8 weeks, and a gastroscope should be reviewed after the course of treatment to evaluate the healing of the ulcer.
(Life News integrated Ministry of Public Security website, news workshop)