DocUS

How to Treat Bleeding Peptic Ulcers

Dr. Dr. Naina Lalani, MD,  - Internal Medicine specialist at 700 S Flower StLos Angeles, CA 90017
Dr. Naina Lalani, MD

700 S Flower StLos Angeles, CA 90017 Internal Medicine

Expert Medical Information

If a patient has gastric ulcer complicated by bleeding, the first step is to actively stop the bleeding and provide symptomatic treatment. Pantoprazole can be administered intravenously. At the same time, the patient should fast from food and water, and receive intravenous infusions of glucose, potassium chloride, and saline.

If the bleeding stops, the patient can consume a small amount of liquid or semi - liquid food.

However, if the gastric ulcer is extremely severe, a subtotal gastrectomy should be considered.

Therefore, it is essential to have three regular meals a day, avoid eating cold, hard, spicy foods, and limit or avoid alcohol consumption to protect the stomach and prevent the occurrence of gastric ulcers.

How to Treat Bleeding Peptic Ulcers

Gastric ulcers are also prone to canceration. So, the treatment of gastric ulcers is also crucial.

If surgery is not an option, rabeprazole can be taken orally to inhibit gastric acid secretion, and bismuth pectin can be used to protect the gastric mucosa for an eight - week course of treatment.

If the patient is also infected with Helicobacter pylori, amoxicillin can be taken orally to kill the bacteria for a two - week course of treatment.

How to Treat Bleeding Peptic Ulcers

Regular gastroscopy follow - up is necessary to prevent canceration.

Common symptoms include fever, fatigue, and discomfort in the affected area. Always consult with a healthcare professional for an accurate diagnosis.
Diagnosis typically involves a physical examination, medical history review, and possibly laboratory tests or imaging studies depending on the suspected cause.
Treatment options vary based on the specific condition, severity, and individual health factors. They may include medication, lifestyle changes, physical therapy, or in some cases, surgical intervention.
Seek immediate medical attention if you experience severe symptoms, rapid worsening of condition, or if self-care measures aren't providing relief within a reasonable timeframe.