Stomach hemorrhage is a chronic condition that can seriously damage the digestive tract in general and the stomach in particular, and even be life-threatening. So, “With stomach bleeding, what medicine should I take quickly?” is a common question of many patients. Invite you to find the most specific answer in the article below.
Stomach hemorrhage is a term that describes a condition in which a heavy, uncontrollable stomach is bleeding when this organ is severely damaged. This is a dangerous medical problem. In severe cases, the disease can cause shock, drop in blood pressure, and even death.
Stomach bleeding is often a complication of some gastrointestinal disease (Mallory W eiss syndrome, gastritis, gastro duodenal ulcer , stomach cancer) or is a consequence of living habits healthy (abuse of antibiotics, addiction to tobacco, alcohol). People with stomach bleeding often face symptoms such as dizziness, drowsiness, dizziness, pale facial skin, vomiting blood, bloody stools, severe pain in the epigastric region …
If stomach bleeding progresses rapidly and occurs suddenly (acute), the patient is very likely to fall into severe shock with the following manifestations: chest tightness, shortness of breath, low blood pressure, cold head limbs, heart palpitations , excessive sweating, lack of alertness or loss of consciousness. In the case of a chronic medical condition (long-lasting mild bleeding), you will become tired, lethargic, increasing difficulty in breathing, anemia (due to excessive blood loss).
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What medicine should be taken from stomach bleeding quickly?
Medications to treat stomach bleeding mainly focus on protecting the ulcerated gastric mucosa, supporting blood clotting, and preventing the risk of recurrence. Here are seven drugs that are commonly prescribed by specialists for gastric bleeding:
Pain reliever, anti-spasmodic muscle
The bleeding will stimulate the stomach to contract strongly, resulting in severe abdominal pain. In this case, the doctor will ask the patient to use pain relievers, anti-spasmodic muscles (alverin, buscopan, drotaverin, mebeverine). This group of drugs has the ability to limit spasm of the digestive organs and inhibit pain. However, they are not suitable for people with liver failure, kidney failure, severe heart failure, intestinal paralysis, intestinal obstruction, degree II and III atrioventricular block.
In addition, in addition to treating stomach bleeding, drugs in the pain reliever, anti-spasmodic group above may cause the following side effects:
- Alverin can cause shortness of breath, wheezing, shortness of breath, swelling of the face and other parts of the body, allergies, yellowing of the eyes and skin, headache, fatigue, dizziness, itchy hands and feet, hives. …
- Buscopan can lead to disorders of sweating, dry mouth, difficulty urinating, constipation, nausea, fast heartbeat, swelling of the limbs, dizziness, vision disturbances, etc.
- Drotaverin may cause dry mouth, dizziness, difficulty breathing, headache, vomiting or nausea, skin allergies, low blood pressure, changes in heart rate, swelling of the face / eyelids / eyes / lips / tongue / hands / hands. foot…
- Mebeverine may cause allergies, hives, swelling or itching of the face / throat / tongue, difficulty breathing, dizziness …
The use of some systemic pain relievers such as aspirin, diclofenac, ibuprofen … can increase irritation in the stomach, causing stomach bleeding phenomenon to recur and become serious. Therefore, you absolutely do not take pain relievers without a prescription from a specialist.
Proton pump inhibitors (PPIs)
Proton pump inhibitors are a class of drugs that treat relatively common digestive problems. By interfering with the recovery of the enzyme hydro-potassium adenosine triphosphatase, this group of drugs blocks gastric juice production. Therefore, the drug is suitable for people with gastric bleeding due to gastroesophageal reflux – esophagus or Zollinger Ellison syndrome.
However, proton pump inhibitors may increase the risk of osteoporosis in postpartum women, premenopausal women, and the elderly. In these cases, an alternative to a proton pump inhibitor will be prescribed by the therapist.
In addition, limiting gastric juice production will create favorable conditions for clostridium difficile bacteria to multiply and develop, leading to severe diarrhea. If you notice any unusual signs, you should talk carefully with your doctor for prompt monitoring. The current popular proton pump inhibitors are esomeprazole, lansoprazole, pantoprazole, omeprazole, rabeprazole …
Vasoconstrictor drugs
The vasoconstrictor drugs (carbazochrome, posthypophyse, octreotide) have the ability to indirectly stop bleeding, dilate peripheral vasculature, reduce the pressure in central vasoconstriction and burden veins, thereby rapidly reducing bleeding in the muscles. digestive system.
This group of drugs is often indicated for gastric bleeding caused by rupture of the esophageal vein (mainly due to hepatitis or Mallory Weiss syndrome). However, pregnant women or people with angina should not use this drug.
In addition, elderly patients, people with physiological problems (impotence, premature ejaculation, erectile dysfunction) need to be really careful in the course of taking the drug. Some vasoconstrictors may cause undesirable effects such as insomnia, loss of appetite, increased blood pressure, nervous tension, and discomfort in the digestive system.
Antacids
When the amount of acid in the stomach increases, the gastrointestinal tract is susceptible to angina attacks, causing ulcers and digestive disorders. Antacids are pharmaceuticals that neutralize hydrochloric acid (HCl) in gastric juice and act as a buffering agent, increasing the pH and reducing the acidity of the stomach.
Thus, the acidic drug group works to inhibit pain, protect ulcers, regenerate the mucosa, and prevent disease recurrence. Typical drugs of this group include: kremil-S, maalox, pepsane, phosphalugel, varogel, yumangel …
According to the recommendation from medical experts, antacids are not suitable for people who are hypersensitive to aluminum phosphate, dimethicone or magnesium hydroxide. If you cannot tolerate fructose, you should actively inform your doctor for the most specific instructions.
Antihistamine H2-receptor antagonists
The condition of the stomach that secretes too much gastric juice will strongly stimulate the area of the ulcerated mucosa strongly, causing epigastric pain and increasing the risk of stomach bleeding again. Therefore, histamine H2-receptor antagonists (cimetidine, famotidine, ranitidine) will be indicated in this case.
Histamine H2-receptor antagonists work by inhibiting the selective competition of H2 receptors, preventing acid and pepsin from being produced in the stomach. This group of drugs is quite safe and is easily absorbed from the gastrointestinal tract.
For patients with severe bleeding, before prescribing, the specialist will thoroughly examine to rule out the possibility of stomach cancer (because this group of drugs often conceals many symptoms of the disease, thereby making an image affect diagnostic results). In addition, people with impaired kidney and liver function need to be especially careful when using this group of drugs.
The drug prolongs the clotting time
Medications to prolong clotting time are used when hemorrhagic stomach wounds begin to form blood clots. With the ability to limit the conversion of plasminogen to plasmin and slow the clot to dissolve, this group of drugs works to prevent the recurrence of gastric hemorrhage. The most common medication for stomach bleeding caused by a blood clotting disorder is hemocaprol.
Vitamins of group K
Vitamins of group K, including vitamin K1 (phytomenadiol), vitamin K2 (menaquinon), and vitamin K3 (menadion) are often used to stop bleeding when stomach bleeding occurs. This group of drugs contributes to the production of prothrombin, which in turn aids the blood clotting process. However, because vitamin K is easily absorbed and metabolized in the liver and bile, this group of drugs is only indicated for patients with good liver function.
In addition to the seven drug groups mentioned above, specialists may require patients to use some other drugs when suffering from stomach bleeding, especially those that work to enhance the durability of capillaries. as well as limiting recurrent gastric bleeding, which are: calcium chloride, tranexamic acid, ethamsylate.
Problems to keep in mind when taking medications for stomach bleeding
Although drugs to treat gastric bleeding are used to stop bleeding, protect the wound mucosa and prevent disease recurrence, the patient must not use drugs indiscriminately and arbitrarily. Because this can increase the risks involved in the healing process. Here are the things you should keep in mind:
- Absolutely do not arbitrarily use the drug if symptoms appear black stools, vomiting blood, severe abdominal pain …
- Use the drug only as directed after your doctor has performed an endoscopy and has correctly diagnosed the degree of gastric bleeding.
- Take the medicine according to the frequency and dosage that was directed. During the first 24 hours, if stomach bleeding persists, the doctor will immediately stop the medical and surgical treatment as soon as possible.
- If your body responds well to these medications, you need to be sure to maintain conservative measures for a long time to speed up the recovery of broken veins and ulcerative conjunctivitis.
- Certain medications for stomach bleeding can cause hypotension and impaired concentration. Therefore, throughout the healing process, patients need to avoid making important decisions, driving vehicles or completing tasks that require intense concentration.
- Coordinate the use of Western drugs with a scientific and reasonable diet and a balanced and healthy lifestyle.
- Proactively see a specialist if the body develops unusual symptoms such as difficulty breathing, rash, headache, itchy throat …
- If vomiting occurs frequently after taking medication, the patient can ask the doctor to allow the combination of antiemetics with antiemetic drugs or direct injection / infusion.
The above drugs will be prescribed when the stomach bleeding has stabilized. Indiscriminate and arbitrary use of drugs can mask many unusual signs, thereby hindering the specialist’s diagnosis. Therefore, when detecting a pathology, patients should regularly examine and consult with experts to find the most effective and suitable treatment. When diseases related to the digestive tract are completely pushed back, you can reduce the risk of stomach bleeding.
