Stomach duodenal ulcer bleed easy and what disease obscure? 's symptom

Stomach, duodenal ulcer bleed easy and what disease obscure? 's symptom
Have typical the intersection of ulcer and medical history person, happen spitting blood or pitch kind, it is seldom difficult to diagnose, at the same time with patient that suffer from abdominal pain, should consider with perforated ulcer, in those without medical history of ulcer, diagnose the bleeding position is difficult. Often check through barium meal, endoscope and alternative artery radiography confirm pathological change property and bleeding position. Ulcer and and massive haemorrhage should erupt massive haemorrhage, acute biliary tract simultaneously and bleed with various upper digestive tract bleeding diseases such as portal vein hyperbarism, it is distinguished that gastric carcinoma bleeds.
Differentiation that various upper digestive tract bleed




Bleeding reason

Clinical symptom

Special inspection

Bleeding characteristic


The stomach 12 means the enterorrhagia

There is chronic ulcer history, can aggravate recently; Ulcer sentence to tenderness ' + )

X-ray barium meal radiography or gastrocopy, can find ulcer

Have black as main fact more, mix with low clot to be person who vomits blood little in the gastric juice, it is the small or middle quantity that bleed


High pressure of portal vein The esophagus or vein of fundus of stomach breaks and bleeds

There is snail fever or contact the chronic hepatitis history of the history; Splenomegaly history of liver; Intravenous anger one of belly wall; The skin has spider's moles It is dyed that the sclera is yellow

Whole blood, especially blood platelet and leucocyte are counted and reduced. Barium meal can be seen the oesophageal fundus of stomach variceally while checking

Rely mainly on spittinging blood more, quantity large often, fresh whole blood or clot, how after being spitting blood does it have blood in one's stool


Gastric carcinoma bleeds

Can have, become thin anaemia in the intersection of stomach trouble and history, stomachache mostly bloated pain or shouting pain, a few upper abdomens can touch lump

Barium meal is checked or gastrocopy can find gastric carcinoma

Spitting blood as dark brown or black red gastric juice more, mostly bleed in a small amount


The biliary tract bleeds

There can be biliary tracts to infect, round worm's history of biliary tract, the shiver with cold generates heat: Periodically bleed, can accompany gallbladder angina while bleeding, or jaundice, then the cold sweat appears, have palpitation, it appears black to be main fact later, spitting blood little or have

The liver is often swelling, the gallbladder may be touched, the right upper abdomen often has tenderness; The B -type supersound shows big gallbladder cyst; Bleed issues of the intersection of duodenum and mirror check, have masculine gender find

It is the main fact to be mostly black, spitting blood and also see more with black blood or black clot, the pleuripotent stops having periodic characteristics by oneself, about 10 one cycle- 20 days

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