Patients with gastric bleeding due to ulcers should be treated like?

Question
Hello doctor,
Three children are 57 years old this year. Dad was admitted to the hospital with the reason of vomiting blood and passing black stools. Current medical examination results: Pulse 100 times/min, blood pressure 100/60mm Hg, temperature 37°C, respiratory rate 18 times/min, pale face, dizziness, pain in epigastric region, abdomen soft, tender, painful epigastrium, liver and spleen not large, heart is fast and steady, lungs do not rattle. Subclinical: Blood count: WBC: 6.4g/l; Red blood cells 2.2 T/1; HGB: 88g/l; Hct: 25%; Gastroesophageal endoscopy showed chronic ulcer in the duodenal bulb, antrum was bleeding.
So the doctor asked me how to treat patients with stomach bleeding due to ulcers? How to take care of three children? I thank you doctor.
Tran Thi Hong (2000)
Answer
Answered by Doctor Department of Medical Examination & Internal Medicine, Vinmec Hai Phong International General Hospital.
Hello,
With the question “How should patients with gastric bleeding due to ulcers be treated? ", the doctor would like to answer as follows:
Three of you have gastrointestinal bleeding due to ulcers. Did you describe: "Endoscopy has 2 lesions: Chronic ulcer of duodenal bulb, antrum is bleeding" but did not clearly describe the bleeding site (in two places or in the antrum?), ulcer nature. in the antrum (new or chronic ulcer) so the doctor can not advise you exactly.
The treatment depends on the nature of the ulcer. If new ulcers will stop bleeding endoscopically with injections, clips, ... If chronic ulcers are difficult to stop bleeding by endoscopic intervention. An antral ulcer needs to be evaluated as benign or malignant to decide on endoscopic or surgical intervention. In parallel with hemostasis, it is necessary to compensate for circulating volume (fluid, blood), drugs to reduce acid secretion.
Ideally, you should talk to a gastroenterologist for specific advice.
If you still have questions about stomach bleeding due to ulcers, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!