Is stomach bleeding painful?

Sep 08, 2025 Source: Cainiu Health
Dr. Huang Yuhong
Introduction
In general, gastric bleeding refers to the phenomenon of bleeding caused by rupture of the gastric mucosa or blood vessels. Whether gastric bleeding is painful depends on factors such as the specific cause, severity of the bleeding, and individual pain tolerance. If discomfort occurs, prompt medical attention is recommended. When symptoms suggestive of gastric bleeding appear, regardless of whether pain is present, eating should be stopped immediately to avoid加重 the burden on the stomach.

Generally speaking, gastric bleeding refers to the phenomenon of bleeding caused by rupture of the gastric mucosa or blood vessels. Whether gastric bleeding causes pain depends on factors such as the specific cause, severity of the bleeding, and individual pain tolerance. If discomfort occurs, timely medical attention is recommended. Detailed analysis is as follows:

If gastric bleeding is caused by diseases such as gastric ulcers or duodenal ulcers, damage to the ulcer site may involve submucosal nerves of the stomach. Alternatively, small amounts of bleeding may irritate the gastric mucosa and cause spasms. In individuals with low pain tolerance, these situations may be accompanied by epigastric dull pain, distension pain, or burning pain. The degree of pain is usually related to the extent of mucosal damage.

If gastric bleeding results from conditions such as rupture of esophageal or gastric varices due to cirrhosis, or acute gastric mucosal lesions, the bleeding may occur rapidly and in large volume. In such cases, there may be no significant irritation to the gastric mucosa, or the individual may have a high pain tolerance. As a result, obvious pain may not occur, and symptoms may manifest only as hematemesis (vomiting blood) or melena (black stool), which can easily be overlooked.

When symptoms suggestive of gastric bleeding occur, regardless of whether pain is present, eating should be stopped immediately to avoid increasing the burden on the stomach. Prompt medical attention is necessary to determine the underlying cause. Do not delay diagnosis and treatment due to the absence of pain. Emotional stability should be maintained during treatment, and a regular diet should be followed after recovery, avoiding overeating or binge eating. Patients with underlying liver or gastric diseases should undergo regular check-ups to reduce the risk of bleeding.

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