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What medication should be taken for stomach bleeding?

Sep 10, 2025 Source: Cainiu Health
Dr. Huang Yuhong
Introduction
In general, gastric bleeding is a hemorrhagic condition caused by damage to the gastric mucosa and rupture of blood vessels. Common symptoms include hematemesis, melena, and abdominal pain. Patients may take medications such as omeprazole enteric-coated capsules, tranexamic acid tablets, Yunnan Baiyao capsules, rabeprazole sodium enteric-coated tablets, and famotidine tablets as directed by a physician. A detailed analysis is as follows:

Generally, gastrointestinal bleeding is a hemorrhagic condition caused by damage to the gastric mucosa and rupture of blood vessels. Common symptoms include hematemesis, melena, and abdominal pain. Patients may take medications such as omeprazole enteric-coated capsules, tranexamic acid tablets, Yunnan Baiyao capsules, rabeprazole sodium enteric-coated tablets, and famotidine tablets under medical guidance. Detailed explanations are as follows:

1. Omeprazole Enteric-Coated Capsules

Omeprazole belongs to the class of proton pump inhibitors, which can inhibit gastric acid secretion by gastric wall cells, reduce gastric acidity, decrease irritation to the damaged gastric mucosa, and create a favorable environment for mucosal healing. It also promotes clotting at the bleeding site to aid hemostasis. It is suitable for gastrointestinal bleeding caused by gastric ulcers and duodenal ulcers.

2. Tranexamic Acid Tablets

Tranexamic acid is an antifibrinolytic agent that inhibits the activity of plasmin, preventing the breakdown of formed blood clots, thereby achieving a hemostatic effect. It is commonly used during the acute phase of gastrointestinal bleeding to assist in controlling bleeding symptoms, especially in cases of significant bleeding.

3. Yunnan Baiyao Capsules

Yunnan Baiyao is a traditional Chinese medicine preparation that has the effects of promoting blood circulation to remove blood stasis and stopping bleeding. It can promote platelet aggregation, enhance coagulation function, reduce local inflammatory reactions in the gastric mucosa, and aid in the repair of damaged mucosa. It is suitable for gastrointestinal bleeding caused by various factors, such as acute gastric mucosal lesions and gastric ulcer bleeding.

4. Rabeprazole Sodium Enteric-Coated Tablets

Rabeprazole sodium is also a proton pump inhibitor that inhibits gastric acid secretion, increases gastric pH, reduces acid erosion at the bleeding site, promotes platelet aggregation and thrombus formation at the bleeding site, thereby achieving hemostasis. It is indicated for gastrointestinal bleeding caused by stress ulcers or erosive gastritis.

5. Famotidine Tablets

Famotidine belongs to the H₂ receptor antagonist class of drugs. It blocks H₂ receptors on gastric wall cells, reduces gastric acid secretion, lowers gastric acidity, alleviates irritation to the damaged gastric mucosa, and assists in the healing of bleeding sites. It is suitable for mild gastrointestinal bleeding or as an adjunctive treatment during recovery from gastrointestinal bleeding.

In daily life, it is important to develop good habits, avoid eating spicy, irritating, hard, or coarse foods such as chili peppers, nuts, and fried foods, to prevent exacerbating gastric mucosal damage. Additionally, alcohol consumption and staying up late should be avoided to reduce the burden on the gastric mucosa. Patients with gastrointestinal diseases, liver disease, hyperthyroidism, hypothyroidism, or other conditions should inform their physician of their medical history before taking any medications to avoid potential drug interactions.

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