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What medication should be taken for mild stomach bleeding?

Sep 11, 2025 Source: Cainiu Health
Dr. Huang Yuhong
Introduction
In general, mild gastric bleeding is often caused by factors such as gastric mucosal erosion and superficial gastric ulcers. Common symptoms include black stool and mild abdominal pain. Patients may take medications such as omeprazole enteric-coated capsules, rabeprazole sodium enteric-coated tablets, hydrotalcite chewable tablets, tranexamic acid tablets, and thrombin lyophilized powder, as directed by a physician. A detailed analysis is as follows:

Generally, mild gastric bleeding is often caused by factors such as gastric mucosal erosion and superficial gastric ulcers. Common symptoms include black stools and mild abdominal pain. Patients may take medications such as omeprazole enteric-coated capsules, rabeprazole sodium enteric-coated tablets, aluminum magnesium carbonate chewable tablets, tranexamic acid tablets, and thrombin lyophilized powder according to medical advice. Detailed explanations are as follows:

1. Omeprazole Enteric-Coated Capsules

Omeprazole belongs to the class of proton pump inhibitors, which specifically inhibit the activity of proton pumps in gastric parietal cells, blocking the key step of gastric acid secretion. It rapidly reduces gastric acidity, decreases irritation to the bleeding site of the gastric mucosa, and creates favorable conditions for mucosal repair. It is suitable for mild bleeding caused by gastric mucosal erosion and gastric ulcers.

2. Rabeprazole Sodium Enteric-Coated Tablets

As a proton pump inhibitor, rabeprazole sodium sustains a low-acid environment in the stomach by inhibiting the final step of gastric acid secretion, thereby reducing acid erosion at the bleeding site. It also promotes the repair of the gastric mucosal barrier. This medication is suitable for mild gastric bleeding caused by acute gastric mucosal lesions and mild gastric ulcers, with a relatively rapid onset of action.

3. Aluminum Magnesium Carbonate Chewable Tablets

Aluminum magnesium carbonate is an antacid that directly neutralizes excess gastric acid, rapidly alleviating its irritation to the gastric mucosa. It also forms a protective film over the mucosal surface, covering the bleeding site and reducing damage from external factors, thus assisting in hemostasis. It is suitable for mild gastric mucosal bleeding caused by excessive gastric acid.

4. Tranexamic Acid Tablets

Tranexamic acid is an antifibrinolytic agent that competitively inhibits plasmin activity, preventing the degradation of fibrin and promoting blood coagulation. It reduces total blood loss and can help alleviate symptoms of mild gastric bleeding. When used in combination with acid-suppressing medications, it enhances hemostatic effects. It is suitable for mild bleeding caused by various hemorrhagic diseases.

5. Thrombin Lyophilized Powder

Thrombin acts directly on fibrinogen in the blood, promoting its conversion into fibrin. It rapidly forms a blood clot to block the bleeding point, achieving localized hemostasis. It is mainly used for minor localized bleeding caused by gastric mucosal erosion or mild ulcers and is commonly administered orally or via local spraying during gastroscopy.

Maintaining healthy lifestyle habits in daily life is important. Avoid eating coarse, hard, spicy, or irritating foods such as nuts, fried foods, and chili peppers, which may worsen gastric mucosal damage and hinder recovery.

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