What is the best way to treat gastrointestinal bleeding?

Sep 11, 2025 Source: Cainiu Health

Dr. Huang Yuhong

Introduction

Under normal circumstances, gastric bleeding may be caused by factors such as alcohol consumption irritating the gastric mucosa, taking medications that damage the gastric mucosa, acute erosive gastritis, gastric ulcers, or rupture of esophageal and gastric varices. It is recommended to seek timely medical attention, identify the underlying cause, and then improve the condition through general treatment and medication under a doctor's guidance. In daily life, alcohol consumption should be avoided, medications that damage the gastric mucosa should be used cautiously, and a regular diet should be maintained.

Generally, gastric bleeding may be caused by factors such as alcohol irritating the gastric mucosa, taking medications that damage the gastric mucosa, acute erosive gastritis, gastric ulcers, or rupture of esophageal and gastric varices. It is recommended to seek timely medical attention, identify the underlying cause, and then improve the condition through general care and medication under a doctor's guidance. Detailed explanations are as follows:

1. Alcohol irritation of the gastric mucosa: Alcohol damages the gastric mucosal barrier, causing mucosal congestion and bleeding, usually minor seepage. Immediately stop alcohol consumption, rest in bed, and choose warm, cool liquid foods to avoid irritating the stomach.

2. Medications that damage the gastric mucosa: Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin enteric-coated tablets or ibuprofen capsules can damage the gastric mucosa and cause bleeding. Immediately discontinue the relevant medications and switch to alternative drugs with less gastric irritation as directed.

3. Acute erosive gastritis: Acute mucosal erosion and bleeding in the stomach, often accompanied by upper abdominal discomfort. Fasting or consuming a liquid diet is recommended to reduce the burden on the stomach; follow medical advice to take medications such as famotidine tablets, ranitidine capsules, or cimetidine tablets to suppress gastric acid production. Concurrently use sucralfate suspension to protect the mucosa and promote healing of the erosions.

4. Gastric ulcer: Bleeding occurs when the ulcer damages blood vessels, possibly accompanied by black stool. Fasting is required during the bleeding episode, and a gradual transition to soft foods can begin after the bleeding stops; follow medical instructions to use medications such as rabeprazole sodium enteric-coated tablets, bismuth potassium citrate capsules, or amoxicillin capsules to reduce gastric acid secretion, protect the ulcer surface, and fight infection.

5. Rupture of esophageal and gastric varices: Liver cirrhosis leads to dilated and ruptured veins, causing massive bleeding. Promptly establish intravenous access to replenish blood volume and, as directed by a physician, administer medications such as somatostatin injection, octreotide injection, or posterior pituitary extract injection to reduce visceral blood flow.

In daily life, avoid alcohol consumption, use medications that damage the gastric mucosa cautiously, maintain regular eating habits, and avoid spicy or hard foods. Strictly follow medical instructions during treatment, attend regular follow-up appointments, and manage overall health to promote gastric recovery and reduce the risk of recurrent bleeding.

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Why is there no symptom of gastrointestinal bleeding?

In general, cases of gastric bleeding without symptoms may be caused by minimal blood loss that does not produce discomfort, slow bleeding allowing the body to gradually adapt, chronic non-atrophic gastritis, early-stage gastric ulcer, or compensated cirrhosis. It is recommended to seek timely medical attention, identify the underlying cause, and receive appropriate treatment under a doctor's guidance. In daily life, maintain a bland and easily digestible diet, and consume more foods such as porridge and soft noodles.

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What is gastric bleeding?

Under normal circumstances, gastric bleeding, medically known as upper gastrointestinal bleeding, is one of the common emergencies in gastroenterology. It refers to bleeding occurring from the esophagus to the duodenum. In daily life, one should maintain regular eating habits, avoid overeating, reduce consumption of spicy or excessively hot foods, and avoid excessive alcohol consumption and the misuse of medications that can damage the gastric mucosa. Symptoms such as hematemesis (vomiting blood) and melena (black stool) may occur.

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What Are the Three Types of Food Most Feared for Gastric Bleeding?

Generally speaking, there is no specific claim regarding "the three types of food most feared in gastrointestinal bleeding." Patients with gastrointestinal bleeding should avoid spicy and stimulating foods, hard or coarse foods, excessively hot foods, greasy and hard-to-digest foods, as well as alcoholic beverages. These types of food may worsen gastric mucosal damage, exacerbate bleeding, or impair recovery. During the recovery phase of gastrointestinal bleeding, the diet should primarily consist of cool, soft, and easily digestible foods.

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What Can Be Eaten in Case of Stomach Bleeding?

Under normal circumstances, when experiencing gastrointestinal bleeding, one can consume foods such as millet porridge, steamed egg custard, soft noodles, wax gourd soup, and apple puree. Medications such as omeprazole enteric-coated capsules, hydrotalcite chewable tablets, rebamipide tablets, kangfuxin solution, and yunnan baiyao capsules may also be used. During bleeding, it is important to avoid spicy, hard, and excessively hot foods. Medications must be taken strictly according to medical instructions.