Hemorrhaging is also known as bleeding or abnormal bleeding as a
result of blood loss due to internal.external leaking from blood
vessels or through the skin.
Hematemesis
Hematemesis is defined as a condition of either upper gastrointestinal
tract fresh blood vomiting or altered blood vomiting due to acid on the
blood.
Management and treatments
2.1. Severe blood blood and life threatening
In the study of treatment of hematemesis and hematochezia in elderly patients by Department of Internal Medicine (III) Asahikawa Medical College, hematemesis and
hematochezia (melena) in elderly patients are serious symptoms which
should be carefully handled since they can lead to death without
suitable treatment. In elderly patients
the advance of arteriosclerotic changes throughout
the body decreases blood flow and function in various organs. When these
arteriosclerotic changes become prominent in the gastric vascular
structure, bleeding from gastric ulcers tends to easily occur and it can
be difficult to stop. A large amount of bleeding can cause irreversible
shock due to the decreased cardiopulmonary function, and diminished
hepatorenal capacity would also be a decisive factor in determining the
outcome of the state of shock(11). In this case, Fluids and/or blood is
administered, preferably by central venous
catheter, and the patient is prepared for emergency endoscopy, which is
typically done in theatres. Surgical opinion is usually sought in case
the source of bleeding cannot be identified endoscopically, and
laparotomy
is necessary. Securing the airway is a top priority in hematemesis
patients, especially those with a disturbed conscious level (hepatic
encephalopathy in oesophageal varices patient.) A cuffed endotracheal
tube could be a life saving choice(12).
2.2. Blood loss but not life threatening
In this case, certain medication such as Proton-pump inhibitors (PPIs)
to reduce gastric acid production and blood transfusion depending to
levels of hemoglobin, no eating until endoscopy can be arranged.
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Sources
(12) http://en.wikipedia.org/wiki/Hematemesis
Health Researcher and Article Writer. Expert in Health Benefits of Foods, Herbs, and Phytochemicals. Master in Mathematics & Nutrition and BA in World Literature and Literary criticism. All articles written by Kyle J. Norton are for information & education only.
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