Bleeding ulcer disease symptoms

Canker hemorrhage can be caused by clinical symptoms and the number of blood loss and hemorrhagic closely related to the speed of the speed. When the bleeding 50-100 ml, it can be a black, bleeding to 400 ml, then not only black, but there will be a series of hematemesis and hemorrhagic symptoms. Continued heavy bleeding can lead to reduced blood volume, anemia, tissue hypoxia, circulatory failure and death.
(1) hematemesis and melena: general pyloric following hemorrhage or less do not cause stomach bleeding nausea, vomiting, do not occur hematemesis, and then only solution. If a large amount of bleeding, can cause nausea, hematemesis, if blood in the stomach stranded in a short time, while even vomit bright red; If the blood to stay in the stomach longer, oxygenated hemoglobin is a role of the gastric acid and iron hemoglobin was brown. If stomach bleeding at the end of it into the intestine, a black asphalt-like it or it, a large amount of bleeding, intestinal peristalsis fast can be as dark red blood.
(2) upper abdominal pain and discomfort: Most patients with bleeding ulcers before epigastric pain, seizures or aggravate, the pain and bleeding after often reduce or disappear.
(3) Blood Changes: bleeding Initially, around vasoconstriction and the re-distribution of RBC physical conditioning, hemoglobin, hematocrit, and red blood cell Numerical be no change. In hemorrhage 6-12 hours later, as interstitial fluid into the blood circulation, hemoglobin (Hb) and diluted with RBC numerical lower. Leukopenia increased bleeding in 10,000 more often, Neutrophils also increased.
(4) Fever: Medium volume or bleeding patients, often accompanied with fever, generally within 24 hours can be there, the majority of the 38.5 ° C below, continuing ranging from a few days to a week. This is due to intestinal blood within the decomposition products of absorption, reduce blood volume, anemia, body proteins are damaged, circulatory failure, and so central to regulating the body temperature caused by instability.
(5) peripheral circulatory failure: blood loss, reduced blood volume, blood pressure dropped, can cause accelerated heartbeat. If the excessive amount of bleeding, Rhodobryum roseum both blood volume and cardiac output reduction could lead to circulatory failure, respiratory function at the same time also be affected. The heart, brain, kidney and other vital organs of the serious ischemia, hypoxia, shock will become irreversible. In peripheral circulatory failure, patients can be expressed as irritability, fatigue, palpitation, headache, nausea, thirst, difficulty in breathing (hypoxia), pale skin, sometimes cyanosis, limbs cold, pulse until they can not and, even lower blood pressure could not be determined. Continuous bleeding can cause oliguria or no urine, can cause serious acute renal failure.
(6) azotemia: Many ulcer patients in the first days after the massive hemorrhage inside azotemia. When the bleeding continued, the content of nitrogen in the blood also gradually increased. This is because the blood to the lumen of the digestive protein decomposition products were caused azotemia; In addition bleeding can cause renal dysfunction, can not emit nitrogen quality, thus producing a azotemia.