Which Fever Reducer Should Be Used for Fever Accompanying Gastrointestinal Bleeding?

Fever reduction, also known as antipyretic treatment, is particularly relevant in cases of gastrointestinal bleeding accompanied by fever. Some oral medications may irritate the gastrointestinal mucosa, so intramuscular injection of antipyretic drugs is often recommended to mitigate this irritation. When the body temperature exceeds 38.5°C or symptoms are pronounced, patients can receive intramuscular or intravenous injections of drugs or suppositories under medical guidance. Commonly used medications include Compound Aminopyrine Injection, Chaihu Injection, Lysine Acetylsalicylate for Injection, and Paracetamol Suppositories. Given the varying severity of patients' conditions, the specific medications used differ, and patients should follow medical advice regarding medication.

Detailed Analysis:

1. Compound Aminopyrine Injection: Primarily used for emergency fever reduction in acute hyperthermia. It also provides some relief for headache during fever but is contraindicated for those with a history of allergy to this drug or to pyrazolone or barbiturate drugs.

2. Chaihu Injection: Used for the treatment of fever caused by flu, influenza, and malaria. It is cautioned against use in children and those allergic to this product.

3. Lysine Acetylsalicylate for Injection: A compound salt of aspirin and lysine, it inhibits cyclooxygenase, reduces prostaglandin synthesis, and has antipyretic, analgesic, and anti-inflammatory effects. It is suitable for fever and mild to moderate pain but is contraindicated during pregnancy, lactation, in newborns, and for those allergic to this product.

4. Paracetamol Suppositories: Administered rectally, this non-steroidal anti-inflammatory drug inhibits prostaglandin synthesis, providing antipyretic and analgesic effects. It is used to relieve high fever caused by common colds or flu and mild to moderate pain.

In addition to the above medications, patients may also receive fever-reducing treatments with ibuprofen suppositories, indomethacin suppositories, Dexamethasone Sodium Phosphate Injection, and other medications under medical guidance.

Patients with gastrointestinal bleeding may exhibit symptoms such as paleness, chills/fever, dizziness, weakness, and anemia. It is crucial for them to seek prompt medical attention for hemostasis and fluid replenishment, avoiding self-medication to prevent disease progression.