"What are the Common Causes of Massive Hematemesis?"

Common Causes of Heavy Hematemesis and Corresponding Treatments

The most prevalent causes of massive hematemesis primarily encompass acute erosive-hemorrhagic gastritis, gastric ulcers, duodenal ulcers, reflux esophagitis, and esophageal and gastric variceal rupture. It is highly recommended to seek medical attention promptly and follow the physician's guidance for appropriate improvement or treatment measures. Details are as follows:

1. Acute Erosive-Hemorrhagic Gastritis

Caused by stress, medications, alcohol, trauma, and physical factors, this condition damages the gastric mucosa, leading to excessive bleeding and abdominal pain. Treatment options under medical supervision include Sucralfate Tablets, Colloidal Bismuth Pectin Capsules, and Aluminum Hydroxide Tablets.

2. Gastric Ulcer

Severe gastric ulcers can result in necrosis of the gastric mucosa, with ulcers reaching blood vessels, potentially causing massive hematemesis and pain. Commonly prescribed medications under medical guidance include Omeprazole Enteric-coated Tablets, Bismuth Pectin Capsules, and Clarithromycin Capsules.

3. Duodenal Ulcer

Improper diet and medication can induce duodenal ulcers. When irritated, these ulcers may cause bleeding, abdominal pain, and bloating. Recommended treatments under medical supervision include Rabeprazole Sodium Enteric-coated Tablets, Omeprazole Magnesium Enteric-coated Tablets, and Magnesium Aluminum Carbonate Tablets.

4. Reflux Esophagitis

Triggered by emotional stress, medication, or chemical irritants, reflux esophagitis involves the reflux of gastric acid and contents into the esophagus, stimulating the esophageal mucosa. Symptoms may include hematemesis, pain, and belching. Treatments under medical guidance may include Rabeprazole Sodium Enteric-coated Capsules, Ilaprazole Enteric-coated Capsules, and Domperidone Tablets.

5. Esophageal and Gastric Variceal Rupture

Portal hypertension can lead to excessive pressure on the esophagus, causing esophageal and gastric variceal rupture, manifested as massive hematemesis, acid reflux, and abdominal pain. Immediate surgical intervention to remove esophageal varices is necessary.

Apart from the above, cirrhosis of the liver should also be considered. Regular monitoring of one's health status is crucial. In case of significant blood loss, immediate medical attention is advised to prevent life-threatening situations.