Can I smoke if I have gastric bleeding?

Gastric bleeding is a relatively serious symptom. There are many causes of gastric bleeding. As a patient, in addition to regular treatment, you should strengthen your daily conditioning. You cannot smoke if you have gastric bleeding, because the toxic substances in the smoke will obviously irritate some mucosal tissues of the stomach and intestines, which may cause the bleeding symptoms to worsen and is not conducive to the healthy recovery of the mucosal tissues.

Methods for treating gastric bleeding 1. Conventional treatment ① The patient should lie in a supine position, and 10 mg of diazepam can be injected intramuscularly when the patient is irritable and restless. ② Those who vomit blood should fast, while those who have simple black stools can eat liquid food. ③ Those with serious conditions should receive oxygen. ④ Place a gastric tube to aspirate the blood in the stomach, understand the bleeding situation, and infuse drugs. ⑤ Strengthen care to prevent vomitus from being inhaled into the respiratory tract and causing pneumonia or suffocation.

2. Rescue shock ① Estimation of blood transfusion volume: Mild bleeding is mainly treated with infusion, and blood transfusion is not required for the time being; moderate bleeding requires 400~600ml of blood supplementation; severe bleeding requires 900~1200ml of blood transfusion, or even more. ② In principle, the amount of fluid to be infused should be estimated based on how much goes out. The infusion volume and speed can be adjusted according to the central venous pressure measurement. The fluids used are crystalloids and dextran. ③Correct acid-base and electrolyte balance. 3. Application of hemostatic agents ① Choose Anluoxue, Hemostatic Min or Hemostatic Aromatic Acid as appropriate and add it to the infusion solution for drip. ② Infuse norepinephrine or thrombin at a concentration of 80 mg/l through the gastric tube. ③ Local hemostasis under gastroscopy can be achieved by spraying hemostatic agents, such as 80 mg/l norepinephrine or thrombin; or injecting hemostatic agents, such as 1-2 mg epinephrine added to 10 ml of 10% saline and injected at multiple points; or high-frequency electrocoagulation hemostasis; or microwave hemostasis; or laser hemostasis.

4. Etiological treatment ① Bleeding caused by stress lesions or ulcers, or, H2-receptor blockers cimetidine or ranitidine can be used intravenously; or Losec 20 mg can be taken orally, twice a day. ② In case of esophageal and gastric fundus varicose vein rupture and bleeding, a three-lumen tube should be inserted for compression and hemostasis. Generally, 200 ml of gas or water is injected into the gastric pouch, and the pressure is 5.3~6.6 kpa. Use a 1~2 kg pulley for traction. The bleeding will stop after 24 hours, and the air can be deflated and observed for another 24 hours. At the same time, 20 u of posterior pituitary hormone is added to 100 ml of glucose solution and dripped intravenously. Repeat once every 3~4 hours. The sclerosant is injected under direct vision of the gastroscope. Generally, 1% ethoxysclerosing alcohol or 5% sodium morrhuate is used and injected into and beside the varicose veins to cause embolism and stop bleeding.

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