Is erosive hemorrhagic gastritis serious?

Many people have irregular daily diets, and such people are prone to different types and degrees of gastritis. There is a type of gastritis called erosive hemorrhagic gastritis. When hearing this name, many people were shocked, thinking that since the stomach was eroded, the situation must be very serious. After some people are diagnosed with this disease by doctors, they become worried all day long, wondering if they will die. So, how serious is this stomach disease?

1. Concept

Erosive hemorrhagic gastritis is an acute gastritis characterized by multiple erosions of the gastric mucosa, also known as acute gastric mucosal lesions or acute erosive hemorrhagic gastritis.

1. Causes

1. Various exogenous stimuli that cause acute simple gastritis, especially ethanol and non-steroidal anti-inflammatory drugs, can destroy the gastric mucosal barrier, causing H+ and pepsin to diffuse back into the mucosa and lead to acute erosion of the gastric mucosa.

2. Some critical diseases, such as severe trauma, extensive burns, sepsis, intracranial lesions, shock, and failure of important organs, and other severe stress states are more common causes.

3. The occurrence of erosive gastritis is closely related to our careless diet. The various foods we eat may contain ingredients that damage the gastric mucosa, which in turn leads to acute gastritis. Strong tea, strong coffee, strong liquor, too cold, too hot, too rough food, and irritating condiments can all irritate the gastric mucosa, destroy the mucosal barrier and cause gastric mucosal damage and inflammation.

4. Biological factors: including bacteria and their toxins, mainly refers to the damage to the gastric mucosa caused by ingesting some pathogenic bacteria and their toxins, which often manifests as acute gastroenteritis or food poisoning. Common pathogens include Salmonella, halophilic bacteria, pathogenic Escherichia coli, etc. Common toxins include Staphylococcus aureus and botulinum toxin, especially the former. Gastritis or enteritis may occur a few hours after eating unclean food contaminated with bacteria or toxins. This is acute gastroenteritis.

2. Symptoms

1. Before the onset of the disease, there is a history of taking non-steroidal anti-inflammatory analgesics, alcoholism, and stressful conditions such as burns, major surgery, craniocerebral trauma, and failure of important organ function. The clinical symptoms are mostly dull or severe pain in the upper abdomen, accompanied by nausea and other symptoms. Those caused by drugs are also called drug-induced gastritis.

2. In a small number of patients, due to severe symptoms of the primary disease, gastrointestinal symptoms before bleeding, such as dull pain and discomfort in the upper abdomen and a burning sensation, are often ignored or have no obvious symptoms. Upper gastrointestinal bleeding is often the first symptom, manifested as vomiting blood and (or) tarry stools. Bleeding is often intermittent. Some patients present with acute massive bleeding, with severe conditions and hemorrhagic shock.

4. Is erosive gastritis serious?

When it comes to whether erosive gastritis is serious or not, there is no standard answer to this question. Generally speaking, the severity of erosive gastritis is more serious than superficial gastritis and milder than ulcers and bleeding, but it also varies from person to person.

IV. Hazards

It may develop into ulcers and gastric bleeding, and severe bleeding may even directly endanger the patient's life. Some patients present with acute massive bleeding and are in serious condition. Despite massive blood transfusions, their hemoglobin levels are still difficult to increase rapidly. In a small number of patients who develop this disease due to burns, the only symptoms are increased pulse rate and decreased blood pressure caused by hypovolemia.

5. Treatment

1. The patient should rest in bed, fast or eat liquid food, and keep quiet. Those with obvious bleeding should keep their airway open and receive oxygen when necessary. Strengthen nursing care, closely observe changes in consciousness, breathing, pulse, blood pressure and bleeding C, and record 24-hour intake and output. Mucosal protective drugs can be used for patients without obvious bleeding.

2. If the stomach symptoms are more severe, you can use drugs to protect the gastric mucosa. If the symptoms of nausea, vomiting, and belching are more severe, you can use drugs to promote gastric motility. If the stomach pain is obvious, you can use acid-suppressing drugs to inhibit gastric acid secretion and improve symptoms.

3. Anti-infection treatment is generally not required, but if it is caused by bacteria, especially if accompanied by diarrhea, antibacterial drugs may be used. If the abdominal pain is severe, antispasmodics can be used.

4. If accompanied by symptoms of gastric bleeding such as vomiting blood, black stools, etc., seek medical attention immediately to avoid danger.