Why do I vomit blood when I sleep at night?

Vomiting blood while sleeping at night is a very serious problem. The biggest reason for this problem is gastrointestinal bleeding. The digestive tract is of great significance to the human body's digestion and absorption functions. If there is a problem with the digestive tract, it will naturally affect the overall health of the person. There are many medical treatments for gastrointestinal bleeding. Here are some effective methods.

Symptomatic treatment

Chronic, small-volume bleeding is treated primarily by targeting the underlying disease (cause). In case of acute massive bleeding, the patient should rest in bed and fast; closely observe changes in the condition, maintain intravenous access and measure central venous pressure. Keep the patient's airway open to avoid suffocation caused by vomiting blood. And take appropriate treatment for the primary disease.

Replenish blood volume

In case of acute massive bleeding, intravenous infusion should be given rapidly to maintain blood volume and prevent a drop in blood pressure. When hemoglobin is lower than 6 g/dl and systolic blood pressure is lower than 12 kPa (90 mmHg), blood transfusion should be considered. Avoid excessive blood transfusion or infusion to prevent acute pulmonary edema or re-bleeding.

Endoscopic treatment

The hemostatic effect of colonoscopy and small enteroscopy is limited and is not suitable for acute massive bleeding, especially for diffuse intestinal lesions. Specific methods include: argon plasma coagulation (APC), electrocoagulation (including monopolar or multipolar electrocoagulation), cryostasis, thermal probe hemostasis, and spraying of epinephrine, thrombin, leptin and other drugs on the bleeding lesions to stop bleeding. APC, electrocoagulation and other hemostatic methods should not be used for bleeding caused by diverticulum to avoid intestinal perforation.

Minimally invasive interventional therapy

After selective angiography demonstrates the bleeding site, catheter-based hemostatic therapy can be performed. The goal of hemostasis can be achieved in most cases. Although some cases will bleed again during hospitalization, the patient's general condition has improved during this period, creating good conditions for elective surgical treatment. It is worth pointing out that gastrointestinal bleeding caused by intestinal ischemic diseases is contraindicated. Generally speaking, embolization is not recommended for hemostasis in cases of lower gastrointestinal bleeding after arterial catheterization because embolization of the proximal blood vessels can easily cause ischemic necrosis of the intestine, especially the colon.

Surgery

When the cause and site of bleeding are unclear, blind laparotomy is not recommended. It can be considered in the following situations: ① Active massive bleeding and hemodynamic instability, arterial angiography or other examinations are not allowed; ② The above examinations did not find the bleeding site, but the bleeding is still ongoing; ③ Similar severe bleeding occurs repeatedly. The operation should be thoroughly and carefully explored, and if necessary, intraoperative endoscopic examination should be performed through the anus and/or enterostomy. It is performed by an endoscopist, with the surgeon assisting in inserting the endoscope and rotating the intestinal tube to flatten the mucosal folds, allowing the endoscopist to obtain a clear field of view, which is conducive to the discovery of small and hidden bleeding lesions. At the same time, the surgeon can sometimes detect