Emergency room for gastrointestinal bleeding after 7 days of dull abdominal pain

(Dan Tri) - Ignoring the dull pain in the epigastric region, a 30-year-old man had to be hospitalized for emergency treatment and receive an emergency transfusion of 700ml of blood due to severe gastrointestinal bleeding.

Dull abdominal pain thought to be gastritis, turned out to be severe gastrointestinal bleeding

Patient NTA (30 years old) had symptoms of dull pain in the epigastric region, accompanied by black stools, nausea and poor appetite for a week. Thinking it was just a common gastritis, he bought medicine to treat himself at home. However, after 7 days of taking the medicine, the symptoms did not improve, the patient vomited fresh blood and had to be rushed to Hong Ngoc General Hospital.

At the time of emergency, the patient's condition was critical: blood pressure dropped to 80/50 mmHg, pulse rate 100 beats/minute, pale skin, pale mucous membranes... Blood test results decreased severely: red blood cell count, hemoglobin and red blood cell mass decreased to only 1/2 of normal.

Immediately, the patient was resuscitated by the doctor, actively rehydrated, prescribed oxygen, and an emergency transfusion of 700ml of blood to stabilize the patient's condition.

“The patient lost a lot of blood, his vital signs decreased, and the risk of life-threatening hemorrhagic shock could occur at any time. Therefore, we need to stabilize the patient's health first, then perform a digestive endoscopy to find the cause of the bleeding,” said Dr. Nguyen Kim Cuong, Department of Gastroenterology, Hong Ngoc General Hospital.

Through gastrointestinal endoscopy, the medical team discovered an ulcer in the anterior duodenum area with a size of about 2cm that was bleeding. Immediately, the medical team injected the ulcer to stop bleeding and clamped 4 hemostatic clips at the ulcer during the endoscopy. After the intervention, the lesion stopped bleeding, the patient was closely monitored for the first 24 hours and continued with active medical treatment.

Doctor Nguyen Kim Cuong (right) performs endoscopic intervention to stop bleeding from an ulcer for patient A (Photo: BVCC).

After 4 days of intervention, hemoglobin indexes returned to normal, the patient recovered well, had rosy skin, comfortable spirit, could eat and walk normally.

“My health is good now, no more stomachache or fatigue,” patient A shared.

Dull abdominal pain: When should you see a doctor?

According to Dr. Nguyen Kim Cuong - Department of Gastroenterology - Hong Ngoc General Hospital, abdominal pain is a common symptom but should not be taken lightly. Especially persistent dull abdominal pain, accompanied by abnormalities such as nausea, vomiting blood, black stools, rapid weight loss... can be a warning sign of serious diseases such as gastric - duodenal ulcers, gastrointestinal bleeding, even gastrointestinal cancer.

“Many cases are hospitalized in serious, even critical condition like the case of patient A. When having stomachaches, people often mistake them for common digestive disorders and take medicine at home. Only when the pain lasts, becomes intense, colic with serious symptoms such as vomiting blood... do patients go to the doctor. At this point, the disease has progressed severely, treatment will become more complicated, difficult and expensive,” Dr. Nguyen Kim Cuong shared.

The patient had dull abdominal pain in the epigastric region (Photo: BVCC).

Accordingly, Dr. Cuong recommends that when abdominal pain occurs, patients need to pay attention to the level of pain, frequency of pain and other accompanying signs such as loss of appetite, fatigue, nausea, vomiting blood, black or bloody stools, rapid weight loss, pale skin, chest pain, dizziness, fainting... If more than 2 symptoms appear at the same time, people need to see a doctor immediately for timely treatment.

In addition, to prevent digestive diseases, people need to build a healthy diet, rich in fiber, drink enough water, eat slowly, chew thoroughly and avoid spicy, greasy foods, stimulants such as alcohol, tobacco...

At the same time, it is necessary to maintain regular physical activity, get enough sleep, avoid staying up late, stress, fatigue... and have regular health check-ups to detect and promptly handle health problems.

Department of Gastroenterology - Hong Ngoc General Hospital - 55 Yen Ninh comprehensively treats digestive - liver - bile - pancreas diseases with:

A team of highly specialized doctors with over 30 years of experience directly examining.

Modern diagnostic technology: US tissue elastography, Japanese NBI gastrointestinal endoscopy...

Update advanced protocols, effective interventions, and experience in successfully treating many difficult digestive diseases.

Contact Hotline 0911 908 856 for advice.

Source: https://dantri.com.vn/suc-khoe/cap-cuu-vi-xuat-huyet-tieu-hoa-sau-7-ngay-dau-bung-am-i-20250930144448150.htm