A bleeding ulcer (ulcus sanquinans) is a
peptic ulcer of the stomach or duodenum.
Ulceration damages the blood vessels in
the organ’s wall and causes bleeding in
the organ’s lumen. Hemoglobin from the
erythrocytes located under the stomach
acid become hematin, which colors the
feces black (MELENA). Prolonged bleeding
from an ulcer leads to anemia. Rarely, if
some bigger blood vessels are damaged,
bleeding may be profuse and vomiting of
blood occurs (HAEMATEMESIS). This might be
life threatening and, if it occurs, the
condition DEMANDS IMMEDIATE TREATMENT.
Other symptoms of peptic disease present
during a bleeding ulcer include pain in
upper abdomen, nausea, vomiting, and loss
of appetite and weight. A bleeding ulcer
can be diagnosed only with endoscopic
gastroscopia. Treatment is via
pharmaceuticals, but if the bleeding is
profuse or it doesn’t stop, endscopic
intervention is indicated as the next form
of treatment.
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