Chengdu man suddenly vomited blood! Doctor's Urgent Reminder: Entering a High Incidence Period, Eating Hot Pot on the Dining Table | Too Many | Chengdu

For people from Chengdu

Hot pot, skewers, crayfish

Barbecue, cold cake, and small soju

……

Absolutely the eternal protagonist of the summer dining table

But some people, after eating hot pot,

But he ate it in the emergency room.

After a hot pot+Baijiu

A man vomited blood and was sent to the emergency department

Recently, a middle-aged man appeared in the emergency room of the Fifth People's Hospital of Chengdu. He was seen hunched and had just entered the hospital when he began vomiting blood According to Zhu Zhu, the deputy chief physician of the Department of Gastroenterology, this person is Mr. Liu.

In the emergency room, he vomited over 500 milliliters of fresh blood, spraying his clothes, sheets, and floor all over, Fortunately, they received timely rescue.

Mr. Liu stated that he is in his 40s, in good physical condition, and has no digestive diseases. That night, I had a hot pot dinner with three or five friends. During the period, there was inevitably a lot of drinking, and after a meal, there was more than half a kilogram of Baijiu.

But just after he was full of alcohol and food, his stomach was as uncomfortable as a raging river. He vomited all the food he had eaten, followed by a big mouthful of blood. His friends were also startled, so they quickly went to the hospital.

After preliminary treatment, the emergency department transferred Mr. Liu to the gastroenterology department for diagnosis and treatment. Based on Mr. Liu's medical history, the gastroenterologist suspected that he had a cardiac tear. As expected, the doctor saw a tear on the gastric mucosa of the patient under a gastroscopy, as well as a gastric ulcer, with a blurred blood color in the field of vision.

It is reported that after hemostasis and further treatment, Mr. Liu has recovered and been discharged from the hospital.

Cardiac tear that cannot be ignored

Without underlying diseases, it is easy to cause

Cardiac mucosal tear refers to the tearing of the cardiac mucosa during severe vomiting, which is one of the main causes of upper gastrointestinal bleeding.

The cardia is the intersection of the stomach and esophagus, and there are abundant blood vessels under the mucosa of the cardia. There are small arteries and veins passing through it, and the blood vessels are all in a network shape.

Dr. Zhu Zhu explained that during severe vomiting, the stomach and esophagus tug at each other, causing a dispute between the two organs that were originally in the same motion. This tears the mucosa of the cardia, and once the cardia tears, it can cause bleeding.

Cardiac mucosal tear syndrome is more common in middle-aged people aged 30-50. The disease is aggressive and can easily occur without underlying diseases. A small number of patients may die from hemorrhagic shock.

Main symptoms: gastrointestinal bleeding

When the tear area is relatively small and there is less bleeding, vomiting blood streaks and black stools may occur;

When the patient has a large tear area or when the tear involves blood vessels, the amount of bleeding will increase significantly;

When there is significant gastrointestinal bleeding, it can lead to hemorrhagic shock, endangering the patient's life safety!

In addition, some patients may experience tearing like pain in the upper abdomen before nausea and vomiting, while others may experience severe upper abdominal pain if the gastric mucosa is completely torn, causing perforation.

Who is easily targeted by a torn cardia?

Dr. Zhu Zhu said that patients who experience vomiting and bleeding due to cardiac tear receive many such cases every year, and cardiac tear can occur in all age groups.

People with irregular dietary habits are more prone to developing diseases.

"Such digestive emergencies are often induced after a large amount of meals, excessively stimulating hot and cold diets, or drinking alcohol," Dr. Zhu Zhu said. Therefore, the popular summer diet has become a "hotbed" for inducing cardiac tear.

For example, last year

#The man vomited 1000ml of blood after taking a sip of iced black tea#

The topic has surged to the hot search list

When it comes to prevention, it's actually quite simple

Avoid overeating, excessive drinking, and severe vomiting,

Can prevent the disease

Common digestive system diseases in summer

Did you get hit

As summer entered, the number of consultations received by the gastroenterology department increased by 20-30% compared to usual.

The scorching summer has exposed many people's unhealthy habits, such as barbecue, beer, large food stalls, cold drinks, ice cream, and blowing air conditioning. This has led to gastrointestinal dysfunction, recurrence of acute/chronic gastritis, acute enteritis, food poisoning, acute pancreatitis, and other digestive system diseases.

In the absence of underlying diseases

Easy to trigger ↓

Acute gastroenteritis

Spicy, greasy, raw and cold foods and alcohol consumption can easily cause acute gastroenteritis. This situation is prone to occur in many young people's gatherings.

Generally, it can cause discomfort symptoms such as vomiting and diarrhea. If you drink too much and vomit violently, it may also cause vomiting caused by a torn cardia. If left untreated, it can even threaten your life.

Gastrointestinal infections and infectious diarrhea

If food stored for too long is consumed, it may cause gastrointestinal infections and infectious diarrhea.

In particular, eating raw Century egg may cause severe infection and even septicemia due to the highly virulent Salmonella.

Acute gastric distention and retention

If too much food is taken, in addition to indigestion, nausea and vomiting, it may also cause acute gastric dilatation and gastric retention.

If there is already a underlying disease,

May lead to the recurrence and aggravation of the disease

● In patients with biliary calculi, cholecystitis and cholangitis may be induced.

● Gout patients, if a lot of drinking, eating seafood, viscera-based barbecue, etc., easy because of increased purine intake induced gout recurrence or aggravation, resulting in joint pain.

Patients with digestive system diseases such as gastroesophageal reflux, gastroduodenal ulcer and ulcerative colitis may aggravate their symptoms due to high greasy and spicy food stimulation, and even induce serious complications such as bleeding and perforation.

● Patients with chronic liver disease and liver cirrhosis may cause esophageal varices bleeding, hepatic encephalopathy, coma, etc. if they eat spicy, hard or protein-rich foods.

Diabetes, not to mention. Improper diet can cause fluctuations in blood sugar, and even ketoacidosis and other emergencies.

Finally, Dr. Zhu Zhu emphasized that——

In daily life, everyone must have a reasonable diet and avoid excessive drinking and overeating. Although food and wine are good, drinking excessively and eating excessively is not just talk about it!

Try not to consume both cold and hot food at the same time. If you are eating hot pot or barbecue, you can drink some drinks at room temperature to avoid frozen food and excessively cold drinks.