If stomach bleeding occurs again after taking Helicobacter pylori killing medicine, the medicine should be temporarily stopped and water should be fasted to avoid aggravating the bleeding and infection.
If gastric bleeding occurs, water fasting should be the first step because food may aggravate gastric mucosal damage, which is not conducive to hemostasis. If combined with perforation, eating or taking medication may lead to diffuse peritonitis and abdominal infection, which is not conducive to subsequent surgical treatment.
Patients with gastric bleeding combined with Helicobacter pylori infection may be reassessed for indications for medication after stabilization of gastric bleeding, and if there is no contraindication, a new course of anti-Helicobacter pylori therapy such as amoxicillin, clarithromycin, omeprazole, and bismuth pectin can be restarted.
Gastric bleeding patients should first assess whether the vital signs are stable, if the general situation is stable, can be given to stop bleeding, acid suppression drug therapy, such as growth inhibitors, omeprazole and other drugs. When conditions permit, endoscopy is feasible to further define the cause of bleeding and endoscopic hemostasis.
It is recommended to go to the hospital as soon as possible to receive formal diagnosis and treatment, so as not to delay the condition.