Duodenal bulb and retrobulbar multiple punctate erosions and bleeding require fasting, medication, endoscopic intervention or surgery depending on the condition.
1. Fasting: if it is active bleeding with vomiting and black stools, it needs fasting, water fasting and rehydration therapy.
2. Pharmacological treatment: applying proton pump inhibitors such as esomeprazole to inhibit acidity, and at the same time using snake venom hemagglutinin and other hemostatic drugs to stop bleeding, and also needing blood transfusion treatment if there is severe anemia.
3. Endoscopic hemostasis: when the conservative internal medicine treatment is invalid, endoscopic argon ion coagulation is feasible, clamping the wound, endoscopic spraying of norepinephrine drug hemostasis, and the bleeding vessels can be intervened embolization or surgical resection when hemostasis is impossible.
It is recommended that patients with duodenal ball and the ball after the multiple punctate erosion and bleeding go to the regular hospital in time, under the guidance of the doctor to standardize the treatment, so as not to delay the condition or lead to adverse reactions.