Drinking too much alcohol and vomiting blood, may be peptic ulcer, esophageal cardia mucosal tear, acute erosive hemorrhagic gastritis and other causes, can be treated by omeprazole and other proton pump inhibitors, intravenous growth inhibitors, and other methods of treatment, surgical treatment, if necessary, to stop bleeding in time.
1. Peptic ulcer: gastric and duodenal ulcer patients, drinking a lot of alcohol will further stimulate the ulcer surface, aggravate gastric pain, nausea and other symptoms, and in severe cases, it can damage submucosal blood vessels, vomiting blood and other symptoms. Proton pump inhibitors such as omeprazole and lansoprazole can be used to relieve the bleeding, and endoscopic clamping can be used to stop bleeding if necessary.
2. Esophageal cardia mucosal laceration: after drinking a large amount of alcohol and vomiting violently, the sudden rise of intragastric pressure pushes the gastric contents to the esophagus, causing cardia mucosal injury and vomiting blood and other symptoms. Patients with small amount of vomiting blood can stop bleeding by ice saline irrigation, oral norepinephrine, intravenous growth inhibitor, etc. Patients with large amount of bleeding can stop bleeding by microscopic titanium clip or emergency surgery.
3. Acute erosive hemorrhagic gastritis: alcohol can destroy the gastric mucous membrane barrier, so that hydrogen ions and pepsin reverse diffusion into the gastric mucous membrane, resulting in gastric mucous membrane erosion and bleeding and other symptoms. Ranitidine, cimetidine and other Hâ‚‚ receptor blockers and other drugs can be used for treatment, and endoscopic hemostasis, interventional hemostasis and surgical treatment are feasible when necessary.
If you drink too much alcohol and vomit blood, it is recommended to consult a doctor in time to clarify the diagnosis and carry out targeted treatment. In addition, all of the above drugs should be used under the guidance of a doctor and should not be used without authorization.