Stomach bleeding is a more serious condition that is sometimes experienced when suffering from some stomach diseases. The causes of gastric bleeding may not be well understood, in fact, gastric bleeding is relatively common nowadays, and patients often do not know what to do when they encounter it. So what should be done about stomach bleeding? 1, general treatment Large bleeding is appropriate to take a flat position, and lower limbs elevated, the head lateral position, so as to avoid a large number of vomiting blood reflux caused by asphyxiation, if necessary, oxygen, fasting. If the blood volume of gastric bleeding is small, you can eat some liquid food in moderation, but if the patient is suffering from liver disease, some drugs are not available for gastric bleeding, and care should be strengthened, and a detailed record should be made of each symptom of each hour. 2.Replenish blood volume When hemoglobin is lower than 70g/L and systolic blood pressure is lower than 90mmHg, sufficient amount of whole blood should be input immediately. Patients with liver cirrhosis should be fed fresh blood. The transfusion should be started quickly, but the elderly and cardiac insufficiency should not be transfused too much and too fast, otherwise it can lead to pulmonary edema, and it is good to carry out central venous pressure monitoring. If the blood source is difficult, dextrose or other plasma substitutes can be given. 3.Hemostatic measures Drug treatment For peptic ulcer and erosive gastritis bleeding, norepinephrine 8mg can be added to 100ml of ice saline orally or as a nasogastric tube drip, and thrombin can also be used for oral application. In the case of ruptured esophageal and fundic varices bleeding, posterior pituitary hormone is the commonly used drug, but the action time is short and small doses are advocated. It should not be used in case of hypertension, coronary heart disease or pregnant women. Simultaneous sublingual nitroglycerin or isosorbide nitrate has been advocated. Endoscopic direct vision hemostasis For portal hypertensive bleeding, emergency esophageal variceal ligation with injection of tissue glue or sclerosing agents such as ethoxylated sclerosing alcohol and sodium cod liverate oil can be used. Usually after injection of some formula, it can reduce the ulceration or bleeding caused by gastric acid after sclerosing agent injection, but for those with non-portal hypertensive bleeding, local injection of epinephrine saline should be taken to stop the bleeding. Interventional vascular techniques For patients with ruptured esophagogastric-fundus variceal bleeding that fails to be treated with posterior pituitary hormone or triple-lumen balloon tube compression, transjugular portosystemic shunt surgery (TIPS) combined with gastric coronary vein embolization can be used. Surgical treatment Most upper gastrointestinal hemorrhage can be stopped after the above treatment. If it is still ineffective, surgical treatment can be considered. Ruptured esophageal and fundic varices may be considered for surgery such as oral or splenorenal vein anastomosis. Early surgery can reduce mortality in patients with hemorrhage of gastric and duodenal ulcers, especially in elderly people who are not suitable for hemostasis and prone to recurrence, so it is more appropriate to operate early.