Night rising and vomit with coffee color are considered to be related to gastrointestinal bleeding, such as gastritis, peptic ulcer, cirrhosis of the liver, or may be caused by the stimulation of drugs. It is recommended to eat a reasonable diet, go to the hospital for examination, give drugs to inhibit gastric acid and protect the gastric mucosa, and if necessary, stop bleeding treatment by way of surgery.
1. Gastritis. Eosinophilic hemorrhagic gastritis, may cause gastric distension, acid reflux, nausea and vomiting, such as gastric mucosal bleeding, blood with the vomit a piece of discharge, may vomit coffee-colored objects. It is recommended to make a clear diagnosis and give ranitidine, lansoprazole and bismuth potassium citrate under the guidance of the doctor, which can reduce the secretion of gastric acid and promote the recovery of gastric mucosa.
2. Peptic ulcer. Including gastric ulcer, duodenal ulcer, esophageal mucosal ulcer, etc. The congestion of the ulcer surface leads to coffee-colored vomit. It is recommended to give famotidine and pantoprazole under the guidance of a doctor, which can reduce the stimulation of gastric mucosa by gastric acid. If necessary, give vitamin K1, aluminum-magnesium combination, can help improve the symptoms.
3. Cirrhosis. Cirrhosis with portal hypertension, resulting in esophagogastric fundus varices, can also lead to vomit coffee-colored. It is recommended to pay attention to rest, close observation, if necessary, go to the hospital for esophageal ligation and other treatments.
4. Stimulation of drugs. Long-term use of non-steroidal anti-inflammatory drugs, anti-platelet coagulants may lead to a small amount of gastrointestinal bleeding, vomit coffee-colored. If the patient has no other symptoms, he or she can be closely observed. Symptoms may decrease or disappear after the drug is stopped.
Close observation is recommended, and if the bleeding increases, it is recommended to go to the hospital in time, and if necessary, surgical hemostasis treatment.