1) Hematemesis: Vomit the materials from the food with the blood; the blood may be fresh or old(it is due to the hemoglobin has transferred into the hemoglobin with high iron via the gastric acid)
2) Melena: The stools like the thick and bright asphalt which is due to the iron in hemoglobin has transferred into the iron sulfide in the intestines.
Bloody stool: The stools with the dark or bright red blood which refers to the mixture of blood and stools or the bloody diarrhea. If the blood bleeds with a large amount which is mostly more than 1000ml.
3) Symptoms of hematemesis: Anemia, weak, dizziness, dyspnea, rapid pulse, changeable blood pressure or even shock. The degrees of the circulatory failure with hematemesis are related to the speeding speed. And it may cause a series of clinical manifestations such as the dizziness, palpitation, sweaty, nausea, thirsty, amaurosis or syncope. At the early stage of disease, the only symptom is positional low blood pressure. Under this condition, patients may swoon when defecating or standing after the defecation. As the blood is passing by, patients’ pulse may be slow down and the blood pressure may decrease. When the systolic pressure is below the 10.6kPa (80mmHg) and which is called shock. And then the skin will with piebald or hoary color and people may feel weak, confusion and low response. For the old patients, the cerebral ischemia may occur soon due to the arteriosclerosis even when the blood is bleeding at a small amount. Continue to read Chinese medicine Treatment for Chronic Pancreatitis.
4) Fever: Most patients may have fever when the shock is controlled. The temperature is usually no more than 38.5℃ and this condition may continue for 3-5 days.
5) Azotemia: After the hematemesis of upper digestive tract, large amount bloods will entry into the intestines. The protein components may be absorbed into the blood, the blood volume in kidney may decrease and the glomerulus’ filtration rate may reduce. Then the blood urea nitrogen may increase due to it. And that is called the Azotemia of enteritis. The amount of blood urea nitrogen will increase in several hours after bleeding and which will reach the highest within 24-48 hours. The largest amount may not more than 15mmol/L (40mg/dl) and it will decrease to the normal level after 3-4 days.
