Stress Ulcer

Stress ulcer (stress-related mucosal injury) is acute erosion/ulceration of gastric/duodenal mucosa in critically ill patients (ICU, trauma, sepsis, burns, head injury), presenting with painless upper GI bleeding. Treatment: PPI/H2 blocker prophylaxis in ICU; treat underlying critical illness/sepsis; endoscopic hemostasis if active bleeding; fluid/blood resuscitation; avoid NSAIDs; enteral feeding as tolerated; monitor hemoglobin; prevent recurrence; follow-up after recovery.

Common Symptoms

Painless upper GI bleeding; in ICU/critically ill; by trauma/sepsis/burns/head injury

Causes and Pathogenesis

Splanchnic hypoperfusion/acid/ischemia causes acute mucosal erosion/ulceration.

Treatment

PPI prophylaxis; treat critical illness; endoscopic hemostasis; resuscitation; enteral feeding

Preventive Measures

PPI prophylaxis in ICU; resuscitation; enteral feeding.

Department to Visit

It is recommended to visit the ICU/Gastroenterology/Emergency/Critical-care department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.