Bleeding Ulcer

[Intro]
Bleeding ulcer…
Are you sure?

[Verse 1]
Not succeeding
Internal bleeding
A gnawing pain
Caused by your strain

[Chorus]
Perforation
(Obstruction)
Black, tarry stool
(Playing the fool)

[Bridge]
Bleeding ulcer…
Are you sure?

[Verse 2]
Vomiting blood
Nip it in the bud
Excess stomach acid
Did what you did

[Chorus]
Perforation
(Obstruction)
Black, tarry stool
(Playing the fool)

[Bridge]
Bleeding ulcer…
Are you sure?
Bleeding ulcer…
Sure I’m sore

[Chorus]
Perforation
(Obstruction)
Black, tarry stool
(Playing the fool)

[Outro]
Bleeding ulcer…
Are you sure?
Bleeding ulcer…
Sure I’m sore

A SCIENCE NOTE
A bleeding ulcer is a type of peptic ulcer where an open sore in the lining of the stomach, duodenum (the first part of the small intestine), or esophagus erodes into a blood vessel, causing bleeding. It is a serious medical condition that can lead to complications if not treated promptly.

Causes

Bleeding ulcers typically result from factors that weaken the protective lining of the stomach or duodenum, such as:

  1. Helicobacter pylori (H. pylori) infection:
    • This bacteria disrupts the mucus layer that protects the stomach lining, leading to irritation and ulcer formation.
  2. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs):
    • Medications like ibuprofen, aspirin, and naproxen can damage the stomach lining when taken long-term or in high doses.
  3. Excess Stomach Acid:
    • Conditions like Zollinger-Ellison syndrome or chronic stress may lead to increased acid production, contributing to ulcers.
  4. Alcohol Consumption:
    • Excessive alcohol intake irritates and erodes the stomach lining, increasing the risk of bleeding ulcers.
  5. Smoking:
    • Smoking interferes with the stomach’s ability to heal and exacerbates ulcer formation.
  6. Trauma or Surgery:
    • Physical stress from severe illness, injury, or surgery can sometimes lead to ulcers.

Symptoms

While a bleeding ulcer shares many symptoms with regular ulcers, additional signs indicate internal bleeding:

  • General Symptoms:
    • Burning or gnawing pain in the upper abdomen.
    • Nausea or vomiting.
    • Feeling bloated or full.
  • Symptoms of Bleeding:
    • Vomiting blood (may appear bright red or resemble coffee grounds).
    • Black, tarry stools (melena), caused by digested blood.
    • Fatigue or weakness, often from blood loss.
    • Pale skin or symptoms of anemia (e.g., shortness of breath, dizziness).

Complications

If untreated, a bleeding ulcer can lead to:

  1. Severe blood loss: May require blood transfusions or immediate medical intervention.
  2. Perforation: The ulcer can create a hole in the stomach or intestinal wall, leading to a life-threatening infection (peritonitis).
  3. Obstruction: Scar tissue from the ulcer may block food passage, causing vomiting and weight loss.

From the album “Blood and Guts” by Daniel

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