What is the treatment at endoscopy, after endoscopy. When to restart antiplatelet therapy Any role for anti-H pylori treatment Mr Ramesh aged 63 yrs is brought to Emergency for haematemesis and Malena since 4hours. He does not complain of any pain. He had undergone Percutaneous Coronary intervention and metal stent insertion in the month of July 2015. He stopped smoking since 2013 takes a glass of beer once a month.His Reports are as follows- Hb 8 gm/ dl Mcv 90 fl ( 83 -101 fl), BP96 / 60.
HR118 per min resp rate 20. LFT within normal limits plasma urea 18 mmol per L (3.1-7.9mmol/L ) Creatinine 87mu molper L (75-155 mu mol/L ) INR 1. Serum sodium 142 mmol/ l(135-145) POTASSIUM 4. 3. mmol ( 3.4 -5)Endoscopy revealed an actively bleeding gastric ulcer.
