To the patient, relatives, and physician alike, the presence of gastric hemorrhage creates an alarming situation, fraught with a sense of emergency and the impelling feeling that something should be done immediately. It is on the attending physician that the burden of responsibility rests. It is of primary importance for him to assume his role in a confident manner, reassure those concerned, and allay the anxiety of the bleeding patient. This may properly be done by an honest, sincere explanation in terms the latter can understand and appreciate, without minimizing the seriousness of the condition. At the same time the physician must formulate for himself a plan of management that is appropriately proportional to the severity and rate of the bleeding, age of the patient, and history of antecedent gastrointestinal trouble.
Successful management is based on accurate and early diagnosis. The general practitioner to whom the average patient generally appeals