how to treat patients with a bleeding ulcer and who are taking aspirin

Stabilize the bleeding with endoscopic therapy by performing injection with epinephrine, and then do thermal therapy.

Once hemostasis is attained, treat  with a proton-pump inhibitor,

pantoprazole (80 mg loading bolus, 8 mg/hour drip), for 72 hours,

after 3 days, 40 mg/day po for the next 8 weeks.