Diagnosis and treatment of the elderly suffering from peptic ulcer

Elderly people suffering from peptic ulcer, the clinical diagnosis and treatment of many features: 1. Gastric ulcer relatively more than duodenal ulcer, it cancerous ulcer disease are significantly more older persons. 2. Typical symptoms not easily missed or misdiagnosed. 3. High gastric ulcer more easily misdiagnosed as angina, myocardial infarction. 4. More giant ulcer. Such ulcer healing slowly, and not effective drugs, and more complications (such as bleeding and perforation, etc.). 5. The coexistence of many. The coexistence of older accounted for 47%, aged only 17%, the disease can affect both ulcer effect. Diagnosis and treatment of ulcers in the elderly is also a unique, we should primarily to the following questions: First, because of old age canker typical performance, and some fundamental asymptomatic, it can not rely solely on clinical manifestations of diagnosis; Secondly, the best time to do gastroscopy with small mirrors, liquid based organizations can make in ensuring pathological diagnosis as much as possible under the premise to take less to avoid lead to stomach, duodenum hemorrhage; Third, both older ulcer disease, often required to take a variety of drugs, will be taking time to stagger; Fourth, as the elderly renal physiological decline, taking the same dose of drugs, the drug concentration in blood than in young and middle-aged, prone to side effects, so treatment of the elderly to; Fifth, there are more elderly constipation, such as blindly taking aluminum hydroxide gel solution (a kind of acid agents), this will result in even more difficult defecation; Sixth, there are more elderly prostatic hyperplasia, the coexistence of glaucoma, and so, therefore, in the treatment of ulcer disease taking anticholinergic drugs (such as atropine, 654 - II), we should care; Seventh, the elderly heart, liver, lung, kidney, and other important organ dysfunction, poor immunity should try conservative treatment.