Diagnosis and treatment of the elderly have characteristics of peptic ulcer

Elderly people suffering from peptic ulcer, the clinical diagnosis and treatment of many features: 1. Gastric ulcer relatively more than duodenal ulcer, the cancerous ulcer disease, the elderly and more obvious. 2. Symptoms not typical, easily missed or misdiagnosed. 3. High gastric ulcer more easily misdiagnosed as angina pectoris, myocardial infarction. 4. Giant ulcer more. Such ulcer healing slowly, and not effective drugs, and more complications (such as bleeding and perforation, etc.). 5. Coexist with more. Coexist with older accounted for 47%, only 17% of middle-aged and young, both of ulcer disease can be affected. Diagnosis and treatment of ulcers in the elderly is also a unique and should mainly pay attention to the following questions: First of all, because of old age canker typical performance, and some fundamental asymptomatic, it can not rely solely on clinical manifestations of diagnosis; Secondly, do gastroscopy when it is best to use small mirrors, liquid organization based in the guarantee of pathological diagnosis made under the premise as far as possible to take less, and may lead to gastric and duodenal hemorrhage; Third, both older ulcer disease, often required to take a variety of drugs, should take time to pay attention 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, the dosage should be Zhuojian elderly; Fifth, there are more elderly constipation, such as blindly use of aluminum hydroxide gel (a kind of acid agents), this will result in even more difficult defecation; Sixth, there are more elderly prostatic hypertrophy, such as the coexistence of glaucoma, therefore, in the treatment of ulcer disease taking anticholinergics (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.