Difficult general knowledge of diagnosing _ of old man's stomach trouble

Difficult general knowledge of diagnosing _ of old man's stomach trouble
A lot of old men are diagnosed that there are chronic shrinking gastritis, some old men are very afraid after seeing and diagnosing the report, worry about this kind of stomach trouble and know the canceration. In fact, after the people in middle age, the withering change of mucous membrane of stomach is quite general, especially the elderly meet more.
Someone carries on gastrocopy to the old man over 30 70 of one home for the aged, find 83% of the old men have withering changes of mucous membrane of stomach, follow up a case by regular visits to and has not found the person who has canceration. So, the expert thinks now chronic shrinking gastritis may be that the regression pathology change, it is one kind " Half a physiological phenomenon " . Because patient's gastric acid reduces, symptom of failing etc. that can only present indigestion, abdominal distension, appetite.
Certainly, should pay attention to the old man's chronic shrinking gastritis too, to above the age of 50, have achlorhydria or low gastric acid person should reexamine regularly, until skin take grow and typical hyperplasia person at the intestines. For avoid canceration, should pay attention to reasonable diet while being daily, take, iron food, take little irritation and high in nitrate content food, if salted vegetables, salted fish, bacon, smoke food, take, eat more fresh vegetables, fruit.
Characteristic of the elderly's gastric ulcer
The gastric acid is normal, even on the low side; The larger age is, the higher the position of ulcer is; Pain that ulcer causes is not typical, lack typical hitting rhythm pain of upper abdomen. Position relatively high because of the intersection of the elderly and gastric ulcer, cause pain can radiate, get chest or behind the brestbone, apt to misdiagnose it for angina pectoris, the patient only has stomach uncomfortable, appetite fails sometimes, difficult to relieve after taking food and taking medicine; The ulcer focus is relatively old, nearly half diameters that old man's ulcer is focal exceed 1 centimetre over 60, even having it over enormous ulcer of 3- 5 centimetres, this and the elderly have mucous membrane of obvious stomach to wither, it is bad and relevant to repair the function. But canceration of a few in gastric ulcer, especially enormous ulcer is seen more.
Difficult diagnosis of of the elderly's gastric ulcer
The old ulcer patient often amalgamates other a lot of diseases, this increases difficulty of making a diagnosis and giving treatment. If the elderly will cause oxygen deficiency while having chronic bronchitis, pulmonary emphysema, coronary heart disease, arteriosclerosis will cause the mucomembranous blood supply of stomach to be insufficient, can influence the healing of ulcer. At the time of the brain blood vessel accident, can often involve the hypothalamic plant nerve center, cause irritable ulcer or make original ulcer become more serious, cause massive haemorrhage to jeopardize the life. Chronic the intersection of bone and joint pain patient, take various resist inflammation antalgesic such as aspirin, Indometacin, paracetamol, cloth to cause the mucous membrane of stomach to damage often, aggravate peptic ulcer, bring out gastrorrhagia, such as drinking at the same time, influence greater. Old man that lie in bed for a long time, incident to take off calcium while being osseous. Blood calcium raise can stimulate gastrin secrete, make gastric acid, peptic to increase, cause the mucous membrane of stomach to damage.
The elderly's ulcer breaks out most has obvious inducements, have its one's own characteristics, various social environment it stimulates to be pieces of important factor, such as sense of loss, discord inside the family, can't deal with around interpersonal relationships factor correctly retire, all these can cause the anxious state of mind, it is apt to cause ulcer. Thus peptic ulcer is a kind of psychosomatic disorder too.
The elderly stomach trouble must note detail
The elderly's ulcer is apt to result in bleeding, and because of arteriosclerosis, the blood vessel is difficult to be difficult to stop by oneself to shrink by oneself, there is many bleeding amount. Some old men do not pay attention to observing the color of the stool very much at ordinary times, until presenting obvious anaemia, found that there is gastrorrhagia while further checking. When the elderly have gastrorrhagia, should be careful to use the pituitrin, because this medicine is apt to cause blood pressure to raise, the coronary artery to shrink, can bring out apoplexy, angina pectoris, arrhythmia, myocardium infarction, blood transfusion, fluid infusion should not be too fast either, otherwise apt to cause heart failure. If bleeding amount more but not only hour,should perform the operation early.
It is not rare either that the situation of gastric perforation take place to the elderly, because the elderly's sense of pain is relatively obtuse, even gastric perforation takes place, ache very much unwittingly sometimes, it is not very obvious either that tenderness, belly wall muscle are in short, without fully paying attention to causing the serious consequence.
There are too for reasons mains to last the elderly gastrorrhagia on gastric carcinoma,it sustain gastrorrhagia not only old man, should consider the possibility of gastric carcinoma. As to anaemia of the unidentified reason, should do the latent blood of stool to test, if is positive continuously, should further check.
Because stomach trouble of the elderly symptom often typical, it is sometimes very difficult to distinguish chronic gastritis, the intersection of ulcer and disease, gastric carcinoma by clinical symptom to be simple, so to the elderly, there are non- specific symptoms person such as uncomfortable, belch, abdominal distension, vomit,etc., should all make intestines and stomach X-ray checking and fibrous gastrocopy of barium meal, so as not to delay making a diagnosis and giving treatment.
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