Features elderly gastric ulcer

1. Senile peptic ulcer to the early, acute ulcer more, of which a considerable part of the patient and taking anti-inflammatory pain, such as drug-related hormones.
2. The elderly suffering from gastric ulcer than duodenal ulcer, and young and middle-aged with duodenal ulcer than gastric ulcer.
3. Elderly patients with peptic ulcer huge ulcer more, the so-called huge ulcer is duodenal ulcer the size of greater than or equal to 2.0 cm x2.0 cm gastric ulcer the size of greater than or equal to 3. o cm x3.o cm.
4. Elderly people suffering from peptic ulcer, often without typical clinical manifestations. Is a typical manifestation of the so-called "three", that is, chronic (long course), cyclical (in the regular season alternating symptoms, the onset of climate changes), rhythm (with the diet, hunger, and other relevant factors), upper abdominal pain or discomfort. But over the age of 60 peptic ulcer patients, with the typical performance of only 20% -40%, and sometimes even if symptoms are not typical. This may be of the elderly, their sluggish response to a relatively high pain threshold, and the pain is not obvious the reaction.
5. The age-peptic ulcer symptoms not typical, not outstanding, it often does not cause the patient's attention only when there is serious complications to hospital. 60-64-year-old patient in the occurrence of complications, about 30%, and 75-79-year-old patient complications can be increased to 75 per cent. One of the most common complications of gastrointestinal bleeding, and about half of the patients will not associated with hematemesis, with the increase of age, the higher the incidence of hemorrhage, bleeding volume also increased, but difficult to control bleeding. 40 percent of the patients had recurrent bleeding. Another common complication for ulcer perforation 'incidence of 2-3 times higher than young people. Because of elderly patients, their sluggish response to a higher pain threshold, perforation after peritoneal irritation symptoms not typical, it can not be time to go to the hospital treatment, often developed to diffuse peritonitis with septic shock even when to go to the hospital visit, the higher mortality rate.