Symptoms of gastric cancer in the elderly

summary

No matter what kind of cancer has its precursors, gastric cancer is no exception. Before the onset of gastric cancer, there are generally precursors, which is very important for us to further diagnose gastric cancer. Gastric cancer generally has no symptoms in the early stage, so more observation is the only effective way. According to the main symptoms, gastric cancer precursors can be divided into "choking diaphragm", "nausea", "syndrome", "accumulation", "abdominal distension", "epigastric pain" and other categories in traditional Chinese medicine. We should attach great importance to the precursors of gastric cancer. Let's talk about the symptoms of gastric cancer in the elderly.

Symptoms of gastric cancer in the elderly

Gastric pain, common gastric cancer precursor for gnawing pain. There are also similar peptic ulcer pain, which can be relieved after eating. In addition, it also includes abdominal fullness, heaviness, anorexia, abdominal pain, nausea, vomiting, diarrhea, emaciation, anemia, edema, fever, etc. With the development of the disease, the symptoms of nonspecific, vinegar like gastritis or gastric ulcer can gradually appear, including upper abdominal discomfort or dull pain, pantothenia, belching, nausea, occasional vomiting, loss of appetite, black stool, etc.

It is often the earliest symptom of gastric cancer in the elderly, sometimes accompanied by belching, pantothenic acid, nausea and vomiting. If the cancer is located at the entrance of the stomach (CARDIA), you can feel that eating is not unobstructed; If the cancer is located at the outlet of the stomach (pylorus), when obstruction occurs, the patient may vomit rotten overnight food. Upper abdominal pain. About 1 / 4 of the patients have the same pain pattern as peptic ulcer, but the elderly are insensitive to pain, most of them are abdominal distension, and upper abdominal pain accounts for 30% and 70%. If the above-mentioned abdominal pain often recur, or the interval is shorter and shorter, we should be alert.

The common precursors of gastric cancer are hematemesis, melena and occult blood in stool. In the early stage of gastric cancer, there are signs of a small amount of bleeding. Hematemesis accounted for 7.15% and melena 23.45%. The positive rate of occult blood in stool was higher, 87.6% in gastric body cancer and 64.4% in cardiac cancer. If the stool occult blood is continuously positive, it is helpful for the diagnosis of gastric cancer. Loss of appetite, emaciation and fatigue. According to statistics, about 50% of the elderly patients have obvious loss of appetite, increasing emaciation and fatigue, and 40% and 60% of the patients seek medical treatment because of emaciation. If accompanied by upper abdominal pain, and can rule out hepatitis, more attention should be paid.

matters needing attention

For patients with early gastric cancer who have no symptoms or dyspepsia symptoms such as stomach discomfort, it can only be found through gastroscopy. With the development of medicine, more and more medical equipment has been introduced, such as endoscopic ultrasonography, confocal laser micro endoscopy and so on, which further improves the accuracy of early gastric cancer diagnosis. In addition, tumor markers are also commonly used in clinical gastric cancer detection methods.