Symptoms of gastric cancer in the elderly?
summary
The incidence rate of gastric cancer is the highest in China. Early surgical treatment is better. But once it develops to the advanced stage, it will inevitably enter the dying stage. To the terminal stage, the symptoms and signs of patients will become more complex, and have a great impact on the quality of life of patients. Symptoms of gastric cancer in the elderly? Let's talk about it.
Symptoms of gastric cancer in the elderly?
The late pre death symptoms of gastric cancer usually have a series of clinical manifestations, such as cachexia, extreme weight loss, bleeding and so on. When complicated with gastrointestinal bleeding, generally small amount of bleeding, bleeding is relatively rare. About 5% of patients may have massive hemorrhage, manifested as hematemesis and (or) melena, occasionally as the first symptom. Can appear dizziness, palpitation, tarry stool, vomit brown matter. When the common bile duct is pressed by abdominal metastasis of gastric cancer, jaundice and clay color of stool may appear. Pyloric obstruction is more common in gastric cancer originated from pyloric and cardia. Gastric cancer at the bottom of the stomach extends to the cardia or esophagus, causing obstruction of the lower esophagus. Tumors adjacent to the pylorus are easy to cause pylorus obstruction. Vomiting may occur, and distended stomach type, smelling and shaking water sound can be seen in the upper abdomen. Diffuse peritonitis caused by perforation of cancer is less common than benign ulcer. It can be seen in ulcerative gastric cancer, mostly in pyloric precursor ulcerative cancer, perforation without adhesion cover, can cause peritonitis. Abdominal muscle stiffness, abdominal tenderness and other peritoneal irritation may occur.
The formation of gastrointestinal fistula, see the discharge of indigestible food. The late pre death symptoms of gastric cancer usually have a series of clinical manifestations, such as cachexia, extreme weight loss, bleeding and so on. Emaciation and anemia: according to the statistics of relevant experts, about 90% of the patients suffer from emaciation, which often causes attention only when they lose more than 3kg. Then progressive emaciation is more obvious, and some can reach more than 5kg. Experts also found that about half of the patients with anemia, limb weakness and other symptoms, advanced gastric cancer patients with abdominal pain is obvious and lasting for a long time, not easy to relieve as the main symptoms. Because of the individual differences of patients, the degree of pain is also different. The severe patients may have swelling pain, edema, dull pain, sharp pain and other manifestations, which can not be relieved after eating, and the symptoms are often aggravated. Some patients also accompanied with anorexia, nausea and vomiting, fullness, dysphagia and other symptoms, these symptoms and gradually aggravated trend. The metastasis rate of advanced gastric cancer is relatively high. It can spread directly to the adjacent pancreas, liver, transverse colon, etc. it can also transfer to the lymph nodes around the stomach and distant lymph nodes through lymph nodes. Some of them can touch the hard and inactive lymph nodes on the left clavicle. It can also be transferred to liver, lung, brain, bone, ovary and other places through blood circulation, resulting in ascites, jaundice, hepatomegaly and other symptoms. The enlargement of the cancer itself can also cause gastric perforation, bleeding, necrosis, obstruction and other complications. The symptoms of advanced gastric cancer before death are hematemesis, black stool or fecal occult blood positive. Gastrointestinal bleeding is an important cause of death in advanced gastric cancer. We should be alert to the following symptoms of gastrointestinal bleeding.
The diet of patients with gastric cancer was once a matter of concern. A good diet can make our body more healthy. Although the cause of the disease is not fully understood, some factors closely related to the incidence of gastric cancer have been gradually clarified. Among them, the relationship between dietary factors and the incidence of gastric cancer is the most close, so how to choose the diet of gastric cancer patients, what are the precautions? The principle of gastric cancer diet to protect the gastric mucosa, avoid high salt, hard, too hot, binge, overeating, to eat less and more meals, regular quantitative, easy to digest diet. Fresh food, eat more fresh vegetables and fruits, increase the intake of high-quality protein. Most patients with gastric cancer have symptoms of epigastric fullness, pain and so on; Common nausea, vomiting, loss of appetite and other symptoms, should eat light food appetizer. The food with high nutrition and less stimulation should be selected for the diet conditioning after gastric cancer operation. Staple food to the patient's usual varieties as well, add Yiren porridge, glutinous rice porridge, good. Fresh meat, eggs, vegetables and fruits are the best non-staple food. After the operation, the patients had 3-5 meals a day, and their appetite increased gradually. Many patients could resume their preoperative appetite after half a year. If you have nausea and vomiting after meals, you don't need to worry. You can sit for a while or walk slowly, and the symptoms will be relieved. You can also take 10 grams of ginger decoction frequently.
matters needing attention
The diet should be corresponding to the Constitution: plain and plump people should not eat fat food, but light food; Rest thin patients should not eat fragrant dry food, should eat more Ziyin Shengjin food. No matter what kind of constitution, you should eat more vegetables and fruits, mushrooms, beans, selenium, molybdenum and other trace elements rich food, allicin rich food (such as garlic, onion, etc.).
