The course of gastric ulcer has its own peculiarities for each age period( juvenile, mature, elderly, senile).Characterized by the disease manifestation of various symptoms, the main one of which is a pain syndrome. There are a number of factors that make up the general picture of ulcer flow:
- Localization.
- Complications.
- Age.
- Gender.
At a young age the disease manifests itself quite sharply. Increases the acidity of gastric juice, which leads to the appearance of inflammation and severe pain. In the initial stages, the onset of pain in the abdomen does not depend on food intake. Predominantly disturbed are periodic intense hungry and nocturnal pains. The disease is characterized by pronounced seasonal exacerbations.
At this age, ulcers very often have duodenal( 12 duodenum), less often - mediastrium( body or bottom of the stomach) localization, the clinical picture of which is based on dyspeptic disorders. At the same time, education can cicatrize very slowly.
The peculiarity of peptic ulcer disease in adolescents is their transitional age, during which there is an increase in the tone of the nervous system. Violated gastric motility, which is accompanied by an increase in peristalsis and often manifested spasms of the pylorus.
In a more mature age, intense pain associated with spasm of the pyloric canal can lead to pyloric ulcers that are localized on the wall of the pyloric canal and its bending. Their characteristic symptoms are nausea and periodical vomiting, as well as rapid weight loss.
In adulthood in men, the disease is manifested due to the loss of the mucosa ability to withstand aggressive gastric juices. Factors of aggression with peptic ulcer of the stomach are intensified when smoking, stress, inaccuracies in nutrition, alcohol consumption. The initial negative factors are also heredity, the bacterium Helikobakter Pilori, gastroduodenitis. The course of the disease can be accompanied by a number of symptoms( inflammation caused by pain, heartburn, vomiting, upset stomach, nausea), and also to be asymptomatic.
Absence of pain, in the presence of other symptoms, often indicates the course of the so-called "silent ulcer".It is dangerous because it exacerbates suddenly, and this can provoke the appearance of bleeding, which lead to perforation.
Very often the course of the disease in men can cause the formation of postbulbarnyh ulcers. They are located in the zone of the lower part of the gastric canal, at the initial segment of the upper bend of the duodenum. This localization of the stomach ulcer is accompanied by severe pain, which becomes pronounced in the late afternoon. Coping this symptom with drugs and drugs is not always successful. Frequent bleeding and the location of pancreatic ulcers in the pancreas can lead to the formation of reactive pancreatitis. This is the main danger of postbulburn ulcer. The nature of the course of the disease requires urgent inpatient treatment. Often with such complications, surgical intervention is indicated.
As for women, they have a disease diagnosed 4 times less often and is much calmer and easier than men. But the danger of exacerbations still exists. In most cases, this is due to a violation of the hormonal background. A particularly dangerous period of manifestation of pathological formations with complications is climax.
For peptic ulcer of the stomach in the elderly and old age are characterized by persistent and frequent exacerbations, delayed tissue regeneration, prolonged treatment, slow scarring.