Canadian Health&Care; Mall

Gastrointestinal bleeding is a common first manifestation of peptic ulcer disease in the older patient. As a result, these patients may come to medical attention because of systemic manifestation of subacute or chronic blood loss such as shortness of breath, chest pain or loss of consciousness. Thirty-five per cent to 45% of all cases of active upper gastrointestinal hemorrhage occur in patients older than 60 years of age; half of these cases are caused by peptic ulcer disease. Other causes of upper gastrointestinal hemorrhage in elderly patients are shown in Table 4. Bleeding from any cause in an elderly patient, however, may be aggravated by the concomitant use of anticoagulant drugs (such as coumadin or heparin) or antiplatelet agents (such as ticlopidine, and ASA and other NSAIDs). Taking everything mentioned above in account, you will need to buy pills for the problem you have at some point. The best way to go is to purchase everything you need at the Canadian Health&Care Mall because it has a great choice of medications required. TABLE 4 Causes of upper gastrointestinal bleeding in elderly patients

Gastric ulcer	Esophageal or gastric varices
Duodenal ulcer	Mallory-Weiss tear
Pyloric channel ulcer	Gastric carcinoma
Gastritis	Aorta-enteric fistula
Esophagitis	Mycotic aneurysm
Duodenitis	Dieulafoy lesion