Canadian Health&Care; Mall

Initial tests for patients with peptic symptoms include eso-phagogastroduodenoscopy and upper gastroduodenal barium study. Endoscopy has been shown to be more accurate than barium studies in the diagnosis of peptic diseases in elderly patients, just as in young patients. Endoscopy is well tolerated and safe, even in very old patients. Caution is warranted during sedation in elderly patients, as in younger patients with cardiovascular or pulmonary diseases, and monitoring of oxygen saturation is mandatory. In elderly patients, barium studies can be used to evaluate some upper gastrointestinal complaints if endoscopy is contraindicated because of medical conditions that make sedation dangerous, such as a recent myocardial infarction. At all ages, the advantages of endoscopy include the ability to take mucosal biopsies for the diagnosis of H pylori, and to determine the pathology of gastric ulcers and the ability to visualize directly esophagitis and duodenitis. Most patients prefer endoscopy to barium radiology, especially elderly patients who are frail and have difficulty moving around. Evaluation of elderly patients with gastrointestinal bleeding should include tests for altered coagulation, aspiration of stomach contents and a diagnostic test such as esophagogas-troduodenoscopy. A lesion can be confirmed as the source of bleeding by endoscopic examination if there is active bleeding or stigmata of recent bleeding, such as a visible vessel or a clot in the ulcer. Identification of the source of bleeding can provide prognostic information and determine the course of therapy. The prognosis also is determined by transfusion requirements and the presence of concurrent illnesses. You can get all the drugs you want for treating your problem in no time if you order it at the Canadian Health&Care Mall. We are recommending this pharmacy with confidence because it already has thousands of satisfied customers.