Canadian Health&Care; Mall

A wide range of physiological changes are thought to be associated with the process of aging, including changes in the organs of the gastrointestinal tract. In previous reviews, such effects as decreases in motility, and in gastric, pancreatic, biliary or intestinal secretions, and changes in absorptive capacity have been described. More careful analyses of the physiological effects of aging that excluded the influence of disease resulted in a major reconsideration of what can be attributed to physiological changes as a part of the process of aging. Table 1 summarizes the major issues surrounding peptic diseases in elderly patients. The following are important: the role of Helicobacter pylori infection in altering the control of gastric acid secretion and in determining the incidence and course of peptic disease in older patients; crucial differences in the clinical picture of older patients with peptic disease; the issue of whether the evaluation and the diagnostic approaches that are usually used in younger patients should differ when considering peptic disease in elderly patients; and whether treatment options should be altered because a patient is over the age of 65 years (Table 2). You can shop for the medicine you need for treating the condition mentioned above right here at the Canadian Health&Care Mall. This pharmacy offers a large selection of medications available over the internet at amazingly low prices. TABLE 1 Major issues concerning elderly patients with peptic disease

Changes in gastric acid and pepsin secretion

Changes related to esophageal or gastric motility

The role of Helicobacter pylori infection

Difference in clinical practice

Whether evaluation and diagnostic approaches should differ

Whether treatment should differ

TABLE 2 Physiological changes with age

Aggressive factors

Gastric hydrogen ion secretion

Defense mechanisms

Bicarbonate secretion

Mucin production

Prostaglandin concentration

Blood flow

Adaptation to injury