How To Manage Gastric Ulcer Bleeding In Elderly Patients

Gastric ulcer bleeding in elderly individuals can quickly lead to serious complications such as anemia and shock, making prompt medical intervention essential. The initial approach typically involves intravenous fluid administration, gastric protection, and measures to stabilize blood pressure. Medications like omeprazole are commonly used to reduce stomach acid and promote healing, while balanced electrolyte solutions and plasma substitutes help maintain blood volume. In cases of severe hypotension, dopamine may be administered to support cardiovascular function.

If the bleeding continues despite medication, additional treatments such as plasma transfusions, red blood cell infusions, or cryoprecipitate may be necessary to restore clotting factors and improve circulation. When ulcers are large or unresponsive to medical therapy, surgical intervention becomes critical. Surgery allows for the removal of the bleeding ulcer and provides a definitive solution to stop hemorrhaging.

Following surgery, patients generally require post-operative care including antibiotics to prevent infection, continued gastric protection, and nutritional support to aid tissue repair. Early detection and treatment significantly improve outcomes in elderly patients with gastric ulcers. It is also important to monitor for potential recurrence and manage underlying risk factors such as NSAID use or Helicobacter pylori infection. Regular follow-up with a healthcare provider ensures long-term digestive health and reduces the risk of future complications.