Stomach Ulcers in Older Adults: Hidden Risks and Silent Symptoms
Ulcers can affect anyone, but older adults face higher risks, and their ulcers are more likely to be silent until a complication occurs.
Why age increases the risk
- More medicines: aspirin for the heart, anti-inflammatory painkillers for arthritis, blood thinners and steroids
- Long-standing H. pylori infection, often acquired decades ago
- Reduced stomach defences with age
- Other health conditions that make complications more serious
Silent ulcers
Many older people with ulcers have little or no pain. The first sign may be:
- Black stools or anaemia
- Tiredness, weakness or breathlessness
- Confusion or dizziness
- Loss of appetite and weight loss
How families and carers can help
- Keep an up-to-date list of all medicines, including those bought without prescription
- Ask the doctor whether stomach-protecting medicine is needed alongside aspirin or painkillers
- Watch for black stools, paleness or unusual tiredness
- Encourage regular meals and hydration
New indigestion later in life
New or changed indigestion symptoms in older adults should be checked by a doctor. Guidelines in many countries recommend an endoscopy for people over a certain age, often 55 to 60, with new persistent symptoms or warning signs.
Key takeaway
In older adults, ulcers can be silent and serious. Review medicines regularly, watch for subtle signs, and have new stomach symptoms checked promptly.
Medical disclaimer. This article is general health information, not medical advice, diagnosis or treatment. The HealAlright team are not doctors. Always talk to a qualified health professional about your symptoms and before starting, changing or stopping any medicine. If you vomit blood, pass black stools, feel faint or have sudden severe stomach pain, seek emergency care immediately.
