The hard tummy in the elderly needs to be identified as a result of what factors: first, the most common diseases have digestive system causes, usually such as acute gastroenteritis will have clinical symptoms of a hard tummy, but there will also be a refusal to press and pressure pain obvious clinical manifestations. There are also acute pancreatitis, cholecystitis, appendicitis and peritonitis, all of which can cause the clinical symptoms of a hard tummy in the elderly, especially in the case of severe peritonitis. Secondly, the elderly should also be alert to general surgery diseases, such as intestinal obstruction and appendicitis, appendiceal perforation and a series of other diseases, can lead to the elderly hard tummy. Such as digestive system erosion, or gastric ulcer and upper gastrointestinal bleeding or gastric perforation caused by excessive secretion of gastric acid in the gastric mucosa, can also trigger the clinical manifestations of hard tummy in the elderly.