Aspirin is a commonly used drug in life, which is antipyretic and analgesic, anti-inflammatory, anti-rheumatic and anti-platelet aggregation. It is widely used for neuropathic pain, high body temperature, inflammatory reactions and intravascular thrombosis. Many middle-aged and elderly people have been taking aspirin for a long time. A few days ago, a patient who said he was suffering from myocardial infarction and had been taking aspirin had previously suffered a sudden upper gastrointestinal hemorrhage and was brought to the emergency department. According to him there was a lot of bleeding and he was already hypotensive and unconscious, but fortunately he was rescued in time. Many patients with coronary heart disease, during taking aspirin, have gastrointestinal bleeding. Many people know about aspirin, but again, they do not know much about it. In the early stage of treatment of cardiovascular disease, aspirin is the basic drug, and its status is unshakable and its use is indisputable. However, who should take aspirin before the onset of the disease, taking into account the risk factors? And who should be careful? Side effects of aspirin and response options The biggest adverse effects of aspirin are gastrointestinal symptoms and bleeding tendencies. Many people taking aspirin have more or less acid reflux, poor appetite, bloating, abdominal pain and other symptoms because aspirin inhibits the synthesis of some hormones that protect the gastric mucosa, which can cause severe gastric mucosal erosion and lead to upper gastrointestinal bleeding. When aspirin is complicated by gastrointestinal bleeding, discontinue aspirin and add hemostatic drugs in time, and you will usually get better soon. If bleeding occurs, two things should be done: a gastroscopy and a doctor’s evaluation of the need to continue taking aspirin. For those who are at high risk of bleeding and must take medication, consider adding PPI drugs “such as esomeprazole, pantoprazole, lansoprazole” and gastric mucosal protectors “such as aluminum thioglycollate” as appropriate. These people are recommended to take aspirin for a long time. 1. People who have had cardiovascular diseases and those who are very likely to have cardiovascular diseases should take aspirin. 2, patients who have had atherosclerotic cardiovascular disease, if there is no contraindication, should take aspirin for life, the drug can not be stopped. 3, men over 50 years of age or women after menopause; hypertension; family history of early onset cardiovascular disease; smokers. 4, hypertension combined with diabetes. 5, hypertension combined with chronic renal insufficiency. 6.The risk of cardiovascular events is greater than 20% within 10 years as assessed by a physician. Aspirin, these people need to take caution For ordinary elderly people who are not at risk of cardiovascular disease, taking aspirin for a long time, not to benefit life and prolong life, but in the risk of various side effects. Especially the following types of people, taking aspirin should be careful to consult a doctor: 1, asthma patients taking aspirin may appear severe asthma; 2, people with a history of stomach bleeding, gastric ulcer, duodenal ulcer and other digestive system diseases; 3, people who need to extract teeth or surgery, in the week before surgery should also stop using aspirin. Finally, I would like to say that aspirin is of high quality and low cost, and is a century-old drug that can be trusted. However, aspirin is not a health product and should not be taken by all people, please take it under the guidance of your doctor. The elderly who are not ill should not take it indiscriminately. Patients with cardiovascular disease who have been taking aspirin for a long time should not stop taking it suddenly because, by stopping it suddenly, serious cardiovascular and cerebrovascular events are easily induced in a short period of time. Patients who have been taking aspirin for a long time should be very cautious about stopping aspirin and must get permission from their doctor before stopping the drug.