Gastroptosis-what is gastroptosis?
Gastroptosis is standing, stomach position decreased, the lowest point of the lesser curvature connection in the level of the iliac crest.Gastroptosis is part of the visceral ptosis, more common in the The slender inability body, chronic illness in frail, maternal, and multiple abdominal surgical incision hernia and bedridden to less. Modern medicine, ptosis of the stomach is a functional disease, was due to gastric smooth muscle or due to ligamentous laxity.
Gastroptosis - etiology and pathology:
Gastroptosis patients due to chronic fatigue, brain transition fatigue, strong nerve stimulation and mood swings continue the role of the cerebral cortex, so that the central cortical and subcortical dysfunction, lead to autonomic dysfunction, reverse the gastric tension force weakened, slow peristalsis, hypogonadism . But a small number of patients with hyperthyroidism due to stomach and intestines, the food in the stomach and a shorter residence time, the nutrients can not easily be absorbed, digestive dysfunction, and therefore losing weight can also lead to ptosis of the stomach and other visceral ptosis.
Cause gastroptosis reasons of both nature and nurture.
A. Congenital common in the inability to type body. Physical factors if, narrow thorax, pale skin, subcutaneous fat meager or muscular dystrophy, the 13th rib free. Patients with congenital ptosis of the stomach, often complicated by other organs (such as kidney, liver, spleen, transverse colon, uterus and other organs sagging), it is also called visceral ptosis.
Two. Acquired with chronic wasting disease in combination or after recovering from illness; complications of other digestive diseases. Such as chronic gastritis, ape ulcers; abdominal muscle relaxation or intra-abdominal pressure drop, such as women repeatedly fertility, abdominal resection of the tumor, the weight is suddenly reduced, or increased pressure within the chest, such as chronic cough, heart, heart border, the downward movement of , can cause ptosis of the stomach.
Gastroptosis - clinical performanceGastroptosis 1. Digestive symptoms in patients with appetite loss intractable abdominal distension, especially after eating symptoms, frequent belching more than Zuofu have a sense of falling and pressure, and aggravated after eating or walking, supine mitigate. Sometimes constipation, sometimes diarrhea, or alternating diarrhea and constipation appear. More than a dull pain, pain in the stomach is relatively rare, severe pain, decreased significantly in patients with appetite and fear of food, anorexia performance.Two. Multi-systemic symptoms showed progressive weight loss may be associated with dizziness, fatigue, heart palpitations, insomnia, dreams and other symptoms.
3. Signs in patients with slender body, lack of subcutaneous fat, hypotonia, epigastric depression when upright, lower abdominal bulging apparent vibration of water, the abdominal muscle relaxation, touch the left lower quadrant pressure was pain. A small number of patients with visible limb multi-joint laxity.
4. X-ray to check the X-ray study of the position of general visible stomach dropped, low tension force of the peristaltic wave sparse, more left in the stomach by the enlarged type into a bag-shaped or other stomach-shaped.
Of gastroptosis the diagnostic criteria generally connect to the stomach from the iliac crest of 4 cm as normal. Degree of sagging can be divided into light, moderate and severe, 5-8 cm for mild ptosis; 9-12 cm for the moderate drooping, 13 cm or more severe sagging.
According to history, the typical digestive symptoms and general condition, combined with signs of pre-X-ray examination, the diagnosis is not difficult. According to X-ray barium meal examination and radiography, but also absorb the adverse syndrome, cachexia, gastrointestinal neurosis, chronic gastritis, peptic ulcer, such as phase identification.
Gastroptosis - treatment:
Gastroptosis the gastroptosis common sub-slender body, physical weakness, and abdominal wall relaxation, weak abdominal muscles. Originally produced, mainly the relaxation due to the suspension, the location of the fixed stomach muscles and ligaments, weakness and abdominal pressure decreased, so the entire location of the stomach to reduce gastric motility. Women after childbirth, a sudden drop in abdominal pressure, or long, thin body, chronic wasting disease, and has long been engaged in standing or bed to less easy to contracting this disease.
General feeling of discomfort in patients with mild ptosis of the stomach, drooping obvious common abdominal discomfort, fullness heavy fall a sense, every meal, standing or symptoms get worse after exertion, accompanied by loss of appetite, nausea, belching, indigestion, constipation and other phenomena . The gastroptosis serious, can be accompanied by the phenomenon of sagging of the liver, kidney, colon and other organs.
X-ray barium meal is the best way to diagnosis gastroptosis, can be tension-type stomach: the stomach takes the shape of the vertical shape, motility weakness, gastric retention fluid more arc the lowest point of the lesser curvature in the following the connection of the iliac crest; ultrasonic the examination showed the stomach to the lower margin moved to the pelvic (lower abdomen), EGG tracings check both in the fasting or postprandial lower than normal waves amplitude of the visible stomach.
The gastroptosis treatment, functional exercise and diet to restore the main. Regular physical activity, exercise focuses on the abdominal muscles; sports equipment, you can take the easy way of sit-ups a day three to five times, each time doing tired so far. Eat small meals, select digestible and nutritious food, postprandial bed rest 45-1 minutes in order to reduce the burden on the stomach; to reduce the standing time, and avoid over exertion. Abdominal distension, nausea obvious, taking domperidone, mosapride, vitamin B6, to promote gastric motility and increase the tension of the stomach; loss of appetite, dyspepsia, Multienzyme yeast tablets to aid digestion.
Gastroptosis - diet
Ptosis of the stomach (1) to strengthen nutrition
The the gastroptosis children emaciation, nutritional deficiencies, so you should choose nutrient-rich, easy-to-digest food, especially protein, fat content should be rich. Children eat less, it should be the way of small meals, and gradually adapt to the bearing capacity of the stomach. The meal should have a period of time supine, must not eat too much. After a period of diet to restore the body will gradually grow strong enough to gastroptosis symptoms will be greatly reduced.
(2) systemic rehabilitation exercises
The children take the head-down position, elevate the pelvis supine on the bed 20 to 30 minutes after lunch. Sit legs straight, then raise, put down, and repeated several times, rest, then repeat several times. In the supine, the legs do the imitation of the action of the pedal bicycle. A walk after dinner, go home and then sit on the bed, self-massage to the abdomen below the belly button gently upward press, and then in the epigastric ring massage. Every day to make the stomach gradually move up.
(3) sit-ups exercise
Children sit on a hard board bed head upright, legs straight, toes upward, hands on thighs, the muscles relax, do abdominal breathing, inspiratory abdominal bulge, abdominal expiratory subsidence repeated several times. The breath should be kept per minute from 16 to 18 times. Thoughts on the hole of the pubic region of the lower abdomen (below the belly button, 1.5-inch), and inhale exhale thinking also focus on limb muscles to relax with the breath. Do sit-ups in 15 minutes, the body supine, put his hands on the head, contract your abdominal muscles, upper body, gradual elevation from the supine position, the elbows to move closer to the knee, and then reset. The number of sit-ups and more from less, and gradually increase, three month course of treatment. During the rehabilitation exercise is strictly forbidden to do the running and jumping action, do not stand for long periods or sedentary.
Subsidence of gas type gastroptosis any clinical manifestations, and treatment?
Clinical manifestations: emaciation, loss of appetite, fullness after eating, hiccups, upper abdominal pain, body weakness, tongue body fat, large, white coating, the pulse was powerless. Governance in order to lift gas Sun. Side to choose Buzhongyiqitang Sunburn Astragalus, Atractylodes medicinal, dried tangerine peel, Cimicifuga, Angelica, Bupleurum, Codonopsis, coke Sansen, etc.. Decoction, 1 to 3 times service.
Gastroptosis - acupuncture treatmentHave found that needling certain acupuncture points and the use of certain techniques, allows gastric electrical frequency and amplitude increased excitatory effects on gastric motility, gastric tension rise; acupuncture can increase gastric smooth muscle tone, which make the gastroptosis value and degree a considerable improvement. These effects of acupuncture through the vagus nerve or sympathetic central and gastrointestinal ADUD system [3]. Foreign scholars also observed acupuncture in rabbits Zusanli can increase the movement of the stomach, in the case of mild anesthesia or cut off the vagus nerve, acupuncture still this role, only to disappear in the depth of anesthesia. Therefore considered that acupuncture This effect is produced through the nervous system, and the lower central [4].
Elongated needle
(A) point
Main points: Juque, xiphoid an inch.
Distribution Point: Order of the full (right), dovetail.
(B) Governing Law
Only take the commonly used two points, such as the main point is invalid, then switch to the acupoints. Only take a hole. Choose 28 to 32 7 to 8 inches long elongated needle. The patient supine, to relax the abdominal muscles, and mix thoroughly breathing. Juque Needling: tip quickly into the skin, the needle body straight to the assassination to the skin along the left paraumbilical blind shu points at. Then, hand-held needle shank and the skin was 45 ° angle slowly raised to patients who are heavy needle, the patient was Cullen in the lower abdomen on to mention a sense of better. The absence of such acupuncture, should the needle into the needle, the needle 1 inch at the xiphoid. Needle raising the speed should be slow, the first request for 20 minutes, and could later be shortened to 3 minutes. Xiphoid one-inch stab France: on the 28th 8-inch needles quickly into the skin, a 30 ° angle with the skin along the subcutaneous stab to 0.5 inches left of the navel until the above acupuncture instead of the 15-degree angle, and without twist turn, slow to mention the needle 40 minutes before the needle the jitter practices 10 to 15 times. The needles were supine two hours.
The right bearing the full Needling: 7-inch Mount pin on the 28th to speed stab a 45-degree angle to the skin, Zhitou needle to the left Tianshu Point. Be Shen expansion, the first substantial twisting 7-8 times and then again in the same direction twisting, so that the needle lag live. The back side pin, edge lifting. Patient on the abdomen empty stomach upward creeping sense. The doctors who hand-pressed abdomen, push up the stomach under the pole. Should slow retreat needle, every five minutes will lag needle to release the exit full 1/3, and then twisting the same direction, the needle lag live. So, is divided into three needle out of a total of 15 minutes back of. Finally, the needle handle filed a 90 degree angle after the shaking needle 7-8 times the needle. With plastic sheets fixed before and after the connection of the iliac crest. Instruct patient to sit 30 minutes, and then to the right side 20 minutes to last rehabilitation bit lying two to three hours. Weekly rule three times. Generally not more than 10 times. Dovetail Needling: Shilling patients Woyu hard board bed, bent parts of the umbilical bottom left of the equivalent of the stomach to find tenderness and obvious place, as the only pin-point. 32, No. 8-inch elongated needle pierce points from the dovetail speed needle, needle, twist the skin along the side edge into the needle, direct only the needle point. Right hand holding the needle for counterclockwise twisting, when the needle handle Shen astringent sense, the needle slowly exit shall be such that the needle always maintain a certain degree of tension. Meanwhile, the left lower pole of the tiger's mouth boosting the stomach, slowly pushed hard. Patients may have stomach rise flu, when raised to about 2 mm away from the subcutaneous needle for counterclockwise twisting, left thumb press and hold the tip, the right hand needle vertical shake mention 3 to 5 times the needle, acupuncture mention retreat process about 10 to 15 minutes. Needle supine three hours. About 20 days rule, 3 times for a course.
(C) Evaluation
Efficacy evaluation standards: heal: The main symptoms disappear, barium meal fluoroscopy to check the stomach under the pole back to normal site; markedly: significantly reduced the main symptoms, barium meal fluoroscopy to check, stomach under extremely higher than the original on to mention more than 3 mm; effective: the main disease has improved, stomach under the pole than the original has been on to mention; invalid: before and after treatment, symptoms, signs, there was no improvement.
The above method of treatment of 1047 cases, according to the assessment of these or similar criteria: 402 cases (38.4%) recovered, effective in 231 cases (22.1%), effective in 428 cases (40.8%), ineffective in 86 cases (8.2%). The total effective rate was 91.8% [5-8].
EA
(A) point
The main point: abdominal, stomach, mentioning the stomach, the sea air.
Distribution Point: Zusanli, Neiguan Pishu.
On the hole location in the stomach: the abdominal cavity adjacent to open 4 inches.
To mention the stomach hole location: in the abdominal cavity adjacent to open four inches.
(B) Governing Law
Mainly to the main point, the election of 2 or 3 times each, the elderly and infirm, and the full three years, within the spleen, nausea, vomiting and off. The sea air hole perpendicularly to a 1.5-inch, in the abdominal, stomach, to mention stomach down was the 45-degree angle obliquely to 1.5 to 2 inches. Dynamic electrotherapy machine connected between the negative pole in the abdominal cavity, the positive points fork, respectively, then the double stomach, double mention the stomach and the sea air, the density wave, through the power to patients with abdominal muscle contraction and can tolerate appropriate each about sustained stimulation of 20 to 30 minutes. Seamless move, such as electrotherapy, generally available commercially available electro-acupuncture device, the use of intermittent waves or density waves. In order to enhance the efficacy of available vitamin B12100 micrograms (1 ml) or Nandrolone phenylpropionate 1/3 (25 mg / 1 ml), acupoint injection Zusanli (above the Department Meixue dosage). EA 1 times a day, acupoint injection every other day. EA 12 times for a course of treatment (acupuncture point injection of 6), treatment interval of 3 to 7 days.
Gastroptosis - daily life knowledgeThe gastroptosis people in the standing position, the lower edge of the stomach up to the pelvic arc the lowest point of the lesser curvature down to the iliac crest of the connection, known as ptosis of the stomach. During the upper gastrointestinal imaging of 32 274 people, almost out of every 10 young women there is a person suffering from ptosis of the stomach. Long-term state of tension, carrying out a wrong way to lose weight and stay in shape, irregular eating, the 20-year-old young woman suffering from gastroptosis. Prevention gastroptosis, develop a regular eating habits more than anything else, gastroptosis patients, in addition to aggressive treatment of stomach and rehabilitation exercise is critical.The gastroptosis receptor bit-impact, feeling slightly better when lying down, standing or the seated, in apparent abdominal pain, bloating increased.General 5 to 6 hours of food in the stomach, food and gastric acid, digestive enzymes and well mixed to form a semi-paste the chyme, and be conducive to the small intestine absorb nutrients. Gastroptosis patients immediately after a meal walk, will add to the food for the stomach and small intestine damage likely to cause indigestion or abdominal pain. In the long run, but also secondary to gastritis, peptic ulcer disease. Therefore, the the gastroptosis patient after a meal appropriate supine lying for a while to reduce the occurrence of these complications.
In addition to a walk after dinner before meals, take a walk instead. Not only can promote gastrointestinal emptying, increased appetite, but also to mobilize the movement muscles to release energy, conducive to a healthy weight loss.
Gastroptosis - preventive health careEat small meals
Ptosis of the stomach in patients with weakened digestion, too much food into the stomach, is bound to remain in the stomach surface to cause indigestion. Therefore, the first requirement of food conditioning is each meal should be less, but can increase in the number of 4-6 meals a day as appropriate. The main meal in the dining category should be less and vegetables should be more and better economic conditions can a glass of milk daily, steaming bowl 蛋花, eat a few biscuits to supplement the meals.
Slowly
Ptosis of the stomach in patients with gastric wall tension is reduced, creeping slowly, if you gobble that eat the food will fill in the stomach. In addition, oral food chewing process will reflex to stimulate gastric motility and enhanced gastric wall tension. Dining speed relatively slowly, slowly in order to facilitate the digestion and absorption and enhanced gastric motility and to promote the rate of stomach emptying, relieve bloating discomfort.
Food valuables
Food dry and hard texture is more rigid, such as steak, Zhawan Zi, peanuts, broad beans, etc., into the stomach do not digest, but also may damage the gastric mucosa and promote the incidence of gastritis increased. Therefore, usually the food we eat should be soft, light, easy to digest. The staple food should be soft rice is better, such as noodles must be cooked soft-boiled, eat the thick, hard cooked noodles; non-staple food to be chopped fried, eat raw vegetables. It should be noted, not over cooked fish, because fish in half-baked, the most tender and digestible, the minimum burden on the stomach.
Nutritionally balanced
Gastroptosis Most patients with physical and muscle strength are weak, coupled with poor digestion and absorption, prone to nutritional imbalances of the body, it is higher than normal fatigue and lethargy. Therefore, patients should pay attention to strive to make smaller meals on the basis of the dietary nutrition balanced, sugar, fat, protein, three major nutrients, the proportion of suitable Low fat percentage more. Because the fat, especially animal fat in the stomach emptying the slowest, if the food fat too much, it will make the already poor emptying of the stomach under pressure to increase, adding to the food retention, and therefore should be appropriate restrictions. The protein foods should be increased slightly, such as chicken, fish, lean pork, half-cooked eggs, milk, tofu, soy milk, etc., will do their valuables does not affect the digestion and absorption. By increasing protein intake, increase stamina and muscle strength, relieve fatigue and other symptoms, can improve the strength of the stomach wall smooth muscle, and promote to an increase in gastric wall tension, motility enhanced.
Reduce the stimulation
Strong irritant foods such as pepper, ginger, excessive alcohol, coffee, cola and tea, etc., can gastroptosis patients with acid reflux, heartburn symptoms get worse, affect their condition improved, and therefore these foods should be minimized to eat drink and be limited . Dong small amount to drink some wine and weak tea is beneficial, conducive to reducing the occurrence and development of gastroptosis.
Prevent constipation
Gastroptosis patients with gastrointestinal creep function is often relatively slow, poor diet or lack of drinking water is prone to constipation, and constipation will increase gastroptosis extent, therefore, patients should pay particular attention to prevent constipation. Deployment of some fruits and vegetables in the diet, because fruits and vegetables contain more vitamins and fiber, which can promote stomach and intestines, the stool becomes soft lubrication to prevent constipation. Such as early morning cup of light brine or bedtime cup of honey, sesame oil water, to alleviate and eliminate constipation.
Movement affordable
Gastroptosis patients actively participate in physical exercise can help prevent the gastroptosis continue to develop, but also enhance strength and muscle increase gastric tone, gastric motility, and improve symptoms. But should be noted that after a meal should not immediately exercise, should ensure that the postprandial 30 to 60 minute break, because after the meal, Games, due to the gravity of the food leaving gastroptosis severity. Pre-dinner walk postprandial lying is the best way to treatment of ptosis of the stomach.
Do not eat too much should be frequent meals
Tobacco and alcohol, ban Feigan, acrid products, should be easily digestible, nutritious food. Not to participate in heavy physical work and strenuous activity, especially after eating. After a meal should not be a walk. Maintain optimism, not rage, not depressed. To be patient to adhere to treatment, food conditioning and rehabilitation exercises, to have overcome the confidence of the disease.
Develop good eating habits, regular meals, body lean, increase nutrition. Should actively participate in physical exercise, such as walking, qigong, tai chi. Prevent the disease, but also must maintain optimism. Also can be easy to learn a fitness method, if you suffer from chronic digestive diseases, should be actively thorough treatment to reduce the occurrence of the disease.
Gastroptosis - therapeutic conditioning sideDiagnosed with ptosis of the stomach after applying the following therapeutic side of conditioning:
Pork bellies astragalus soup
[Materials] a pig stomach, 200 grams of astragalus, 30 grams of dried tangerine peel.
[Practices] pig stomach to lipid membranes, washed, Astragalus, dried tangerine peel wrapped with gauze into the pig stomach, tie the twine, plus hydrological simmer until cooked pig stomach, plus the amount of spices, hot food belly Decoction , four times two days finished eating. 5 Pork bellies for a course.
[Effect] qi Astragalus to the drug, Li called "tonic long, especially good at Qi Sun, drooping of the treatment of various organs; Citrus qi and spleen, and Xiaozhi;" With the interest rate spectrum of home diet "Pork bellies can" fill the stomach, Qi. " The tripe astragalus soup can fill in the air, spleen and stomach, qi stagnation, stop pain, lack of gas, stomach Weakness gastroptosis quite efficacious.
Pig spleen jujube rice gruel
[Material] pig spleen 2, date 10, 100 grams of rice.
[Practice] pig spleen slices, pot Wei Chao, dates, rice add water, porridge, can Zhuojia white sugar, fasting take 1 a day. Two weeks for a course of treatment.
[Effect] pig spleen spleen and stomach to aid digestion; jujube and stomach, raising the spleen Qi security: rice complement Stomach, charge stomach Tianjin. Gong Zhu porridge gastroptosis cause emaciation, abdominal distention, loss of appetite, lassitude, and indeed the effect of rehabilitation care.
Lotus mountain ones
[Material] Pork bellies a lotus, yam, 50 grams, 100 grams of glutinous rice.
[Practices] Pork bellies to remove lipid membranes, washed, chopped, lotus, yam mash, sticky rice, and put the pot, plus hydrological fire porridge, sooner or later finished eating, one every other day. 10 days for a course.
[Effect] Pork bellies to fill the stomach to the goods ", yam, lotus seeds, glutinous rice Bu Zhong Yi Qi and Stomach Yin. Stomach fill, the air healthy and vigorous, drooping organs can reply.
