How to treat gastric retention

Gastric retention is a relatively common symptom. It is mainly caused by pyloric obstruction in patients, which can lead to food obstruction. The more common cause is that patients have gastric or duodenal ulcers, or some malignant tumors in the stomach, which can cause this symptom. This is relatively harmful to patients and should be treated with surgery in time. Let us learn about this aspect below.

How to treat gastric retention

It is recommended to take domperidone tablets, stomachic and digestive tablets, multienzyme tablets, etc. orally to aid digestion. Pay attention to a light diet, avoid spicy stimulation, and exercise moderately. If stomach bloating still occurs, go to the hospital for medical treatment and undergo gastroscopy and other examinations.

For gastrointestinal disorders, it is recommended that you take domperidone tablets, which can help promote gastrointestinal motility. You should also pay attention to regular diet, light diet, do not overeat, avoid spicy, irritating, raw and cold foods, and go out for a walk in your spare time to relax your mood.

Clinical manifestations

Vomiting is the main symptom of this disease and can occur day or night, 1 to several times a day. Vomitus is often old food and generally does not contain bile. Upper abdominal distension and pain are also common. Abdominal pain may be dull, cramping, or burning. Symptoms may be temporarily relieved after vomiting. Acute patients may suffer from dehydration and electrolyte metabolism disorders; chronic patients may suffer from malnutrition and weight loss. Severe or prolonged vomiting may cause alkali poisoning and hand and foot cramps due to the massive loss of gastric acid and potassium ions.

Physical examination revealed signs of dehydration, with a distended upper abdomen, tenderness in the mid-upper abdomen, and a splashing sound. If a gastric shape is seen and there is an increase in gastric peristaltic waves from left to right, it usually indicates obstruction at the gastric outlet; if only a gastric shape is seen without peristaltic waves, it indicates lack of gastric tone.

diagnosis

If you vomit old food or hear a splashing sound in your abdomen when you are fasting, it is gastric retention. This is confirmed when food can be withdrawn from the stomach through a gastric tube 4 hours after eating.

During a gastrointestinal barium meal examination, if 50% of the barium remains after 4 hours, or if it is not emptied after 6 hours, it is evidence of this disease. Attention should be paid to the differentiation between organic and functional gastric retention. The former increases gastric motility, while the latter reduces gastric tension and reduces gastric motility.