Gastroptosis is a common stomach disease that has a great impact on the patient's health. It often causes a variety of symptoms, including indigestion, abdominal distension, increased upper abdominal discomfort, nausea, vomiting, abdominal pain, and diarrhea. Because the transverse colon ptosis, it can also lead to constipation, which causes great mental stress to the patient. 1. Abdominal distension and upper abdominal discomfort: Patients often report a feeling of fullness, heaviness, and pressure in the abdomen. 2. Abdominal pain: Most of the pain is persistent. It often occurs after meals and is related to food intake. The more you eat, the longer the pain lasts and the more severe the pain is. At the same time, pain is related to activity, and activity after meals often makes the pain worse. 3. Nausea and vomiting: It often occurs after meals or during activities, especially when eating too much. This is because taking in a large amount of food at one time increases the traction of the stomach wall ligaments and causes pain, followed by nausea and vomiting. 4. Constipation Constipation is often stubborn, and its main reason may be that the transverse colon prolapses at the same time, causing the hepatic flexure and splenic flexure of the colon to form an acute angle, resulting in slow passage. 5. Neuropsychiatric symptoms: Because the various symptoms of gastroptosis torment patients for a long time, their mental burden is too heavy, resulting in neuropsychiatric symptoms such as insomnia, headache, dizziness, dullness, and depression. Symptoms may also include hypotension, palpitations, and syncope upon standing. 6. Physical examination: The patient has a slender body shape, and the tenderness point in the upper abdomen is not fixed due to changes in standing and lying positions. Sometimes, when impact palpation is used, or when the patient changes position rapidly, a sound of water vibrating below the navel can be heard. The aortic pulsation can be easily felt in the upper abdomen, often accompanied by signs of hepatoptosis, nephroptosis and colonoptosis. . Gastroptosis refers to the situation where the lower edge of the stomach reaches the pelvic cavity and the lowest point of the lesser curvature of the stomach drops below the line connecting the iliac crests when standing. Mild gastroptosis is usually asymptomatic, while moderate or severe gastroptosis often causes symptoms of poor gastrointestinal motility and indigestion. Clinical diagnosis is mainly based on X-ray, barium meal fluoroscopy and B-ultrasound examination, which can confirm the diagnosis. |
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