Anatomically the stomach is a long muscular organ located in the zone of the left hypochondrium. It is practically parallel to the diaphragm - slightly inclined downwards. In the physiological position, the stomach retains ligaments and muscles. However, under the influence of provoking factors, their functionality is violated, which leads to the development of gastric emptying or gastroptosis.
Causes of gastric emptying
By disturbing the physiological position of the digestive organ, weakened abdominal muscles and excessive sprain. This condition can be congenital, then talk about the development of constitutional gastroptosis.
The disease occurs in asthenic( lean) people with long limbs and weak musculature.
An abnormality of the stomach can be acquired when the pathology develops against the background of the following provoking factors:
- A sharp decrease in body weight;
- Pathologies that provoke vomiting;
- Excessive strain on the abdominal muscles during heavy physical work or training in weightlifting;
- Inadequate intake of protein, vitamins from food;
- Carrying out surgery to remove a large neoplasm from the abdomen;
- Multiple pregnancies;
- Systematic overeating.
The following persons are at risk of developing gastroptosis:
- Asthenic people;
- Pregnant women;
- Adolescents who grow at a fast pace.
Stages and symptoms
It is accepted to distinguish 3 degrees of pathology, depending on the severity of the course of gastroptosis and the severity of clinical symptoms. In the early stages( 1 and 2 degree) of gastric emptying, the asymptomatic course is characteristic.
However, some patients report the development of the following symptoms:
- Severity after eating;
- Lack of appetite;
- Aversion to dairy products;
- Flatulence;
- Unreasonable nausea;
- Belching with air;
- Stool disorder. Characteristic of the development of constipation due to decreased intestinal motility.
In the 3 stages, when the stomach descends by 10-12 cm, the bulb of the 12-типерстной gut is deformed, which significantly complicates the progress of the food lump.
It is the kink of the intestines due to gastroptosis that provokes the development of the following clinical picture:
- Overcrowding of the stomach even after small snacks;
- Feeling of heaviness;
- Belching;
- Nausea and vomiting;
- Heartburn.
Diagnosis
Diagnostic measures include the following steps:
- Patient examination. Omission of the stomach leads to the appearance of a pendulous abdomen. When the patient takes a horizontal position, the upper abdomen is sinking, you can visually determine the pulsation of the aorta. During palpation, the doctor observes the lowering of the pylorus and the lower edge of the stomach.
- Study of the secretion of the stomach. With gastroptosis, development of achlorhydria is noted. This condition is characterized by a decreased production of hydrochloric acid, so it is absent in gastric juice.
Photo of a radiograph with gastric emptying
- X-ray. The technique makes it possible to determine the elongation of the stomach, the proximity of small and large curvatures, the deepening of the lower pole of the organ into the small pelvis.
How is gastric emptying treated?
If the pathology was detected at the initial stage, then the patients are recommended to strengthen the muscular corset with the help of physiotherapy exercises. At the last stage of gastric emptying prescribed painkillers( No-shpa, Atropin, Platifillin) for relief of pain syndrome.
Neurological background also needs normalization, for which medications with sedative effect are prescribed.
When the production of gastric juice is disturbed, enzyme preparations are shown. Anabolic steroids are prescribed as restorative and tonic drugs.
With a decrease in appetite, Insulin is administered subcutaneously 20-25 minutes before meals. Surgical intervention is prescribed in rare cases, which is associated with a high probability of recurrence of the disease.
Exercises
Physiotherapy involves performing simple exercises to strengthen the abdominal press, gradually increasing the load.
The first training should be carried out under the supervision of a professional instructor, later you can do exercises at home yourself. Regular training will lead to strengthening of abdominal muscles, eliminating the main cause of the disease.
You can begin classes if there is no significant symptomatology. If during the exercises painful sensations appeared, then it is recommended to postpone the training for 2-3 days. Training usually includes the following exercises:
- Leg lifts in prone position;
- Exercise "bicycle";
- Mahi feet in standing position;
- Twisting;
- Pelvic lift in prone position.
Diet
Dietary nutrition in the early stages of gastroptosis is not severe.
After all, pathology in the absence of severe symptoms does not lead to disruption of the functioning of the digestive organs. However, it is important to normalize the diet. Reduce the amount of food to avoid overeating.
Food should be taken every 3-4 hours at a strictly fixed time.
Nutritionists and gastroenterologists recommend the exclusion of spices and spices, limit the consumption of mango, rice, cocoa, chocolate and coffee. The diet should include a large number of fresh fruits and vegetables rich in fiber. This will help normalize the motility of the digestive tract.
Folk remedies
Therapy with the help of folk recipes allows you to normalize the appetite and production of gastric juice. Recommend the use of such tools:
- Infusion of herb wormwood, bitter, centipedes, roots of dandelion and ayr marsh. Medicinal raw materials must be taken in equal proportions and crushed. To prepare the infusion, 1 tablespoon of the resulting mixture should be filled with a glass of boiling water. The composition is left for 30-40 minutes, then filtered. The drug is recommended to take 5 ml for 20-30 minutes before each meal;
- The leaves of the plantain should be ground, 3 tablespoons pour 500 ml of boiling water, left on fire for several minutes. The composition is taken in 100 ml for half an hour before a meal;
- The rhizomes of the tinder must be crushed thoroughly, 1 tablespoon of the raw material should be poured into 250 ml of boiling water. The agent is placed on the fire for 20 minutes. The resulting broth should be filtered, then taken 3-4 times a day for 5 ml.
Massage
Massage sessions help strengthen the abdominal muscles, increase intra-abdominal pressure, stimulate the motility of the digestive organs, normalize the production of gastric juice.
The procedure is recommended to be performed daily for 15-20 minutes. The course of massage should include at least 20 sessions, after which a break for 1.5 months is necessary.
The procedure starts with a combined stroking, which smoothly flows into a spiral grinding. Movement is carried out by 4 fingers, moving along the muscles of the abdomen. Then again follows stroking, which is replaced by rolling from the bottom up.
During the massage also use a transverse and semicircular kneading, shaking from the bottom up, pressing the palmar part of the phalanges on the stomach. Stroking should be done clockwise to increase motility and gastric secretion.
Mechanical vibration in the area of 5 thoracic vertebrae for 5 minutes will lead to faster evacuation of the food lump from the stomach, eliminating nausea.
Consequences of the disease
Gastroenterologists note that gastroptosis provokes a decrease in gastric motility and digestive tract as a whole. The disease can lead to incomplete closure of sphincters, which causes ingestion of air, bile, the development of ulcers and gastritis, oncopathologies.
Prevention
Preventive measures require strengthening the body as a whole. Recommend to play sports, adhere to a balanced diet, principles of a healthy lifestyle. Pregnant women should follow the doctor's recommendations for strengthening the muscular corset.
Forecast
Gastroptosis has a favorable prognosis with timely therapy. However, relapse is possible if the doctor's recommendations are not followed.
Video about the diagnosis and treatment of gastroptosis: