The symptoms of gastric mucosa prolapse
Mucosal prolapse refers to the prolapse of gastric mucosa through the pylorus to the duodenal bulb. The disease mainly gastric antrum inflammation-related; common in 30-66 year-old male patient.
Gastric mucosa prolapse can be mild when the symptoms of weight, the vast majority of human gastric mucosa prolapse can be reset, this feature is called with "reusable nature." If the prolapse of gastric mucosa in a short time can be reset, then the patient would no symptoms or only mild abdominal distention, heating, etc.; if not immediately reset, you may experience abdominal pain, burning sensation. Severe gastric mucosal prolapse occurs even incarcerated, or pyloric muscle contraction, can not go up stuck atop a mucosal prolapse occurred pyloric obstruction.
The clinical manifestations of gastric mucosa prolapse depends on the amount and extent of mucosal prolapse severity. Approximately 1 / 3 of patients do not have any symptoms, and only frequent or severe prolapse prolapse patients, symptoms will appear after the following signs.
(1), lower abdominal pain or chest pain: The disease caused by abdominal pain yuan regularity, and no fixed positions. Pain can be in the abdomen or the upper-right abdomen of Department may also appear in the lower sternum. Upper abdominal pain usually occurs in 0.5-1 hours after a meal. The nature of abdominal pain are diverse, there is pain, pain, burning pain or pain was strangulated to the back after the radiation. There are some patients may be severe abdominal pain in the evening, resulting in patient awake at night.
(2), nausea and vomiting: This is the common symptoms of gastric prolapse. Vomit more than as food. Part of patients vomiting after will feel more comfortable and reduce the pain will follow.
(3) dyspepsia: a heavier prolapse patients often have upper abdominal fullness discomfort, heating and loss of appetite and other dyspeptic symptoms, which is food stuck in pylorus caused. Long course of disease in patients prone to malnutrition, anemia, and even reduce the weight gradually.
(4), upper gastrointestinal bleeding: This may occur with the prolapse of the erosion or ulceration of the mucosa. It is reported that about 20% of the gastric mucosa prolapse patients have upper gastrointestinal bleeding. Before patients with bleeding often have nausea, vomiting and abdominal pain. If small amount of bleeding, a major disease is yellow, but the droppings of the latent positive blood test Changcheng; if large amount of bleeding, high speed, may appear hematemesis and melena.
(5), pyloric obstruction: only a small number of patients have the symptoms of gastric mucosa prolapse. Before the onset, the patient often fullness, upper abdominal pain, accompanied by repeated nausea, vomiting, the patient in the twist or turn over when its stomach will feel a "plump, cushions Yin" and acoustic shock. This is because the secluded entrance blocked by prolapse of the gastric mucosa, gastric juice, and Su Shi Lu are the reasons.
(6) signs: mucosal prolapse in patients with general non-specific signs. Only strict prolapse patients, sometimes in the pyloric part came to a soft mass. In addition, some patients lying to the right side, it will exacerbate abdominal pain, while lying to the left, then the pain can reduce or disappear. Gastric prolapse can be made X-ray diagnostics, endoscopy meaningless. The disease mainly medical treatment, the use of sedatives, such as atropine and cholinergic receptor blocker 654-2. Patients should Shaochiduocan left supine ease symptoms.
However, once there pyloric obstruction and bleeding, it is necessary to consider surgery.
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