Symptoms of gastric mucosal prolapse

Nowadays, due to the accelerated pace of life, many people have irregular eating habits and lives, so the number of people with gastrointestinal problems is increasing day by day. Gastric mucosal prolapse is a common one among them. It is caused by the abnormally relaxed gastric mucosa retrogradely entering the esophagus or forward through the pyloric tube into the duodenal bulb. For mild cases like this, adjusting diet and lifestyle habits can relieve the symptoms. So what are the symptoms of gastric mucosal prolapse? Let's learn about it below.

1. Abdominal pain

Abdominal pain is the most common symptom, with no obvious periodicity or rhythm. The pain may be induced after eating and is often paroxysmal. It may also be burning pain, irregular bloating or stabbing pain, etc. There is generally no radiating pain. It is often accompanied by symptoms such as upper abdominal distension, belching, and loss of appetite. Sometimes the occurrence of pain is often related to body position. Pain is more likely to occur when lying on the right side. Some people believe that this is a characteristic manifestation of this disease. When the prolapsed mucosa blocks the pyloric duct and causes incarceration or stenosis, persistent and severe pain in the upper abdomen occurs, accompanied by symptoms such as nausea and vomiting.

2. Upper gastrointestinal bleeding

It is more common in gastric mucosal prolapse, most of which are small amounts of bleeding, while a few can cause heavy bleeding or even hemorrhagic shock. Bleeding can be caused by erosion or ulceration of the prolapsed mucosal surface or by incarceration of the prolapsed mucosa. At the same time, because it is often accompanied by gastric and duodenal ampulla ulcers, the cause of bleeding is sometimes difficult to distinguish, and the diagnosis depends on endoscopic examination.

3. Pyloric obstruction

Its incidence is very low. Most patients experience nausea and vomiting during the attack. Vomiting may occur after eating. There is often severe upper abdominal pain, which may be relieved or disappear after vomiting.

4. Physical signs

The patient is emaciated, mildly anemic, and may have mild tenderness in the upper abdomen. When the mucosa is incarcerated into the pyloric duct, gastric shape or gastric peristaltic waves can be seen, a soft mass can be felt in the upper abdomen, and there may be splashing sounds in the upper abdomen.

This disease is mainly treated with internal medicine, but there is no specific medicine. Pay attention to diet, eat small meals frequently, quit smoking and drinking, and avoid irritating foods; pay attention to body position, adopt left-side lying position, and try to avoid right-side lying position; sedatives and anticholesterol drugs can be given to inhibit excessive gastric motility to reduce the chance of prolapse. Prokinetic drugs should be avoided as much as possible to avoid aggravating mucosal prolapse. Patients with pyloric obstruction should fast, undergo gastrointestinal decompression, and receive fluid replacement and correction of water and electrolyte imbalance; patients with concomitant gastritis, ulcers, or upper gastrointestinal bleeding should be given appropriate treatment. When conservative medical treatment fails, surgical treatment should be considered.