Gastroptosis Flashcards

1
Q

Definition of Gastropotosis

A

Prolapse of Stomach

*Palpate Illiac Crest and draw line on anterior stomach and if stomach drops below that line Gastropotosis

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2
Q

Causes for Gastropotosis

A
  1. Thin people - decreased fat and muscle
  2. Poor constitution and Chronic Condition
  3. Irregular Diet - st/sp middle jiao sinking
  4. multiple labours (weakens SP Qi)
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3
Q

Gastropotosis Signs and Symptoms

A
*Chronic epigastric pain 
Dizziness
Fatigue 
Poor Appetite
Bloating/Gas
Nausea/Vomiting
Belching
Constipation or Diarrhea
* milder conditions may not have any symptoms
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4
Q

How can you do western diagnosis for Gastroptosis?

A
  1. Palpate stomach for stomach artery and it’ll be strong and pounding
  2. X-Ray (Belcz)
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5
Q

Which syndromes should be differentiated from Gastroptosis?

A

1) Gastritis
2) Peptic Ulcer

*Differentiate according to syndromes

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6
Q

What are the 3 Gastroptosis Syndromes:

A

1) Sinking of Qi in the Middle Jiao
2) Deficient cold of spleen a d stomach (yang Qi Deficency)
3) Deficency of stomach yin

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7
Q

Differentiate between Gastropotosis and Gastritis

A
  1. Signs and symptoms
    * gastroptosis includes dizziness and fatigue, gastritis doesn’t
  2. Medical exams
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8
Q

Differentiate between Gastropotosis and Peptic Ulcer

A
  1. Signs and symptoms
  2. Medical exams
    * Ulcer is rythmic pain and Gastropotosis is a chronic pain
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9
Q

Points for Gastroptosis

A

Ren4/6/12, St 21/36, Du 20, Ti Wei ( 1 Cun above umbilicus and 3-4 Cun from midline)

Belching - PC 6
Acid Reflux - ST 34
Bloating - Ren 6
Gurgling in Stomach - Kid 21, Kid 16, Sp 9

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10
Q

POT for Gastropotosis

A

Strengthen Spleen Qi

elevate stomach

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11
Q

Modalities for Gastropotosis

A

1) Needling-long needle technique
2) Moxa -lots, back Shu points, Du 20
3) Auricular Acupuncture- Sp/St, Lung, Liver, Lrg Int, Sj
4) herbology

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12
Q

Patient Education for Gastroptosis?

A
  1. Get patient to lay down for 15min after a meal/tx
  2. Exercise abdominal muscles
  3. Wear Abdominal Belt
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13
Q

What is the main pathology for Gastropotosis.

A

middle jiao sinking

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