Gastroptosis Flashcards
Definition of Gastropotosis
Prolapse of Stomach
*Palpate Illiac Crest and draw line on anterior stomach and if stomach drops below that line Gastropotosis
Causes for Gastropotosis
- Thin people - decreased fat and muscle
- Poor constitution and Chronic Condition
- Irregular Diet - st/sp middle jiao sinking
- multiple labours (weakens SP Qi)
Gastropotosis Signs and Symptoms
*Chronic epigastric pain Dizziness Fatigue Poor Appetite Bloating/Gas Nausea/Vomiting Belching Constipation or Diarrhea * milder conditions may not have any symptoms
How can you do western diagnosis for Gastroptosis?
- Palpate stomach for stomach artery and it’ll be strong and pounding
- X-Ray (Belcz)
Which syndromes should be differentiated from Gastroptosis?
1) Gastritis
2) Peptic Ulcer
*Differentiate according to syndromes
What are the 3 Gastroptosis Syndromes:
1) Sinking of Qi in the Middle Jiao
2) Deficient cold of spleen a d stomach (yang Qi Deficency)
3) Deficency of stomach yin
Differentiate between Gastropotosis and Gastritis
- Signs and symptoms
* gastroptosis includes dizziness and fatigue, gastritis doesn’t - Medical exams
Differentiate between Gastropotosis and Peptic Ulcer
- Signs and symptoms
- Medical exams
* Ulcer is rythmic pain and Gastropotosis is a chronic pain
Points for Gastroptosis
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
POT for Gastropotosis
Strengthen Spleen Qi
elevate stomach
Modalities for Gastropotosis
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
Patient Education for Gastroptosis?
- Get patient to lay down for 15min after a meal/tx
- Exercise abdominal muscles
- Wear Abdominal Belt
What is the main pathology for Gastropotosis.
middle jiao sinking