Can Stomach Droop Cause Lower Abdominal Bulging?

Stomach droop, or gastric ptosis, typically does not lead to a protruding lower abdomen. This condition occurs when the diaphragm's supporting power is weak, the ligaments that hold internal organs in place become loose, or there is a decrease in abdominal pressure and weakened abdominal muscles. As a result, when standing, the greater curvature of the stomach drops into the pelvic cavity, and the lowest point of the stomach's lesser curvature falls below the line connecting the iliac crests. It is often accompanied by a displacement of the duodenal bulb.

Under normal circumstances, the stomach is located in the upper left part of the abdominal cavity. When standing, its lowest point should not extend more than two finger-widths below the navel. Its position is relatively fixed, which helps maintain normal digestive function.

Individuals with mild stomach droop may not experience any noticeable symptoms. However, those with more pronounced cases can develop a range of discomforts, including:

1. Bloating and discomfort in the upper abdomen: This is often one of the first signs and may worsen after eating or during prolonged standing.

2. Abdominal pain, usually a persistent dull ache: Pain typically occurs after meals and is related to the amount of food consumed. Larger meals tend to cause longer and more intense pain. Physical activity after eating can also exacerbate symptoms.

3. Nausea and vomiting, especially after physical activity post-meal: These symptoms are more common when large quantities of food are consumed. Excess food increases tension on the stomach's supporting ligaments, causing pain followed by nausea and vomiting.

4. Constipation, often chronic: This may be due to a concurrent condition called coloptosis, or drooping of the transverse colon, which creates sharp angles at the hepatic and splenic flexures, slowing the passage of stool.

5. Neurological and emotional symptoms: Long-term discomfort from gastric ptosis can lead to stress and anxiety, which may manifest as insomnia, headaches, dizziness, or even depression. Some patients may also experience low blood pressure, palpitations, or fainting when standing up.

In summary, while a drooping stomach does not usually cause a bulge in the lower abdomen, it can significantly affect digestive comfort and overall well-being. If symptoms persist, it is advisable to consult a healthcare professional for proper diagnosis and treatment.