Gastroptosis: Understanding Causes, Symptoms, and Management

Gastroptosis, also known as stomach ptosis, occurs when the diaphragm lacks sufficient strength to properly support internal organs. This condition is often linked to weakened ligaments, reduced abdominal pressure, or relaxed abdominal muscles. As a result, when standing, the greater curvature of the stomach can descend into the pelvic cavity, and the lowest point of the stomach's curvature drops below the line connecting the iliac crests. This issue is particularly common among tall and slender individuals.

Factors That Contribute to Gastroptosis
Several elements can lead to a drop in diaphragm position, such as decreased diaphragmatic mobility, weakened abdominal muscle tone, and excessive relaxation of the gastric ligaments—including the gastrophrenic, gastrohepatic, gastrosplenic, and gastrocolic ligaments. These conditions can all contribute to the displacement of the stomach.

Common Symptoms of Gastroptosis
Individuals suffering from gastroptosis often experience a range of digestive discomforts. The most typical symptoms include abdominal pain, nausea, vomiting, and constipation. These symptoms can vary in intensity depending on the severity of the condition.

Lifestyle Adjustments for Managing Gastroptosis
Those diagnosed with gastroptosis should avoid prolonged standing and high-impact physical activities. After meals, it is advisable to rest in a semi-reclined position for about 30 minutes. When lying down, elevating the feet above the head can help ease discomfort. Eating small, frequent meals and avoiding overeating are crucial. It's also important to refrain from consuming spicy, greasy, or irritating foods and to avoid alcohol and smoking. A diet rich in easily digestible, nutrient-dense foods is highly recommended. Strengthening the abdominal muscles through regular exercise, such as daily sit-ups, can also help improve muscular tension and support the stomach.

Treatment Options for Gastroptosis
For symptoms such as upper abdominal discomfort, mild pain, and indigestion, treatments similar to those used for chronic gastritis may be effective. In cases of bloating or delayed gastric emptying, prokinetic medications can be beneficial. In more severe cases, a stomach support or abdominal binder can be purchased from medical supply stores. These devices are easy to use and can provide significant relief, especially for patients with advanced symptoms.