Understanding Gastric Ptosis: Causes, Symptoms, and Treatment Options

What Exactly Is Gastric Ptosis?

Gastric ptosis, also known as stomach prolapse, is a condition where the stomach droops or sags below its normal anatomical position. When a person is standing, the lower edge of the stomach may extend into the pelvic area, with the lowest point of the stomach's curvature dropping below the line connecting the iliac crests. This displacement occurs due to weakened diaphragmatic support, reduced tension in the ligaments connecting the stomach to the diaphragm and liver, and a decrease in abdominal pressure. It is commonly seen in individuals with a tall, thin build, those recovering from long-term illness, postpartum women, and people who have had multiple abdominal surgeries or suffer from hernias. Prolonged inactivity and weak abdominal muscles also contribute to this condition. Diagnosis is typically confirmed through a gastrointestinal barium X-ray.

How Should Gastric Ptosis Be Treated?

Gastric ptosis itself is not classified as a disease, but rather as a positional and structural change in the stomach. However, when it leads to functional issues such as bloating, pain, poor digestion, or delayed gastric motility, it can result in functional dyspepsia, which requires treatment. The discomfort caused by these persistent symptoms can lead to emotional and psychological stress, including insomnia, headaches, dizziness, fatigue, and even depression. Some patients may also experience low blood pressure, palpitations, or fainting when standing up quickly.

Managing Symptoms Through Lifestyle and Traditional Methods

A significant number of people live with mild gastric ptosis without experiencing any symptoms. For those who do, maintaining healthy lifestyle habits and seeking appropriate medical care is essential. In traditional Chinese medicine (TCM), gastric ptosis is often attributed to “sinking of the middle Qi,” or a deficiency in the body's vital energy that leads to organ displacement. Treatment typically involves boosting Qi with herbal formulas like Bu Zhong Yi Qi Tang or Bu Zhong Yi Qi Wan. Acupuncture, especially at the Baihui point on the head, is also used to lift and support the internal energy, improving gastric function and alleviating symptoms.

Simple Daily Adjustments Can Help

It's important for individuals with gastric ptosis to make certain lifestyle modifications. For example, lying down or reclining for at least 30 minutes after meals can help prevent the stomach from being pulled further downward by gravity, thereby reducing discomfort and preventing worsening of the condition. This small change can significantly improve quality of life and reduce symptom flare-ups.