What Causes a Gassy Stomach?

Stomach diseases are organic or functional diseases of the stomach. Clinically common are chronic gastritis, peptic ulcer and gastric cancer. The etiology is very complicated, including physical and chemical stimuli, infection, toxins, genetics, mental factors, developmental disorders, and surgical effects.

Stomach disorders

Stomach diseases are organic or functional diseases of the stomach. Clinically common are chronic gastritis, peptic ulcer and gastric cancer. The etiology is very complicated, including physical and chemical stimuli, infection, toxins, genetics, mental factors, developmental disorders, and surgical effects.

The main symptoms are upper abdominal pain, nausea, vomiting, belching, acid reflux, loss of appetite, vomiting, blood in the stool, and lumps.

Chinese name

Stomach disorders

Foreign name

weibujibing

Solid

disease

Department

Stomach

Occur

Organic or functional disorders of the stomach

An organic or functional disease that occurs in the stomach. Clinically common are chronic gastritis, peptic ulcer and gastric cancer. The etiology is very complicated, including physical and chemical stimuli, infection, toxins, genetics, mental factors, developmental disorders, and surgical effects. The main symptoms are upper abdominal pain, nausea, vomiting, belching, acid reflux, loss of appetite, vomiting, blood in the stool, and lumps. Gastric diseases are often linked to esophageal and duodenal diseases. For example, excessive gastric acid secretion is often an important cause of duodenal ulcers and reflux esophagitis. The gastric mucosa contains glands that secrete gastric juice, which includes hydrochloric acid, mucus, electrolytes, pepsin, internal factors, and blood group substances. After the food enters the stomach, the movement of the stomach mixes the food with the gastric juice, stirs and grinds into a liquid chyme, and gradually discharges it into the duodenum in batches. When stomach lesions appear, the secretion of the stomach and motor function are impaired, which can affect digestion and absorption, and some can cause anemia, weight loss and even life-threatening. Clinically, digestive system diseases are the most common, among which gastric diseases are the most common.

In addition to common chronic gastritis, peptic ulcer and gastric cancer, the following are more common:

Gastric mucosal prolapse Gastric antral mucosa prolapses into the duodenal bulb through the pylorus. It is generally believed that due to chronic inflammation of the gastric antrum mucosa, the submucosal connective tissue is loose, and the mucous membrane is easy to slide on the muscular layer. When the gastric antrum is peristaltic, it is easy to push the mucosal folds into the pylorus and make it into the duodenal bulb. The disease is common in 30 to 60 years of age, and the incidence of men is twice that of women. Clinically, it can be asymptomatic, and can also be expressed as irregular upper abdominal pain, belching, nausea or vomiting, and concurrent upper gastrointestinal bleeding. The diagnosis is mainly based on X-ray barium meal examination. Typically, there is an umbrella or hood-like depression at the bottom of the duodenal bulb, which is caused by gastric antral mucosal fold prolapse into the bulb. This disease can be treated as peptic ulcer, and patients with a large amount of upper gastrointestinal bleeding may consider surgical treatment (distal gastrectomy and gastroduodenal anastomosis surgery is the best).

Gastric sagging is mainly related to insufficiency of diaphragm suspension, sacrogastric ligament and hepatogastric ligament relaxation, decreased intra-abdominal pressure, and abdominal muscle relaxation. It is more common in those with a long and thin body. Maternal and wasting diseases with progressive wasting. The disease may be asymptomatic, but there may also be epigastric discomfort, belching, and fullness. X-ray barium meal examination can show that the stomach is fish hook-shaped, the upper part of the stomach is long and narrow, the gastric antrum is sagging, the lower edge of the stomach is lower than the level of the iliac crest, and even enters the pelvis. The treatment method is to strengthen the abdominal muscles, and stomach support can be used if necessary.

The multi-fiber food or foreign bodies ingested by the stomach stones cannot be digested, and are accumulated in the stomach or lumps formed by coagulation with the gastric mucus. The substances that can form stomach stones are hair, vegetables, fruit skin, root, and stem fiber. Persimmon stomach stones are more common in China. Immature persimmon pulp and mature persimmon peel contain more red tannins, which can coagulate in the presence of dilute acid. After eating a lot of persimmons or immature persimmons and drinking a lot of water, persimmon stomach stones may be produced. Patients often have symptoms such as upper abdominal pain, nausea, and vomiting, and those with gastric ulcers may experience complications such as upper gastrointestinal bleeding and perforation. Gastroscopy can directly observe gastrolith. X-ray barium meal examination showed filling gastrointestinal defects. This shadow can be moved widely within the stomach. Treatment can use enzyme preparations to promote its dissolution or surgical gastric cutting.

Foreign body in the stomach intentionally or unintentionally swallowing the foreign body (small nail buttons, hair clips, pen cases, etc.) into the stomach caused by accidental surgery. The impact of foreign bodies left in the device on the human body depends on the nature, shape, size and stomach of the foreign body The degree of impaired function. Small foreign bodies can be asymptomatic and can be discharged with feces. Large foreign bodies or sharp ones can cause obstruction, ulcers, perforation, bleeding, etc. It can be diagnosed based on medical history, X-ray examination (fluoroscopy or radiography), gastroscopy, etc. The small foreign body allows the patient to eat a lot of fiber-rich vegetables to surround the foreign body to promote its excretion. Large foreign objects and sharp ones can be removed by gastroscopy or surgery.

Other gastric diseases include: acute gastric dilatation, gastric torsion, hypertrophic pyloric stenosis in adults, gastric granulomatosis (gastric schistosomiasis, gastric tuberculosis, gastric syphilis, etc.) and congenital gastric malformations Wait. After partial gastric resection, if the vagus nerve is damaged, temporary residual gastric dyskinesia may occur, manifesting abdominal distension, nausea, and vomiting, which will resolve on its own after more than 10 days to several weeks. It can be treated with metoclopramide or domperidone; this situation is rare after improved surgical methods.

In addition to the need to collect a detailed medical history and physical examination, you should also rely on X-ray barium meal examination and / or gastroscopy. Examination of the stomach by the double contrast method of air and barium can find small lesions, and the detection rate of early gastric cancer has increased significantly after this method. Fiber gastroscopy is also very important for the diagnosis of gastric diseases. Not only can the lesions be directly observed, but biopsies can be taken under direct vision for histopathological examination. Regular gastroscopy and biopsy follow-up of precancerous lesions of gastric cancer are expected to find more patients with early gastric cancer.

Examination of pentagastrin to stimulate gastric acid secretion can understand whether the patient is normal acid secretion, low acid secretion or high acid secretion. Some diseases (such as duodenal ulcers) often increase gastric acid secretion, which is usually normal in gastric ulcers. In atrophic gastritis, examination of gastric acid secretion often shows low or no acid secretion.

Treatment varies according to the specific disease.