Upright feeling of epigastric distension may be caused by intestinal obstruction, functional dyspepsia, chronic gastritis and other diseases, which need to be treated according to different etiologies, such as gastrointestinal decompression, medication such as Mosapride and Ranitidine, and surgical treatment.
1. Intestinal obstruction: If the epigastric distension in upright position is caused by intestinal obstruction, the patient should fast, gastrointestinal decompression, and enema with 5% saline (20-50ml) to stimulate the colon to enhance peristalsis. If the patient has mechanical intestinal obstruction, it should be treated with surgery as soon as possible.
2. Functional dyspepsia: patients suffering from functional dyspepsia will also have the performance of upright epigastric distension. Patients can follow the medical prescription of metoclopramide, domperidone and other drugs to promote gastric power. Acid reflux, belching (burping) and other symptoms of patients, but also under the guidance of the doctor oral cimetidine, omeprazole and other acid suppression drugs.
3. Chronic gastritis: patients with chronic gastritis will also have the symptom of epigastric distension when standing upright, patients should first adjust their diet, minimize the consumption of strong tea, coffee and other stimulating foods, light diet. Oral rabeprazole, aluminum thioglycollate and other drugs as prescribed by the doctor, bloating patients can take domperidone, mosapride and other gastric power drugs under the guidance of the doctor.
Upright epigastric distension may also be caused by other diseases, to go to the hospital as soon as possible to confirm the cause of the disease, and follow the doctor’s advice to actively treat.