Gastric retention can be treated with fasting, gastrointestinal decompression, medication, and surgery.
1. Fasting and gastrointestinal decompression: Fasting can prevent the stomach contents from continuing to increase and aggravate the symptoms of gastric retention. Gastrointestinal decompression can restore the peristaltic function of the stomach.
2. Drug treatment:
(1) Gastric stimulant: Commonly used drugs such as domperidone, mosapride and other drugs can promote gastrointestinal tract power, help gastric contents discharge and reduce the symptoms of gastric retention.
(2) Antiemetic drugs: commonly used drugs such as brominaprocarbamate, benadryl, ondansetron, etc., relieve the symptoms of nausea and vomiting by inhibiting and reducing the neural activity of the vomiting center.
(3) Antidepressants: commonly used drugs such as doxepin and promethazine can be used in patients with vomiting due to psychosomatic factors to improve the symptoms of gastric retention.
(4) Rehydration: To replenish the nutrients needed by the body under fasting, drugs such as sodium chloride, glucose, potassium chloride and vitamins can be used to maintain the water-electrolyte balance in the body.
3. Surgical treatment: If the pyloric stenosis is caused by ulcer scars, endoscopic balloon dilatation can be used to relieve the obstruction. If the obstruction is caused by tumor, surgical resection of the tumor or gastroscopic stent placement is feasible to relieve the obstruction.
If gastric retention is diagnosed, it is recommended that standardized treatment be carried out as soon as possible to reduce the adverse effects of the disease. All of the above medications should be used under the guidance of a doctor, avoid self-medication.