I believe that many people are not unfamiliar with the term “ptosis”, but this unfamiliarity is limited to “I think I’ve heard of it” or “is it a stomach drop?” . But what is the matter with gastric prolapse is confusing, for the need to go to the doctor, which department to see, what treatment is not understood, today we will learn more about it. First of all, what is gastric prolapse? Gastric prolapse is a condition in which the longitudinal axis of the stomach lengthens downward when standing, and the lower pole of the stomach is significantly lowered, in some cases reaching the pelvis. It is generally believed that hypogastric prolapse is diagnosed when there is an examination that confirms the presence of a marked lowering of the lower level of the stomach in the upright position with clinical symptoms and excludes other diseases; otherwise, the low position of the stomach should be considered a relatively normal phenomenon and hypogastric prolapse itself is not a disease. A Japanese study has shown that indigestion is much less common in people with hypogastric prolapse. What are the possible symptoms of hypogastric prolapse? Clinically, hypogastric prolapse is mostly asymptomatic, while those with symptoms may show poor gastrointestinal motility and indigestion. Patients mostly report a feeling of fullness, heaviness and pressure in the abdomen, especially when they eat too much. Due to the multiple symptoms of hypogastric tormenting patients for a long time, they are mentally overburdened and thus can also produce neuropsychiatric symptoms such as insomnia, headache, dizziness, sluggishness and depression. What tests can help diagnose hypogastric prolapse? What are the diagnostic criteria for each? In addition to clinical symptoms, the diagnosis of gastric prolapse relies more on ancillary tests. The main tests are barium x-ray examination. In the barium meal examination, the gastric hypogastric prolapse is considered to be when the angle of the gastric bend is >1cm below the line of the iliac crest, 1~5cm is mild, 6~10cm is moderate, 11cm or more is severe, and there are also ultrasound gastrography and gastroscopy. Clinical statistics show that the detection rate of barium meal examination is higher than that of ultrasound examination, and the detection rate of ultrasound examination is higher than that of endoscopy in the diagnosis of gastric prolapse. The change process of gastric prolapse is shown in the figure below. Who is prone to hypogastric prolapse? Gastric prolapse is a part of visceral prolapse, which is mostly caused by insufficient suspension of diaphragm, decreased function and laxity of intra-abdominal organ support ligaments, decreased intra-abdominal pressure, low gastric tone and relaxation of abdominal muscles. Therefore, gastric prolapse is mostly seen in thin, long and weak body types, the chronically ill and weak, maternal, multiple abdominal surgeries with incisional hernia and those who are bedridden for a long time with little movement. Appropriate strengthening of physical exercise (especially abdominal muscle exercise) can prevent the occurrence of gastric ligament relaxation and lead to gastric prolapse. How to treat prolapsed stomach if it has been diagnosed? General treatment: strengthen exercise, enhance abdominal muscle tone, and eat less and more often, do not overeat. Increase nutrition, supplement with digestive agents and insulin if necessary. Symptomatic treatment: Gastric motivational drugs for weak stomach, analgesics for stomach pain, and lubricants for constipation. Surgical treatment: It is suitable for severe gastric prolapse whose symptoms are severe and medical treatment is ineffective. Other treatments: including Chinese medicine, acupuncture, tui-na, etc.