Question

In the pediatric department, a patient underwent a gastric ultrasound examination, which revealed a long-term feeling of fullness in the upper left abdomen, with a medical history spanning several decades. The symptoms vary in intensity, accompanied by loose stools and belching. The ultrasound results show: The size of the cardia ring is normal, the layers of the gastric wall are clear, the echo of the gastric antrum is reduced, with a thickness of 0.5 millimeters, the echo of the duodenal bulb is reduced, with a thickness of 0.3 millimeters, the gastric motility is normal, no space-occupying changes are seen in the stomach, and the lower boundary of the stomach is two to three fingers below the navel. The diagnosis is moderate gastroptosis and chronic superficial gastritis. Is this diagnosis correct? Please provide appropriate medication treatment suggestions from a doctor, as I would greatly appreciate it.

Answer

Hello, based on the ultrasound results, such a diagnosis can indeed be made. I suggest you follow the doctor’s medication treatment recommendations and make dietary adjustments, and regularly undergo follow-up examinations. For treating gastroptosis, the following measures can be taken:

  1. Strengthen nutrition by choosing nutritious and easily digestible foods, especially those rich in protein and fat. Since children have small appetites, it is recommended to adopt a small and frequent meals approach to gradually adapt to the stomach’s tolerance capacity. After meals, there should be a period of lying flat to avoid overeating.
  2. Engage in general rehabilitation exercises, such as lying on a hard bed after lunch with the head straightened, legs extended, and toes pointing upwards. Perform abdominal breathing and supine sit-up exercises.
  3. Engage in