Gastric spasm

　　The most common cause of gastric spasm is food stimulation. Gastric diseases themselves, such as ulcers, gastritis, bile reflux, dietary factors, and cold exposure can also cause gastric spasm. In addition, psychological factors also have a significant impact on gastric spasm.

　　1. Environmental factors:

　　1. Irregular diet may increase the risk of gastric spasm disease, and cold and刺激性 food often cause the recurrence of gastric spasm disease.

　　2. Different habits of individuals are often related to the onset of gastric spasm, such as the incidence of gastric spasm in long-term smokers is significantly higher than that of non-smokers.

　　3. Occupations with high levels of stress are prone to induce the occurrence of gastric spasm.

　　4. Aspirin can destroy the self-regulatory function of gastric acid secretion and the gastric mucosal barrier, leading to gastric spasm disease.

　　2. Disease factors:

　　Gastric diseases themselves, such as ulcers, gastritis, bile reflux, dietary factors, and cold exposure can cause gastric spasm. Some chronic diseases are prone to accompany gastric spasm, such as: gastrinoma, basophilic cell leukemia, chronic obstructive pulmonary emphysema, liver cirrhosis, rheumatoid arthritis, chronic renal failure, and so on.

　　3. Psychological factors:

　　Long-term psychological stress or persistent high mental tension is prone to dyspeptic gastric spasm.

　　4. Genetic factors:

　　The onset of gastric spasm is closely related to genetic factors. From the study of pedigrees, the probability of family members of chronic dyspeptic gastric spasm to suffer from gastric spasm is 2.5 to 3 times higher than that of the general population.

　　Gastric spasm may indicate the onset of other severe diseases and requires early examination and treatment.

　　1, Pernicious anemia: 10% of patients with pernicious anemia experience gastric spasm, and the incidence of gastric spasm is 5 to 10 times higher than that of the general population;

　　2, Chronic atrophic gastritis: There is a significant positive correlation between the incidence of chronic atrophic gastritis and that of gastric spasm;

　　3. Gigantic gastric mucosal folds syndrome: The serum protein leaks through the gigantic gastric mucosal folds, resulting in clinical symptoms such as hypoproteinemia and edema, about 10％ may undergo malignant transformation;

　　4. Gastric polyps: Although adenomatous or villous polyps account for a low proportion of gastric polyps, the cancer rate is 15％~40％. The cancer rate is even higher for those with a diameter greater than 2cm;

　　5. Benign gastric ulcer: The gastric ulcer itself is not a precancerous state, but the mucosa at the edge of the ulcer is prone to intestinal metaplasia and malignancy;

　　6. Residual stomach: The cancerous tumors that occur in the residual stomach after benign gastric lesion surgery are called residual stomach spasm. The incidence rate is significantly increased, especially after 10 years of surgery.

　　Gastric spasm is a spasm of the gastric muscles, mainly manifested as pain in the stomach.

　　1. Sudden, severe abdominal pain, the pain is like drilling, like piercing, like burning, like twisting.

　　1. Sudden severe abdominal pain, the pain is like drilling, like piercing, like burning, like twisting.

　　Gastric spasm is related to many factors and needs to be prevented from multiple aspects.

　　1. Strengthen physical fitness and have regular meals. People with poor physical fitness and irregular diet are more prone to gastric spasm.

　　2. Avoid eating large amounts of cold and raw foods. Especially cold drinks, beer, ice cream, popsicles, etc. And do not overeat.

　　3. Do not take medication randomly. In recent years, there have been many cases of gastric spasm caused by medication stimulation. When gastric spasm occurs, it is even more important not to take medication randomly.

　　4. Avoid drinking large amounts of cold drinks. The sharp temperature difference can strongly stimulate the gastrointestinal tract, leading to sudden spasms.

　　5. Avoid eating bananas on an empty stomach. Bananas contain not only potassium that helps with sleep but also a large amount of magnesium. If eaten on an empty stomach, it will cause a sudden increase in blood magnesium levels, as magnesium is one of the sensitive elements affecting heart function.

　　6. Avoid eating pineapples on an empty stomach. Pineapple contains strong enzymes that can irritate the stomach when eaten on an empty stomach, and its nutritional components must be absorbed better after eating a meal.

　　Gastric spasm can be caused not only by food stimulation but also by the disease itself, and it is necessary to perform gastroscopy and other examinations when necessary.

　　1. Fiberoptic gastroscopy. Fiberoptic gastroscopy has the characteristics of a soft body, easy operation, less pain for patients, relatively safe, wide indications, and no blind spots.

　　2. Gastric mucosal biopsy. Gastric mucosal biopsy refers to the use of biopsy forceps to take a piece of gastric mucosal tissue during endoscopy, and then send the obtained mucosal tissue for pathological examination to obtain a local pathological diagnosis of the lesion.

　　3. Basic gastric juice secretion/maximal gastric acid output. There are various methods for checking gastric acid secretion: observe the gastric secretion function without any stimulants, such as the basic gastric acid secretion test. Use stimulants to directly or indirectly stimulate the secretion cells of the gastric mucosa to observe their secretion function, such as the pentagastrin test, etc.

　　4.气钡双对比造影。气钡双重对比造影广泛应用后，已使钡餐检查对胃癌诊断的准确率有了明显的提高，同时对胃溃疡等的诊断也更准了，还可应用到全消化道其它疾患的检查。

　　Dietary taboos for patients with gastric spasm

　　The main cause of gastric spasm is food stimulation, so patients with gastric spasm symptoms should pay attention to the following aspects in their diet, in addition to maintaining regular meals:

　　1. Avoid eating spicy, cold, sour, and pungent foods. For example, hot pot, beer, yogurt, etc. Cold drinks can cause a large temperature difference, strongly stimulating the gastrointestinal tract, leading to sudden spasms. When gastric spasm occurs, patients can drink a cup of hot water or hot soup immediately.

　　2. Avoid smoking, drinking, coffee, tea, and eat less starchy foods such as potatoes, taros, noodles, sweet potatoes, etc. Do not eat soda crackers and do not eat hard and difficult-to-digest foods.

　　3. Avoid eating fried, baked, smoked, and other cooked foods, as these are difficult to digest, stay longer in the stomach, and increase the burden on the stomach.

　　4. Eat less food with a lot of rough fiber and residue, such as celery, chives, sprouts, ham, dried fish, and various coarse grains. These foods are not only rough and difficult to digest but also cause a large amount of gastric juice secretion, increasing the burden on the stomach.

　　5. If there is a gastric spasm attack, try not to eat and drink less water, as both can stimulate the stomach and cause severe pain and vomiting. When taking medicine, take it with warm water. You can use warm water to apply heat to the painful area to relieve the pain. In the following days, you should prevent the abdomen from getting cold and eat light and easy-to-digest foods.

　　Gastric spasm itself is a symptom, not a disease. When gastric spasm occurs, the main treatment is symptomatic, to relieve spasm, pain, and vomiting. If gastric spasm occurs frequently, it is necessary to find the cause and treat it from the root, which is the most effective method.