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what is a twisted stomach

by Reyes Mitchell MD Published 3 years ago Updated 2 years ago

Gastric Dilation and Volvulus, also know as bloat, stomach torsion and twisted stomach, refers to stomach distension and twisting. It occurs when the stomach fills with gas, fluid or food causing it to swell. It then does a 180 to 360 degree twist on itself - referred to as volvulus.

What are the signs of a twisted bowel?

Symptoms of a Bowel Obstruction

  • Vomiting, especially when repetitive
  • Weakness
  • Diarrhea
  • Loss of appetite
  • Dehydration due to inability to hold any water down
  • Bloating
  • Abdominal pain
  • Hunching or whining

Can humans get a twisted stomach?

Sometimes an organ can begin to rotate and become twisted. This type of condition is more commonly seen with the intestines ( twisted bowel) but can also occur with the stomach. What is gastric volvulus? Gastric volvulus is also known commonly as a twisted stomach. It is a rare condition where the stomach rotates abnormally more than 180º.

What causes twisted stomach in humans?

Stomach dilation, more commonly know as Twisted Stomach, Gastric Torsion or GDV, is a disease that is caused by an accumulation of gas and liquid within the stomach.There are various factors that also cause the accumulation of gases in the stomach.

How to prevent twisted stomach?

Twisted stomach in dogs is a problem that is much more common than you might imagine, so common that it’s possible that your dog will suffer from it at some point. That’s why it’s so important to know what it is, what the symptoms are, and of course, how to prevent it.

What causes a twisted stomach?

Malrotation occurs when a problem with the way the intestines form causes them to settle in the wrong place in the abdomen. This can cause the intestines to twist or become blocked. In adults, causes of a sigmoid volvulus include: an enlarged colon.

How do you know if your stomach is twisted?

It is traditionally diagnosed by seeing intrathoracic viscera in the chest radiograph; this can be followed by a barium contrast study or upper gastrointestinal endoscopy. Currently, computed tomography (CT) scan can lead to an immediate diagnosis with all the anatomical details.May 6, 2011

How serious is a twisted stomach?

A twisted stomach can have life-threatening consequences, including bowel ischemia and infarction. Haddad et al state that it is therefore important to be aware of this disorder, to avoid delays in diagnosis and complications; mortality can reach 50%.May 24, 2016

Can a human have a twisted stomach?

Gastric volvulus or volvulus of stomach is a twisting of all or part of the stomach by more than 180 degrees with obstruction of the flow of material through the stomach, variable loss of blood supply and possible tissue death.

How long can you live with a twisted bowel?

Without any fluids (either as sips, ice chips or intravenously) people with a complete bowel obstruction most often survive a week or two. Sometimes it's only a few days, sometimes as long as three weeks. With fluids, survival time may be extended by a few weeks or even a month or two.

What does a twisted gut feel like?

Severe abdominal pain, cramps and bloating. Decreased appetite or inability to eat. Nausea and/ or vomiting. Inability to pass gas or stool.

What is it called when your stomach twists?

This condition is referred to as gastric volvulus or twisted stomach. The twisting of the stomach can occur in different planes. A twisted stomach adversely affects the movement of food through the stomach.

What type of ligaments are responsible for stomach twisting?

These ligaments allow a certain degree of flexibility, but are taut enough to prevent the stomach from twisting. Type I (idiopathic) gas tric volvulus is believed to occur when the ligaments holding the stomach in place become abnormally lax.

What happens if gastric volvulus is not treated?

Potentially lethal complications may arise if gastric volvulus is not treated promptly. The following are some of the potential complications: Necrosis of the stomach tissue can occur if the blood supply to the stomach ceases due to compression of the blood vessels that supply the stomach.

What type of volvulus is mesenteroaxial?

Mesenteroaxial type: About 30% of the cases of gastric volvulus are of the mesenteroaxial type. Combined type: Cases with combined type of gastric volvulus (involving both organoaxial and mesenteroaxial twisting) are rare.

How to treat gastric volvulus?

Treatment for Gastric Volvulus. The main treatment for gastric volvulus is surgical correction. Medications may be prescribed to provide relief from the symptoms. In acute cases, surgery is an immediate requirement. In chronic cases of gastric volvulus, surgery is done to prevent serious complications.

Where does gastric volvulus pain occur?

The following are some of the signs and symptoms that may occur with gastric volvulus: Abdominal pain may occur in the upper left or upper middle quadrant. A sharp pain may be perceived in the chest. The pain may also radiate to other areas such as the left shoulder, arm, neck, and back regions.

Can gastric volvulus cause death?

It can also cause compression of nearby blood vessels, thereby choking blood supply to the stomach. The lack of blood supply can then lead to the death of the affected tissue areas in the stomach. Further serious complications include stomach tears. Gastric volvulus is a very uncommon condition.

What is a twisted stomach?

Gastric volvulus is a condition where the stomach has rotated along it’s long or short axis, leading to gastric outlet obstruction and the prevention of digested products from entering the intestine. It may also be referred to as having a “twisted stomach.” Gastric volvulus symptoms may present acutely (suddenly) or chronically (over time), with the potential of leading to ischemic damage.

What is the term for when the stomach flips upside down?

Mesenteroaxial gastric volvulus: This is when the stomach flips upside down with the back of the stomach facing forwards. This type infrequently leads to blood supply obstruction but can give rise to a more chronic condition of gastric volvulus. Mesentroaxial type accounts for about 30 percent of all cases of gastric volvulus.

What causes a gastric volvulus defect?

Some gastric volvulus causing defects include: Defects of the diaphragm. Defects of the gastric ligaments. Adhesions or bands that may attach to the stomach — a complication of abdominal surgery. A lack of spleen or an under-functioning spleen, reducing the support of the stomach by neighboring organs. Depending on the degree of gastric rotation, ...

What is the name of the condition that causes the stomach to move more liberally?

Individuals suffering from congenital defects of the stomach structures are predisposed to gastric volvulus. Congenital gastric volvulus (type 2) means an individual is born with a defect that allows their stomach to move more liberally, making them more prone to the condition.

What is an acute gastric volvulus?

Acute gastric volvulus: Occurring suddenly and is considered an emergency situation requiring surgical intervention. Doctors will be unable to pass a tube down into the stomach with this condition. Organoaxial gastric volvulus: Characterized by the stomach revolving along its length.

Is gastric volvulus idiopathic?

Despite these structures existing, there are times when gastric volvulus can occur regardless. This is termed “idiopathic” or occurring due to unknown causes. Idiopathic gastric volvulus (type 1) accounts for nearly two-thirds of all cases and is more common in adults. However, some cases have been reported in children.

Is volvulus a twisted stomach?

It may also be referred to as having a “twisted stomach.”. Gastric volvulus symptoms may present acutely (suddenly) or chronically (over time), with the potential of leading to ischemic damage. Fortunately, gastric volvulus is a rare condition, with 80–90 percent of adults developing it after the age of 50. Gastric volvulus occurs equally in both ...

What does it mean when your stomach is twisted?

Depends : What do you mean by twisted stomach? If one means malrotation then it is a congenital defect in which non or abnormal fixation of the intestine occurr ... Read More

What is gastric volvulus?

Gastric volvulus: Is a condition where by the stomach twist and causes obstruction and strangulation of the stomach. One reason could be large redundant stomach with lo ... Read More

What is the term for abnormal rotation of the blood vessels?

Birth anatomy: Your question needs slightly more info. There is a term called malrotation and deals with abnormal rotation of the blood vessels an the small intestin ... Read More

Why does my lower abdomen twist?

Menstrual cramps is another common cause of a twisting pain in the lower abdomen. For some women this may feel like mild discomfort while for others it can be severe pain. These very painful menstrual cramps during periods (menstruation) is also referred to as dysmenorrhea.

Where is the stomach located?

This is anatomically incorrect as the stomach is a specific organ in the abdominal cavity. It is located in the upper left quadrant of the abdominal cavity and stomach conditions usually cause pain in this region. However, it is not uncommon a twisting abdominal pain to instead be described as ...

What does it mean when you have cramps and pain?

Often the abdominal cramps or pain are relieved with a bowel movement. The abdominal cramps or pain may at times be described as a twisting pain. Irritable bowel syndrome (IBS) should not be confused with inflammatory bowel disease (IBD), where abdominal cramps and pain may also occur.

What is it called when you have cramps during your period?

It usually only lasts during the course of the period and resolves thereafter. Some women may experience cramps or pain mid-cycle. This pain is known as mittelschmerz or ovulation pain since it occurs with ovulation. Menstrual cramps may be accompanied by other symptoms like nausea and irritability.

What is abdominal pain?

Abdominal pain may be described as cramping, sharp, stabbing, gnawing or as a dull ache.

Why does my bowel wall get inflamed?

In food allergies, the bowel wall becomes inflamed due to abnormal immune activity (allergic reaction) to the presence of certain foods, for example celiac disease. In food intolerance the digestive system is unable to digest certain foods, for example lactose intolerance.

Can a heart attack cause a twisting pain in the abdomen?

Similarly a heart attack that may present with the a constricting or squeezing pain in the chest can in some rare instances present with a twisting pain in the upper abdomen.

What is a twisted bowel?

A twisted bowel is a serious condition that needs quick care. Your treatment plan depends on where the twist is in your intestine and your overall health. Explore the options, then talk with your doctor to figure out the best option for you.

What is the most common form of twisted bowel?

The most common form of twisted bowel is sigmoid volvulus. It’s the twisting of the last part of your colon, called the sigmoid colon. It can also happen in the beginning of the large intestine (the cecum and ascending colon). If it's twisted there, that’s called cecal volvulus.

What is the procedure to remove the cecum and ascending colon?

If you have cecal volvulus, the beginning of your large intestine is removed, including the cecum and ascending colon. The part that's left is then attached to the end of your small intestine. Colostomy: Like a colectomy, this surgery involves taking out the twisted portion of the lower intestine.

What is the best treatment for a twisting bowel?

Surgeries. Surgery is an option to treat volvulus and stop the intestine from twisting again. Types of surgeries for twisted bowel include: Colectomy: This is a surgery that removes all or part of your colon. For a twist in the lower colon, your doctor will take out the affected part of your intestine.

What happens if you twist your bowel?

If this happens, the tissue in that area of the intestine can die. That can cause serious problems. The most common form of twisted bowel is sigmoid volvulus.

How long does it take for a colostomy bag to be reversed?

It’s the same as a colostomy, except that it can be reversed in 3 to 6 months if you’re feeling better.

Can you straighten out a twist in your colon?

Nonsurgical Options. In some cases, you won't need surgery to straighten things out. If the twist is in the sigmoid colon, your doctor may first try a sigmoidoscopy. They’ll put a flexible tube (or sigmoidoscope) through your rectum and into the lower part of your colon.

What to do if my dog has a twisted stomach?

What to do if my dog has symptoms of twisted stomach? If you notice one or several of these symptoms of twisted stomach in dogs, you should go to your veterinarian or a veterinary clinic immediately. Time is a fundamental factor that can make the difference between whether your dog lives or dies.

What happens when a dog's stomach is full?

When a dog’s stomach is full of food or gas, it naturally expands, just like in humans. But in dogs, the stomach is held by two tendons, which sometimes aren’t strong enough to hold it correctly. When this happens, the dog’s stomach can adopt unnatural positions, becoming twisted in such a way that its contents can’t pass into ...

What causes a twisted stomach?

Causes of Twisting Bowel 1 Primary causes include gut mobility and poor diet. These conditions are observed in children and adults. Colonic volvulus is also more common in pregnant women. 2 Secondary causes include underlying health concerns such as adhesions in the colon or redundant intestinal tissue. These causes are significantly more common in adults over the age of 40.

How to tell if you have a twisting stomach?

Symptoms of Twisting Bowel. The most common symptoms include dizziness, nausea, vomiting, unexplained swollen stomach, constipation, bloating, and difficulty making a bowel movement and blood stool. Skin near the twist may be distended and tender. Some patients also report shortness of breath, intense fatigue or backaches when suffering from it.

What is a twist in the small intestine called?

If there is a change in the natural shape of the intestines, this can be known as a twisted bowel. A twist in the small intestine is referred to as a volvulus. Twists in the large intestine are known as a colonic volvulus. These abnormal twists or loops can cause an obstruction or other medical conditions which could be fatal.

Why do babies have twisting bowels?

Twists in the bowels may also occur after surgery on the abdomen. Primary causes include gut mobility and poor diet. These conditions are observed in children and adults.

What is the bowel?

The bowel is a layman's term for the portion of the alimentary canal in the intestine. This area extends from the pyloric sphincter of the stomach down to the anus. In humans, this area consists of the small and large intestine. The small intestine is further divided into the jejunum, duodenum and ileum, and the large intestine is divided into ...

What are the different parts of the small intestine?

The small intestine is further divided into the jejunum, duodenum and ileum, and the large intestine is divided into the cecum, rectum and colon. These areas each work to break down food and absorb nutrients, transferring these nutrients to the blood stream where they can be shared with cells throughout the body.

What to do if you have twisted bowels?

If you suspect that you are suffering from twisted bowel, your doctor will need to perform examinations to check for the condition. These may include a stool analysis, barium enema, a computed tomography (CT) scan or magnetic resonance imaging (MRI) scan. If your symptoms match other conditions that cause digestive distress, your doctor may opt to perform a laparotomy. This is a minimally invasive surgical procedure that is used to examine abdominal organs for damage.

What does it mean when your stomach is tight?

A tight stomach is often described as a sensation in which the muscles in your stomach feel tight for a period time. It may feel similar to abdominal bloating, and is often accompanied by other symptoms such as cramping. The sensation may be described differently by different people.

What does it mean when your stomach feels like it's getting tight?

If you experience a feeling in your stomach that’s more than butterflies but not quite painful, you may have what’s referred to as a tight stomach. This isn’t an illness or disease. Rather, it’s a symptom of an underlying condition. Conditions can range from minor, annoying ones to potentially serious ones.

What is the bowel syndrome?

Irritable bowel syndrome (IBS) IBS is a group of intestinal symptoms that may include stomach tightening. Other symptoms of IBS may include: IBS can often be managed with dietary and lifestyle changes. In some cases, medication may be necessary.

How to treat constipation from a rectal blockage?

Constipation can typically be treated by making dietary changes, such as consuming adequate amounts of water and fiber. Supplements, probiotics, and laxatives may also help treat constipation. In more serious cases, medications are prescribed.

Why does my stomach tighten?

Anxiety. In some cases, stomach tightening may be brought on by anxiety and what’s known as a nervous stomach. Other signs of anxiety may include the following: nervousness, restlessness, or being tense. feelings of danger, panic, or dread. rapid heart rate. rapid breathing, or hyperventilation. increased or heavy sweating.

What causes indigestion?

Many of them are related to lifestyle and include: overeating or eating too quickly. consuming too much caffeine or alcohol. smoking. anxiety. certain medications. Other symptoms that may accompany indigestion include:

How do you know if you have tight stomach?

If you ever have any of the following symptoms along with stomach tightness, seek medical attention immediately: severe pain. swelling of the stomach. weight loss. fever. bloody stools. ongoing nausea and vomiting. yellow tint to skin. unexplained changes in bowel habits.

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Mechanism

  • As with all organs in the body, the stomach has a set orientation. Most of the abdominal organs, especially the different parts of the digestive tract, have some degree of mobility. However, these minor changes in position are limited and usually does not change the orientation of the organ u…
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Epidemiology

  • With gastric volvulus being such an uncommon condition and presenting with symptoms similar to more common digestive conditions, it is sometimes missed in the early stages. About 10% to 20% of cases occur in children and gastric volvulus mainly arises before the age of 50 years. It affects both males and females equally. The cause of most cases of gastric volvulus is not kno…
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Classification

  • A gastric volvulus may be classified according to the way in which the stomach twists (the axis around which it twists) or by the cause of the volvulus. The first classification includes:
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Causes

  • The second classification according to cause includes: There is significant movement that occurs within the stomach. The strong muscles in the stomach wall contract and relax to mechanically breakdown food and aid with chemical digestion by mixing the food, digestive enzymes and stomach acid. These contractions can cause the stomach to move to a significant degree but it …
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Signs and symptoms

  • A gastric volvulus may not always present with any major signs and symptoms depending on the degree of rotation. Sometimes the symptoms are subtle and often mistaken for other more common gastrointestinal ailments. Signs and symptoms of gastric volvulus include:
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Diagnosis

  • The presence of these signs and symptoms should warrant further investigations to confirm the diagnosis of gastric volvulus. This may involve the following investigations:
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Prognosis

  • Severe cases of gastric volvulus particularly where prompt treatment is not forthcoming can lead to complications, some of which are p0tentially life-threatening.
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Treatment

  • A gastric volvulus may be acute or chronic. Emergency surgery is necessary for an acute gastric volvulus. Surgery is also needed in chronic cases but it is usually done to prevent complications. Surgery involves relieving the twisted portion and may further involve repairing any defect that resulted in the volvulus. Medication may be prescribed for symptomatic relief in a gastric volvul…
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