A member asked:

How can i treat gastroparesis?

11 doctors weighed in across 4 answers

Treat Gastroparesis: Gastroparesis means a slow-emptying stomach. Causes may be mechanical (obstruction, or the stomach outlet narrowed from healing of past inflammation, treated by endoscopic dilation), post-inflammatory (due to swelling of the stomach lining from ulcers, treated with acid blockers), or neurologic (as with diabetes, treated with rx that stimulates motility--domperidone, erythromycin, reglan, (metoclopramide) zelnorm).

Answered 6/23/2020

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Gastroparesis Rx: Diet: avoid roast beef, stringy foods (celery, asparagus, cabbage etc.) careful use of rotating medications and never daily. I alternate Erythromycin and metoclopramide, using each for 2-3 days per 2-week period, ie med for 2-3 days, then none, then the other for 2-3 days, then none etc. Optimizing diabetes management and excluding correctable causes (eg thyroid replacement) also important...

Answered 6/25/2014

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Depends on severity: You can eat smaller meals more frequently. Avoid fatty foods. Consult a gastroenterologist regarding medical treatment, pending severity of your symptoms.

Answered 7/28/2018

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Multiple approaches: Gastroparesis patients have delayed or slow stomach emptying . We can treat them with medications that increase the motility of the stomach and also by dietary management like small, frequent meals, low fat diet, low insoluble fibre diet. Also keeping an eye on hydration and drinking enough fluid.

Answered 9/4/2013

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