Doctor insights on:
Can Gastroparesis Kill You
Gastroparesis: I have never seen a death due to gastroparesis alone. Theoretically, the resulting dehydration from the vomiting could kill you, if not treated appropriately, particularly if you have other disease conditions. Gastroparesis usually involves chronic vomiting due to paralysis of the stomach which leads to dehydration, and often requires hospitalization to manage the dehdyration and salt losses. ...Read more
No: Have not heard of this being a lethal condition. Medications can frequently treat but if they fail, a laparoscopic gastric pacemaker or laparoscopic sleeve gastrectomy are surgical options that have met with good success rates. ...Read more
Nausea and vomiting: Gastroparesis is a delay in the emptying of the stomach contents into the small intestine. Patients will feel full early when they begin eating. The condition is seen in diabetes, low thyroid function, viral infections and may occur as a result of certain medications. The diagnosis is confirmed by a nuclear medicine gastric emptying study. Small, multiple, low fat meals are a preferred diet. ...Read more
Malnutrition: Untreated gastroparesis can cause nausea, indigestion, and fullness or bloating. It can lead to weight loss and malnutrition. Gastroparesis can be caused by medications such as prescription pain pills. It can be a complication of diabetes, or occur on its own (idiopathic). There are medications which work in some patients, but treatment can be difficult. ...Read more
Slow stomach: Gastroparesis refers to delayed stomach emptying and is frequently present in people with diabetes. There are some cases where this can result from an autoimmune reaction to a viral infection. You can not catch or spread gastroparesis, but you can spread gastroenteritis commonly known as the stomach flu, usually through food or poor hygiene. ...Read more
Surgeon: It is pretty unusual to perform a gastrectomy for gastroperesis. Another option might be a gastrojejunostomy. This bascially re-routes a piece of small intestine up to the stomach so that food can empty from the stomach more easily. Surgeons, especially minimally invasive or laparoscopic surgeons could help talk about the advantages of each approach. ...Read more
Sxs of gastroparesis: Regardless of cause, gastroparesis (delayed gastric emptying) presents with heartburn, chronic or intermittent nausea, vomiting (of old food), bloating, early satiety (fill up quickly), or abdominal pain postprandially (after eating). In mild cases, symptoms subside when the gut is empty but return when again full. One sees increased symptoms after a large solid meal vs a liquid one. Get checked. ...Read more
Small, soft, low fat: Small volume, low fat meals and soft foods are easier for the stomach to process. Consider minimizing tough meat, crunchy fruit/vegetables and fresh bread and instead select casseroles, soft-cooked vegetables, soft pasta, porridge, stewed fruits and dairy desserts like low fat yogurt or mousse. Ref: http://gastroparesisclinic. Org/treatments. Php? PageId=1186&moduleId=204 ...Read more
No: There would be no relationship that I can think of between these conditions. ...Read more
Yes: Gastroparesis is often caused by a tight pylorus valve that makes it difficult for the stomach to properly empty. When the tight pylorus valve finally opens it "dumps" out lots of food rapidly into the intestines which causes abdominal cramping, nausea, diarrhea, and lightheadedness. Opening this valve with laparoscopic pyloroplasty can permanently solve the problem. Botox may temporarily help. ...Read more
Likely no: Usually the two conditions you mentioned are from different reasons. Gastroparesis occurs in those with longstanding diabetics and is a slowed and irregular motility problem of the gut. Atelectasis is a small area of lung that is not inflated fully, and can occur from not taking deep breaths after surgery and from other causes. They don't usually occur at the same time. ...Read more
Domperidone: There are few medicines available that speed up gastric emptying. Domperidone is the most useful and is not available for sale in the USA. Metoclopramide (reglan) can be used, but has serious neurological side effects. The e-mycin drugs can be used, but often tolerance builds quite quickly. ...Read more
Depends: I would assume that depends on the cause of gastroparesis. If this is acute and self limited due to a viral illness then that should resolve in days to weeks. If it is related to a chronic condition then that may depend on how well controlled the chronic condition may be (i.e. diabetes). Sorry but cannot give you a definitive answer ...Read more
Helpful: It can be helpful but it doesn't fix the problem. The effect usually lasts three months or so but each time you do it, it lasts a little less. ...Read more
Compounding pharmacy: Some of your local pharmacies that routinely compound medications may be able to obtain it for you with a doctor's prescription. Good luck-- ...Read more
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