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Doctor insights on: Gastroparesis

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Dr. Vivek Huilgol
423 Doctors shared insights

Gastroparesis (Overview)

A condition where the stomach is not able to empty its contents as effectively, but there is not a physical obstruction.


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What should I do if I am losing a lot of weight from gastroparesis?

What should I do if I am losing a lot of weight from gastroparesis?

Liquid supplements: Since gastroparesis tends to mainly affect solid food emptying, try to add more calories in the form of liquid supplements such as boost and ensure. Read more

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Dr. Vivek Huilgol
423 Doctors shared insights

Gastroparesis (Overview)

A condition where the stomach is not able to empty its contents as effectively, but there is not a physical obstruction.


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How does gastroparesis affect my blood sugar?

How does gastroparesis affect my blood sugar?

Instability: The blood sugars may wax and wane as the food stuffs do not travel out in a regular fashion. Better glucose control can improve gastroparesis. Read more

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Can it still be gastroparesis if you have multiple symptoms, but do not vomit? What other diseases could mimic gastroparesis symptom?

Gastroparesis: There several causes that can mimic gastroparetic symptoms. You are likely to have previous work up such as labs, egd/colonoscopy, possible abdominal/pelvic ct to make sure you have no other underlying diseases such as peptic ulcer disease, gallbladder dysfunction, small intestinal bacterial overgrowth, irritable bowel syndrome, inflammatory bowel disease, dyspepsia, food allergies, side effects. Read more

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Can medications control your symptoms of gastroparesis?

Can medications control your symptoms of gastroparesis?

Gastroparesis: Yes. There are numerous medications, surgical procedures, and even gastric pacers that can be used. See a board certified gastroenterologist. Read more

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I was recently diagnosis with gastroparesis a few weeks ago and the medicine im on iz reglan (metoclopramide). What's the time to the pills?

With meals: Not sure what the question is asking but if you are taking this med for gastroparesis, you should take it 30 min before your big meals, so essentially, 3x/day. Read more

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What are ways to diagnose gastroparesis?

What are ways to diagnose gastroparesis?

Gastroparesis: The gold standard is a "gastric emptying study" done by nuclear medicine or radiology. An upper endoscopy can provide findings suggestive of gastroparesis. Read more

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Do they test for gastroparesis, if not what could we do?

Yes: A nuclear gastric emptying study may aid in the diagnosis but it far from perfect. Some places are able to test intestinal motity with a swallowed capsule called a smart pill. Read more

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What tests do they use fore gastroparesis?

Test: The diagnostic test for gastroparesis is called gastric emptying scintigraphy. It's a 4 hours test.. Read more

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Does coffee cause gastroparesis?

No: The most common causes of gastroparesis are: diabetes, medications, infections. Coffee is not known to cause gastroparesis Read more

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My doctor says I have gastroparesis, but I don't understand. What does it mean?

Stomach paralysis: Gastro means having to do with stomach.
Paresis: implies paralysis.

So basically its a condition where your stomach doesn't empty properly (usually delayed emptying) it's a dysfunction of the systems that controls your stomach function. Read more

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How can I treat gastroparesis?

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). Read more

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How is gastroparesis treated?

Dietary first: Unfortunately there is no great treatment for gastroparesis, if there is an underlying cause, such as diabetes blood glucose control may help. Best management options would be dietary changes. Medications are limited by poor efficacy and side effects (i.e. Reglan). Occasionally a gastric pacemaker can be placed, but this is a new technology so limited experience. Read more

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What are the risks associated with gastroparesis treatment?

What are the risks associated with gastroparesis treatment?

Depend on medication: Unfortunately the medical treatment for gastroparesis is limited both in terms of efficacy and safety profile. Macrolide antibiotics has been associated with QT prolongation. Cisapride is no longer available in the US b/c of sudden death. Reglan (metoclopramide) has the potential for devastating neurologic side effects. Domperidone has fewer side effects but not approved for use in the US. Read more

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What are effective treatments for gastroparesis?

Erythromycin: I am sure you have consulted GI at this point if you know the word gastroparesis, and please follow their advise. Erythromycin is an antibiotic that has prokinetic properties, meaning it causes food to move forward in the GI tract. In the past Reglan (metoclopramide) used to be prescribed a lot, however due to possible non-reversible neurologic side effects more and more doctors are not using it for long term. Read more

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Severe RUQ, chest, back pain-only way to get rid of it is to make myself vomit. I'm 22 days post lap chole. I have gastroparesis-could it be pain cause?

Severe RUQ, chest, back pain-only way to get rid of it is to make myself vomit. I'm 22 days post lap chole. I have gastroparesis-could it be pain cause?

See surgeon: This could be related to your surgery, it depends on the symptoms you had prior to surgery. You should see your surgeon because you could have a fluid collection in the RUQ that may compress the stomach leading to the vomiting. It could also be gastroparesis. See your surgeon, you will likely need labs and possibly a CT scan or motility study. Read more

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My mom gets gastroparesis, so am I likely to get it later?

Not necessarily: Some conditions re: neurologic or muscular issues can run in families, but most do not. Read more

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What can I do to reduce my risk for gastroparesis complications?

Several things: If you are a diabetic, you should attempt very tight control of blood sugars. You should consume a low fat diet. Avoid the use of narcotic pain pills or other medications which slow gastric motility. There are medications which can help; you should consult with a gastroenterologist who treats gastroparesis. Read more

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