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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 moreSee 1 more doctor answer
Was Dx & treated for idiopathic gastroparesis 5 years ago, & now Dx with late stage Lyme. Having symptoms of gastro again, could Lyme be the cause?
It has been describe: it has been described but am not certain how validated those descriptions are. It is unusual but other neurological syndromes have been noted. This is not an easy question to answer and you can discuss it with your physician and if so needed be referred to a center that treats lyme disease. ...Read more
Told my gastroparesis can't be treated due to being allergic to reglan. My t 1/2 time = 342min . What other options can I ask my dr about?
Lots of options...: Depending on the nature of your gastroparesis (dysmotility versus partial obstruction) treatment options may include: gastric pacemaker insertion, pro-motilin drugs like Erythromycin (yes, the antibiotic), experimental protocol therapies (there are several), and medications that are not fda-approved but available outside the us (like zelnorm, domperidone). Discuss merits of each with your doctor. ...Read more
Depends on cause: Do you indeed possess biopsy proven small fibre neuropathy, and have blood and urine studies been completed to uncover causation? (gastroparesis and small fibre issues can be seen in diabetes for example.) sometimes, an increase in fiber consumption will help. Although the medical food metanx may help peripheral nerves, not clear if it affects gastroparesis, but worthwhile trying. ...Read more
'Relative paralysis': The stomach does not empty effectively. There are a number of common causes - especially diabetes, hypothyroidism. But medication side effects can mimic this condition too. Sadly, treatment can be difficult. Avoid regular (daily) use of Metoclopramide as the body develops tolerance to it and possible side-effects from regular use can be devastating. ...Read moreSee 1 more doctor answer
Gastroparesis Rx: Since fatty foods normally slow gastric emptying, we typically recommend a low fat diet with gastroparesis (slow emptying). Sweet, rich foods will also slow stomach emptying. Signs of delayed gastric emptying include early fullness, altered appetite, nausea and sometimes heartburn/vomiting. There are also medications available for the treatment of gastroparesis. ...Read moreSee 1 more doctor answer
Complications rare.: Gastroparesis is a broad term to describe delayed gastric emptying and can result in a variety of symptoms such as nausea, vomiting, early satiety, abdominal pain and bloating. There are rare adherent complications of and those most commonly occur as as a consequences of poor nutritional intake. ...Read moreSee 1 more doctor answer
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