Doctor insights on:
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
Told my gastroparesis can't be treated due to being allergic to reglan (metoclopramide). 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
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
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
See below:: Only one single study has assessed the prevalence of gastroparesis. Based on clinical records, about 30 per 100, 000 persons will have sought medical attention for gastroparesis with an increasing prevalence with age. H.-k. Jung, r. S. Choung, g. R. Locke iii et al., “the incidence, prevalence, and outcomes of patients with gastroparesis in olmsted county, minnesota, from 1996 to 2006, ” gastroenter. ...Read more
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
Gastroparesis: Gastroparesis is a condition in which food does not progress down the GI tract. It remains undigested in the stomach where it can cause symptoms like gas, bloating, nausea, and reflux among others. Gastroparesis can happen after surgery for a short period of time or this can be a chronic condition from having diabetes for a long time. ...Read more