Doctor insights on:
How Fast Can I Make My Gastroparesis Go Away
Depends on cause: Gastroparesis (delayed emptying of the stomach) can be difficult to treat. If diabetic (most cases are), it may require medications to treat it and likely will not be curable. If due to scleroderma, it may be very difficult to treat. If a side effect of medications (such as narcotics), then stopping the medication (always after discussion with the prescribing physician) should cure it. ...Read more
It may or may not: If the etiology or the cause of a medical condition is not understood its behavior remains unpredictable. I have noticed more and more cases lately of suspected gastroparesis, sometimes even diagnosed with a gastric emptying study that we struggle in treating successfully. Sometimes details get missed: supplements, OTC meds, recreational or prescribed drugs, dietary preferences, etc. ...Read more
I have been diagnosed with gastroparesis. Will it ever go away and is there usually a underlying cause for this disease?
Yes, generally: the diagnosis is somewhat non specific to indicate that your stomach function has slowed down compared to what it was before. Usually this follows an acute infection like gastritis or gastroenteritis which are mostly viral. In most cases, symptoms resolve in 3-4 wks. Make sure to follow up with the doctor who made the diagnosis. Don't let him get away until u recover completely! ...Read more
I've just been diagnosed with diabetic gastroparesis. Does that go away if my sugars go even lower?
Is it possible to make a 100% recovery of post-viral gastroparesis without remission? I am aware it may never go away and will atleast last very long.
Great possibility: You should seek out an integrative doctor who is knowledgeable about functional medicine to help you with repairing your gut and improving your overall recovery. ...Read more
Does post-viral gastroparesis ever go away? If so, timeframe for recovery? Dx'd 6/13, symptoms started 1/13 after rotavirus. Could use some hope. :(
Yes: Most chemotherapeutic effects are transient and symptoms resolve over time. However every patients case is different and therefore your oncologist will be able to give you the best opinion ...Read more
Gastroparesis dx. Reglan (metoclopramide) qid. A week after starting reglan (metoclopramide), (metoclopramide) severe depression/suicidal thoughts started. I have stopped the reglan (metoclopramide). Will it go away?
Yes: An unfortunate side effect of this medication. It has a half life of around 5 hours so you should see an improvement in a couple of days. ...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
Yes: Restaurants now have many alternatives and lots of options to choose from. Just choose the right one that is compatible with your meal plan. ...Read more
Going to be having a total hysteterectomy and have gastroparesis. Are there any additional risks for undergoing general anethesia with gastroparesis?
Yes: Gastroparesis means that your stomach emptying time is prolonged. Do you also have diabetes? It will be imperative for you to strictly follow the nothing by mouth guidelines for 8 hours for solid foods and liquids. In fact i would recommend a full liquid diet for the day before surgery. Be sure you let your anesthesiologist know of this condition at your pre-operative visit. ...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 more
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
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
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 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
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. ...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
Lifestyle/meds: Some simple lifestyle modifications can help with gastroparesis. These including eating smaller, more frequent meals that are easier to digest. If this does not work, medications like Erythromycin have been shown to be most effective in improving motility, of course, fixing the underlying cause is best. If you are diabetic, best management of the diabetes with a target a1c of 6 is ideal. ...Read more