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Doctor insights on: Quickly Gastroparesis Treatment

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How is gastroparesis treated?

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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Dr. Vivek Huilgol
425 doctors shared insights

Gastroparesis (Definition)

A condition where the stomach is not able to empty its contents, but not because ...Read more


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How are gastroparesis symptoms managed?

How are gastroparesis symptoms managed?

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

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Can severe gastroparesis kill you?

Can severe gastroparesis kill you?

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

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Can a stasis ulcer recur after treatment?

Can a stasis ulcer recur after treatment?

Yes: Yes. If the underlying venous insufficiency was not addressed then a recurrence will occur. Another reason is non-compliance with the use of compression socks/wraps. ...Read more

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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

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What will the treatment be for mild esophageal dysmotility?

What will the treatment be for mild esophageal dysmotility?

No great therapy: Chew food well, earring sitting up and wash down with liquids. ...Read more

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Do many gastric ulcer patients respond to treatment with antibiotics?

Do many gastric ulcer patients respond to treatment with antibiotics?

Depends: If they have infection with helicobacter pylori which has been associated with some ulcers, the patients often improve with antibiotics and acid lowering medications. ...Read more

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How effective the homeopathy medication for peptic ulcer? Is it possible to kill the h.Pylori bacteria permanently through homeopathy medication?

How effective the homeopathy medication for peptic ulcer? Is it possible to kill the h.Pylori bacteria permanently through homeopathy medication?

Homeopathy ; ulcer: Many homeopathic remedies are known to help with peptic ulcer, not just one. The best for a given individual is found through careful case-taking with a professional homeopath. Killing h pylori is a different thing entirely, as homeopathy is focused on strengthening the person's deep-level resilience. (not everyone testing positive for h pylori has ulcers.) antibiotics kill the organism. ...Read more

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Treatment for intestinal strictures?

Treatment for intestinal strictures?

Depends: What is the cause of the strictures? If it is from adhesions, the scar tissue is removed. If it is from something unusual like carcinoid tumor, then bowel resection. If from crohn's disease, then sometimes bowel resection or stricturoplasty. Stricture of colon from diverticulitis would need colon resection. Etc. ...Read more

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How is gastroparesis caused by idiopathic small fiber neuropathy treated?

How is gastroparesis caused by idiopathic small fiber neuropathy treated?

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

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Can you please suggest treatment for quick healing of diabetic neuropathic ulcer?

Can you please suggest treatment for quick healing of diabetic neuropathic ulcer?

Rx Diabetic Ulcer: There are two main causes of diabetic foot ulcers: neuropathy and arterial. These have different forms of treatment. Unfortunately, both can be involved in the same ulceration so attention by a trained health professional is vital. Contact your primary care physician, wound center, or podiatrist for further workup and attention. ...Read more

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How quickly can a neurological disease progress ?

How quickly can a neurological disease progress ?

It depends: It depends on the type of the neurological disease process...A stroke can progress fairly fast or acutely, or in parkinson's disease where cells in the brain die off over time , rather slowly. They may also come and go like the relapsing remitting type of multiple sclerosis ...Read more

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Can sleep apnea cause hypogonadism? How long for latter to resolve after former successfully treated?

Can sleep apnea cause hypogonadism? How long for latter to resolve after former successfully treated?

Other way around ...: Sleep apnea and other forms of poor sleep don't directly cause hypogonadism, although obesity (linked to sleep apnea) is correlated w/low T b/c excess Estradiol (from obesity) leads to less Free T. That's why we often recommend exercise & weight loss to treat low T. OTOH, TRT can aggravate sleep apnea so sleep should be monitored if you have OSA or are at risk. ...Read more

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How quickly should treatment start for diffuse large b cell lymphoma?

How quickly should treatment start for diffuse large b cell lymphoma?

Fairly quickly: This is a very fast growing disease which in most cases has already caused some damage before it is discovered. It is important to quickly stage the disease and then begin treatment. Your oncologist will know how much time can pass before you start treatment. Everyone is different in this respect and sometimes life's issues (graduations, weddings) can be worked around..And sometimes not. ...Read more

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Which treatment works the best and fastest for esophageal varices?

Which treatment works the best and fastest for esophageal varices?

Depends: Best is to treat the liver failure, reducing the pressure that creates the varices. Can be done with medication, tips shunt or transplant. Bleeding varices can be banded using GI scope and medical treatments. Liver failure that has progressed to such a state has a high mortality risk if not treated. Alcohol, tobacco and drug use should stop immediately. ...Read more

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What medications can slow gastric emptying?

What medications can slow gastric emptying?

Meds: Several medications can do this. Narcotics such as morphine, certain antacid medications, antihistamines, as well as some antidepressant type meds. ...Read more

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Does 0.6 of victoza (liraglutide) cause slow gastric emptying and vomit?

Does 0.6 of victoza (liraglutide) cause slow gastric emptying and vomit?

Side effects: One of the side effects of Victoza (liraglutide) is nausea, and this can lead to vomiting. Often these are initial symptoms that go away with continued use. ...Read more

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What are the current best treatment options for mild- moderate gastroparesis?

Gastroparesis: treatment of gastroparesis is too complex to go into a 400 character note. A great, easy to understand summary can be found at http://www.medicinenet.com/gastroparesis/page4.htm#how_is_gastroparesis_treated however. Good luck. ...Read more

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Is there an over-the-counter treatment for gastroparesis?

Diet: Diet is the only non prescription treatment for gastroparesis. Low fat, low residue diet is recommended. Small frequent meals are also advised. ...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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Is marijuana be an effective treatment for gastroparesis?

Unlikely: Marijuana can cause symptoms similar to schizophrenia and i don't advise u to try it. ...Read more

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What are the side effects of botox for the treatment of nondiabetic gastroparesis?

What are the side effects of botox for the treatment of nondiabetic gastroparesis?

Unknown...: There are a few studies looking at the effectiveness of Botox injection of the pylorus in patients with idiopathic gastroparesis and none showed it to be any better than placebo. There were no significant side effects of Botox injection of the pylorus in the studies. Good luck! ...Read more

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What are the side effects of domperidone for the treatment of idiopathic gastroparesis?

Read this: Bellow is link to wikipedia. The content should give you some answers to your question. I' d advise that you further discuss this with your doctor who knows your immediate problem and circumstances of you life. http://en.wikipedia.org/wiki/domperidone. ...Read more

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My grandson (2 1/2 years old) has diagnosed gastroparesis- very slow emptying of stomach. Can he grow out of it? Any treatment/medication for this?

My grandson (2 1/2 years old) has diagnosed gastroparesis- very slow emptying of stomach.  Can he grow out of it?  Any treatment/medication for this?

Yes : There is medication for this but there can be side effects to each one. Your son or daughter will talk to the gastroenterologist i'm sure. With children that age there is always a chance of outgrowing a problem, unless there was a congenital permanent nerve damage. ...Read more

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Can you have gastroparesis long term after treatment for testicular cancer with etoposide and cisplatin chemotherapy? What do you do for this if so?

Not related: Gastroparesis is an ill defined entity of unknown cause. So I would not worry about it. Symtomatic treatment to control your acidity or anorexia may help. Do you have a gastroenterologist treating you for this problem? ...Read more

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Any new treatments for gastroparesis?

Yes: Pro motility drugs could help and slow small feedings. Reglan (metoclopramide) and macrolides.Cisapride is no longer in the market. Adverse effects are significant. ...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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How long can post viral gastroparesis last for and what are the best treatments

Hard to know: The condition can be short-lived but can also last for years unfortunately. Eating smaller more frequent meals help. There are not too many fda-approved drugs for this condition and most have side effects. Try to be patient and good luck. ...Read more

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Diagnosed with gastroparesis and irritable bowel syndrome but treatments don't work. Why?

Gastroparesis hard: Unfortunately there is no good treatment to gastroparesis, there motility centers that might help, have your gastroenetrologist help you out. ...Read more

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Best treatment plan for gastroparisis, barretts, nighttime gasbloat and hiatal hernia, IBS ?I see a GI , just for looking options as im newly diagnosed.

Best treatment plan for gastroparisis, barretts, nighttime gasbloat and hiatal hernia, IBS ?I see a GI , just for looking options as im newly diagnosed.

See below: Complex but not rare constellation of problems. Barrett esophagus most important - severe esophageal damage due to reflux. If no dysplasia on biopsies can be treated by hernia repair and fundoplication. Repeat surveillance endoscopy may be advised first. Gastroparesis concerning but fundo. Can sometimes improve gastric emptying. By lbs do you mean morbid obesity? Running out of space. ...Read more

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What’s the life expectancy of someone with gastroparesis? (With no notable sings of bad nutrition at all)

Depends on underlyin: Life expectancy's hard to answer; it depends on the patient's underlying conditions (cancer? autoimmune disease? diabetes? neurologic diagnosis?) more so than on gastroparesis per se. Gastroparesis just means that the food transits slowly. It says nothing about whether the food is nutritive, or if the nutrient absorption is poor. So nutrition may be good in gastroparesis. TTYD or HealthTap Prime. ...Read more

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How can I get Domperidone for gastroparesis in the U.S. (NY)?

How can I get Domperidone for gastroparesis in the U.S. (NY)?

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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How common is gastroparesis?

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

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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