Doctor insights on:
Quickly Gastroparesis Treatment
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
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
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
No great therapy: Chew food well, earring sitting up and wash down with liquids. ...Read more
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 moreSee 4 more doctor answers
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
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
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 moreSee 1 more doctor answer
I'm being treated for acute Lyme disease with IV anitibiotics. How long does it take to feel better once this treatment begins?
A few days: Usually people start feeling better within the first week. ...Read more
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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?
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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
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
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