Doctor insights on:
What Does Gastroparesis Feel Like
'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
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
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
Gastroparesis Dx: The 'gold standard' is a radiology study called a 'gastric emptying study'. That being said, certain conditions identified during upper endoscopy can be diagnostic. For example a large bezoar - a mass of undigested food (typically) is usually diagnostic. ...Read moreSee 1 more doctor answer
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 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
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