Gastroparesis (GP) is a chronic motility disorder of the stomach. GP often responds to multiple treatment options even though a 100% cure is unlikely. You have been referred to our specialty clinic for recommendations on guiding you to a personalized treatment regimen that best fits you.
In GP, the stomach has difficulty, or the inability, to empty its contents into the small intestine. The result is that ingested food, liquid, and swallowed air remains in the stomach instead of passing through. A range of symptoms are then experienced by the patient. Classically, patients experience nausea, vomiting, bloating, reflux and abdominal pain. These symptoms are directly related to the immobility of the stomach. Our goal is to you improve your symptoms.
In our clinic, most GP patients acquired the disease for an unknown reason (idiopathic). Other causes include from diabetic neuropathy, and as a result of a surgical procedure intended for another diagnosis. Some possible idiopathic sources thought to cause GP are viruses, neurological disorders, autoimmune diseases, hypo and hyperthyroidism, mitochondrial diseases and eating disorders.
Once symptoms of GP are identified, objective testing should be done to confirm the diagnosis. A gastric emptying study (GES) is the gold standard. It involves the patient eating a meal, usually scrambled eggs, labeled with trace amount of radioactive material. Scans are then taken of the patient at different time intervals, up to 4 hours, to watch the progression of the meal through the stomach. Based on the remaining amount of stomach contents at the end of each interval will diagnose GP.
Narcotics DO NOT successfully treat the symptoms.
Regardless of the cause, the treatments are the same. There is no cure for gastroparesis, but there are treatments available for symptomatic relief that vary in their effectiveness.
Most people with GP require a combination of treatments.
***MAIN GOALS – low fat, low fiber, small frequent meals***
*REMEMBER – the goal is to help your stomach empty.
3. Natural remedies
4. Surgery - your surgeon will discuss which procedure is right for you. Surgery may become an option as these prior methods don't help improve symptoms.
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