DELAYEDGASTRIC EMPTYING, GASTROPARESIS

Gastroparesis occurs when normal movement of smooth muscles in the stomach is affected and slowed down. It can be due to some medicines like antidepressants, opioids, medications for blood pressure and allergies because these medicines slow down the gastric motility.

Symptoms

Nausea and Vomiting
Feeling like stomach is full only after some bites
Low appetite
Reflux of acid
Flatulence
Pain in abdomen
Undigested food in vomiting that was eaten 2 3 hours earlier
Blood glucose levels change
Low weight and malnutrition

Causes

Gastroparesis can be due to damage to vagus nerve ( nerve which controls movement of muscles in stomach). Vagus nerve damage can be due to some diseases like diabetes, surgeries which involve small intestine or stomach.

Diagnosis

Gastric emptying study
Endoscopy of upper gastrointestinal tract
X-ray
Ultrasound

Treatment

If there is any underlying condition, treatment for it should be given first. Some medications and surgical procedures for gastroparesis are given below:

Medications

Muscle stimulators: erythromycin (Eryc, E.E.S.) metoclopramide (Reglan).
For nausea and vomiting: diphenhydramine (Benadryl, Unisom) and prochlorperazine (Compro)

Surgical treatment

A jejunostomy tube (feeding tube) can be used for relaying the pressure inside the stomach. These tubes can be passed through mouth, nose, or through skin. These are temporary and can be used when the condition is severe.

Lifestyle modifications

Have meals in small portions
Take small bites and chew it thoroughly’
Try eating well cooked food rather than having raw vegetables.
Avoid lying down after taking food
Decrease carbonated drinks in diet

DELAYEDGASTRIC EMPTYING, GASTROPARESIS