Understanding Gastroparesis

A Comprehensive Guide to Delayed Gastric Emptying

Gastroenterology

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Last updated: Mar 24, 2025

What is Gastroparesis?

Gastroparesis is a condition where the stomach cannot empty itself of food normally. The term literally means "stomach paralysis," though it's usually a partial rather than complete paralysis.

Common Symptoms

  • Nausea and vomiting
  • Early satiety (feeling full quickly)
  • Bloating
  • Upper abdominal pain
  • Heartburn
  • Poor appetite
  • Unintended weight loss

Causes

Primary Causes

  • Diabetes (most common cause)
  • Post-surgical complications
  • Neurological conditions

Other Contributing Factors

  • Certain medications
  • Viral infections
  • Autoimmune disorders
  • Idiopathic (unknown cause)

Diagnosis

Common Tests Include:

  • Gastric emptying scintigraphy
  • Wireless motility capsule
  • Upper endoscopy
  • Blood tests

Treatment Options

Dietary Modifications

  • Eating smaller, more frequent meals
  • Low-fiber diet
  • Avoiding fatty foods
  • Proper hydration

Medications

  • Anti-nausea drugs (antiemetics)
  • Motility medications
  • Pain management medications

Advanced Treatments

  • Gastric electrical stimulation
  • Surgical procedures (in severe cases)

Living with Gastroparesis

Self-Management Tips

  • Keep a food diary
  • Maintain blood sugar control (especially for diabetics)
  • Eat at regular intervals
  • Stay upright after meals

When to Seek Medical Care

  • Severe vomiting
  • Inability to eat or drink
  • Significant weight loss
  • Signs of dehydration
  • Severe abdominal pain

Prognosis and Outlook

While gastroparesis is a chronic condition, many patients can achieve symptom control through proper management and treatment adherence.

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