Gastroparesis is a condition where the stomach cannot empty properly due to nerve damage. Here's a breakdown of its symptoms, diagnosis, testing, and treatment plan.
Nausea and vomiting: Feeling queasy or vomiting shortly after eating.
Feeling full quickly: Even after consuming a small amount of food, you might feel excessively full.
Bloating: The abdomen might feel swollen or bloated.
Abdominal pain: Discomfort or pain in the abdomen.
Heartburn or acid reflux: A burning sensation in the chest due to stomach acid flowing back up into the esophagus.
Fluctuations in blood sugar levels: Especially for individuals with diabetes.
Dietary modifications: Eating smaller, more frequent meals that are low in fiber and fat can help manage symptoms.
Medications: Prokinetic agents such as metoclopramide or erythromycin can help improve stomach emptying.
Antiemetics: Medications to control nausea and vomiting.
Pain management: Over-the-counter or prescription pain relievers may be recommended for abdominal discomfort.
Gastric electrical stimulation: In some cases, a device similar to a pacemaker can be implanted to help regulate stomach contractions.
Nutritional support: In severe cases where eating becomes difficult, a feeding tube or intravenous nutrition may be necessary.
Medical history and physical exam: Your doctor will inquire about your symptoms and perform a physical examination.
Gastric emptying study: This test involves eating a meal containing a small amount of radioactive material, which allows doctors to track how quickly the stomach empties.
Upper endoscopy: A flexible tube with a camera is inserted into the mouth to examine the esophagus, stomach, and small intestine.
Gastric manometry: This test measures the contractions and movements of the stomach muscles.
Blood tests: To check for underlying conditions such as diabetes or thyroid disorders.
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