What is Gastroparesis?

Suffering from Heartburn, Nausea or Vomiting?

Schedule a consultation with one of our experienced physicians to see if Gastroparesis is the issue.
Gastroparesis, also called delayed gastric emptying, is a medical condition consisting of a partial paralysis of the stomach, resulting in food remaining in the stomach for an abnormally long time. In normal digestion, the stomach contracts to move food down into the small intestine for additional digestion, with the vagus nerve controlling these contractions. When the vagus nerve is damaged, and the muscles of the stomach and intestines don’t function properly, Gastroparesis may occur.

Gastroparesis is difficult to diagnose because it has many causes, and most of the symptoms are subjective. Since nausea, vomiting, fullness, and pain are not very measurable, they make gastroparesis hard to classify by severity. 

Doctors need to rule out other causes of the symptoms like a bowel obstruction, sphincter of oddi dysfunction, Celiac Sprue, and Irritable Bowel Syndrome. Once doctors have eliminated those possibilities, they should perform a gastric emptying test, the most popular of which is a Scintigraphy.

Gastroparesis Symptoms

  • Nausea
  • Vomiting
  • Abdominal bloating or pain
  • Heartburn or gastroesophageal reflux disease (known as GERD)
  • Changes in your blood sugar levels
  • Lack of appetite
  • Noticeably excessive weight loss/gain

Determining if You Have Gastroparesis

Gastroparesis is difficult to diagnose because it has many causes, and most of the symptoms are subjective. Since nausea, vomiting, fullness, and pain are not very measurable, they make gastroparesis hard to classify by severity.
Doctors need to rule out other causes of the symptoms like a bowel obstruction, sphincter of oddi dysfunction, Celiac Sprue, and Irritable Bowel Syndrome. Once doctors have eliminated those possibilities, they should perform a gastric emptying test, the most popular of which is a Scintigraphy.

Nuclear Scintigraphy usually involves eating an egg meal made with a nuclear isotope. This isotope is followed by the technicians to see how much of the egg meal empties over a four hour period. A percentage is then assigned to the amount that is pushed through the stomach over the four hours. Anything that is less than 90% emptying over four hours is considered positive for gastroparesis.

Treatment of Gastroparesis

Currently, there is no cure for gastroparesis, but there are several treatments available that can control the symptoms of chronic vomiting and nausea. Various treatments for gastroparesis include:

  • Diet Modification
  • Prokinetic Drugs
  • Antiemetic Drugs
  • Enterra Therapy
  • Pyloroplasty
  • Enteral Nutrition
  • Gastrectomy

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