Digestive-diseases A to Z

Diabetic Gastroparesis - gastroparesis, also called delayed gastric emptying, it is a disorder in which the stomach too long for them it empty its contents. The vagus nerve controls the movement of food from the stomach through the digestive tract. Gastroparesis occurs when the vagus nerve is damaged and the muscles of the stomach and intestines do not work normally. Food moves slowly through the digestive tract or stop.

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Diabetic Gastroparesis - Signs, symptoms and causes

- Causes

The cause of gastroparesis is diabetes frequency. People with diabetes have high blood glucose, which in turn causes chemical changes in nerves and affects the blood vessels that carry oxygen and nutrients to the nerves. Over time, blood glucose can damage the vagus nerve.

Signs and symptoms

burn

pain in the upper abdomen

nausea

vomiting

early feeling of fullness after only a few bites of food

due to poor absorption of nutrients or low calorie intake weight loss

abdominal bloating

high and low levels of glucose in the blood

lack of appetite

Gastroesophageal reflux

spasms in the stomach area

Eating solid foods, foods high in fiber such as raw fruits and vegetables, fatty foods or beverages high in fat or carbonation can contribute to these symptoms.

Diagnostic

After taking a complete physical examination and medical history, your doctor may use a series of blood tests to check your blood counts and chemical and electrolyte levels. To exclude an obstacle or other conditions, your doctor may perform the following tests:

Endoscopy. Through the endoscope, the doctor can see the lining of the stomach to check for any abnormalities.

Ultrasound. To exclude gallbladder disease and pancreatitis, you may have an ultrasound, which uses harmless sound waves to outline and define the shape of the gallbladder and pancreas.

Barium rays - x.


Diabetic Gastroparesis - Treatment

Treatment of diabetic gastroparesis depends on the severity of symptoms. In most cases, the treatment does not cure gastroparesis is usually a chronic disease. Treatment helps you manage your condition so you can be as healthy and comfortable as possible.

Medication

Several drugs are used to treat diabetic gastroparesis. Your doctor may try different drugs or combinations to find the most effective treatment. Discussing the risk of side effects of any medication with your doctor is important.

Metoclopramide (Reglan). This drug stimulates muscle contractions to help empty stomach. Metoclopramide also helps reduce nausea and vomiting. Metoclopramide is taken 20-30 minutes before meals and at bedtime. Side effects of this medication include drowsiness fatigue, depression, anxiety, and problems with physical movement.

Erythromycin. This antibiotic also improves, gastric emptying. It works by increasing contractions that move food through the stomach. Side effects include nausea, vomiting, and abdominal cramps.

Domperidone. This drug works as metoclopramide to improve nausea and vomiting stomach emptying and decrease.

Other drugs. Other medications may be used to treat the symptoms and problems related to gastroparesis. For example, an antiemetic can help with nausea and vomiting.

Dietary Changes

Changing eating habits can help control diabetic gastroparesis. Your doctor or dietitian may prescribe six small meals a day instead of three large ones.