Facts About Gastroparesis:
Gastroparesis is essentially partial paralysis of the stomach. It is commonly clumped into a Heading called Digestive Tract Paralysis. Other things in this group are Ileus (intestinal pseudo-obstruction) and Achalasia (affects motility of esophagus).
Gastroparesis reduces the stomach's ability to empty out its contents despite nothing being in there to hinder emptying (also known as mechanical obstruction).
This can be a temporary or chronic condition.
There are many types: that occur for a variety of reasons
Another term used for causes is Etiologies
These are the most common medications known to cause GP, or worsen those with GP. There are also some others, but these are the most familiar to the lay person.
(Depression, Anxiety, Eating Disorders, Psychogenic Vomiting, Side effect of Psychotropic Medication)
Classical ones: Nausea, Vomiting, Abdominal Pain, Early Satiety (feeling full after a couple bites), Bloating, and Weight loss/gain.
These symptoms are often worse in the post-prandial (after eating a meal), in the evening or in the morning for some patients. Warning: Gross Fact- The Emesis (vomit) may contain old (undigested) food eaten several hours before. The Abdominal pain is variable in quality but typically in the upper abdomen- this pain can also take on the component of Chronic Functional Abdominal Pain. Gastroparesis is also something to consider in patients with acid reflux that conventional management has not helped in reducing.
At left: John Clarke M.D. , motility specialist at Stanford Medical Center. Formerly at Johns Hopkins Medical Center
Physical Examination: What to expect?
During an examination by a qualified professional they will do a normal workup overgoing some of the following or all of it:
As for the abdominal portion of the exam the patient will often present with epigastric tenderness (also known in layman's terms as upper middle portion of abdomen). Sometimes also a succussion splash will be heard in the left upper quadrant (things a physician will try to hear). In those with diabetes, other signs of autonomic dysfunction may be noted; such as orthostatic hypotension (blood pressure lowers upon rising). Physicians uncovering this disorder really need to be Detectives.
Greater Richmond G.I. Support
Mary Berger; Founder, Integrative Nutrition Health Coach
Jillian Chilson, Social Media Coordinator
Francine Kerber, Registered Dietitian/Nutritionist
Jane Geracimos, Outreach Coordinator
-Mary's contact- 804-382-6810
Available on request. Just call and leave a Message. She will get back with you.
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Greater Richmond G.I. Support for even more help & the Facebook Page Greater Richmond G.I. Support!
If you have questions we are here for you. Just reach out through email or call Mary.