• Gastro paresis a condition also known as delayed

gastric emptying where by the movement of food

from the stomach to the small intestine is extremely

slow or stops moving altogether.

• The vagus nerve which normally controls the

muscles of the stomach contracts to break up food

and moves it through the gastrointestinal (GI) tract.

• Gastro paresis occurs when the vagus nerve is

damaged by illness or injury and the stomach

muscles stop working normally.

• Causes: Diabetic people are commonly diagnosed

with Gastro paresis. People are often diagnosed

with idiopathic gastro paresis whereby the cause

cannot be detected even with the help of medical

tests.

• Intestinal surgery and nervous system diseases

such as Parkinson’s disease or multiple sclerosis may

also lead to this condition.

• Diabetic people have high blood sugar levels that

can damage the vagus nerve.

• Gastro paresis is commonly found in women than

in men.

• The symptoms may relapse over longer period of

time.

• Symptoms: The common symptoms of Gastro

paresis can be considered as nausea, feeling of

fullness after having a small quantity of food and

vomiting undigested food which may go on for

several hours after having a meal.

• Gastroesophageal reflux (GER), also known as acid

reflux or acid regurgitation a condition the food may

travel back into the esophagus may take place.

• Other associated symptoms may be pain in the

stomach, abdominal bloating, lack of appetite, etc.

• Intake of oily rich foods, fiber rich foods such as raw

fruits and vegetables or drinking beverages high in fat or

carbonation may aggravate the condition.

• Treatment

• Erythromycin – It is an antibiotic which may aid gastric

emptying if prescribed at low doses.

• Like metaclopramide, erythromycin works by increasing

the contractions that travel food through the stomach.

• Metoclopramide (Reglan) – This medicine stimulates

stomach muscle contractions to help with gastric

emptying.

• This medication should be taken 20 to 30 minutes

before meals and at bedtime.

• Diabkil Capsules – It is a wonderful herbal

supplement that can be taken besides medication.

• Botulinum Toxin - A nerve blocking agent also

known as Botox which when injected into the

pylorus keeps it open for longer periods of time

improving symptoms of gastroparesis.

• Gastric Electrical Stimulation – In this procedure a

gastric neuron stimulator is a surgically implanted

battery-operated device that sends mild electrical

pulses to the stomach muscles to help control nausea

and vomiting.

• This is an alternative treatment procedure and may

be helpful for people whose nausea and vomiting does

not improve with dietary changes and medications.

• Jejunostomy – This is an alternative treatment

method when medication and dietary changes fail to

work and people who are losing weight and

frequent hospitalization for dehydration.

• In this procedure a feeding tube is surgically placed

through the abdominal wall directly into a part of

the small intestine called the jejunum.

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