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• 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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