Gastroparesis

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Digestive system

Digestive system organs

Gastroparesis diabeticorum; Delayed gastric emptying

Persons with diabetes should always control their blood sugar levels. Better control of blood sugar levels may improve symptoms of gastroparesis. Eating small meals and soft (well-cooked) foods may also help relieve some symptoms.

Medications include:

• Metoclopramide, a medicine that helps in emptying the stomach
• Serotonergic drugs, which act on serotonin receptors
• Cholinergic drugs, which act on acetylcholin nerve receptors

Other treatments may include:

• Botulinum toxin (Botox) injected into the pylorus (outlet of the stomach)
• Gastroenterostomy, a surgical procedure that creates an opening between the stomach and small intestine to allow food to move through the digestive tract more easily

Many treatments seem to provide only temporary benefit.

Persistent nausea and vomiting may cause electrolyte imbalances, dehydration, and malnutrition. Diabetics may have serious complications related to poor blood sugar control.

Apply home treatment such as dietary management. Call your provider if symptoms persist or if there are new symptoms.

Review Date: 05/04/2006
Reviewed By: Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Jefferson Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network.