Although the exact cause of gastroparesis is unknown, many doctors believe it is as aresult of dysfunction of the nerve (vagus nerve) that controls the contraction of the muscles of the stomach.
The vagus nerve is the chief nerve that controls the activity of the gastrointestinal tract. This includes signaling the muscles of the stomach to contract and push food into the small intestines for further digestion.
Damage to the vagus nerve will cause food to remain in the stomach for longer periods than usual.
Diabetes and surgery of the stomach or intestines can cause damage of the vagus nerve.
4 Making a Diagnosis
There are several tests that can be used to diagnose gastroparesis. They include:
Upper gastrointestinal (GI) endoscopy
An endoscope 9tube with a camera at one end is used to examine the digestive tract from the esophagus to the first part of the small intestines (duodenum). The images are displaced on a screen.
Computerized tomography (CT) and magnetic resonance (MR) enterography
These tests are noninvassive and preferred since they can be used to find inflammation and blockages in the intestines.
Upper gastrointestinal (GI) series
A barium contrast X-ray imaging test.
Gastric emptying test
In this test the patient is asked to take a light meal containing small amounts of radioactive material. A scanner is then used to monitor the amount of radioactive material in the stomach and to monitor the rate at which the stomach empties.
This is the most important test used to diagnose gastroparesis since it can show the rate of gastric emptying.
A breath test
Involves drinking a small amount of sugar water and measuring the amount of gas produced by the body in the breath.
There are several treatments available for gastroparesis. They include dietary changes, medications and surgical procedures.
Dietary changes include:
Eating smaller meal frequently
Chewing food thoroughly
Eating well-cooked food vegetables instead of raw foods
Avoiding foods high in fiber such as orages and broccoli
Drinking water throughoutbeach meal and avoiding carbonated drinks
Medications used for the treatment of gastroparesis include:
Medications that stimulate the stomach muscles like
Metoclopramide (Reglan) and erythromycin (Eryc,E.E.S). Others include domperidone and Cisapride.
Medications to control nausea and vomiting like prochlorperazine (Compro), thiethylperazine and diphenhydramine (Benadryl, Unisom). Other drugs include ondaserton (Zofran).
People with gastroparesis who are unable to tolerate any food or liquids require surgery in which a feeding tube is placed in the intestines.
Another procedure involves using a gastric venting tube to help relive pressure from gastric contents.
6 Alternative and Homeopathic Remedies
A few alternative and homeopathic remedies exist for managing the symptoms of gastroparesis.
Acupancture has been shown to relieve some symptoms of gastroparesis.
Taking ginger and transdermal patches of anti-emetics can be effective against nausea.
7 Risks and Complications
Factors which may increase the risk of gastroparesis include:
Malnutrition. This is caused by poor appetite or reduced absorption of nutrients.
Formation of benzoars which cause nausea and vomiting. Benzoars are formed by undigested food that hardens and remains in the stomach. This condition can be life-threatening especially if they prevent food from passing into the intestines.
Changes in the blood sugar. This can worsen diabetes which can further worsen gastroparesis.
Decreased quality of life. This is mostlty due to the acute flare-up of symptoms which can make working difficult.
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