Gastroparesis: Symptoms, Treatment, Complications

Over time, diabetes can impact many parts of your body. One of those is the vagus nerve, which manages how rapidly your stomach clears. When it’s harmed, your digestion decreases and food remain in your body longer than it should.

This is a condition called gastroparesis. It can make you feel queasy and vomit. It’s likewise bad for your blood sugar levels.

Although it’s more common in people with type 1 diabetes, people with type 2 can likewise get it.

Many people with gastroparesis have had diabetes for a minimum of 10 years as well as have actually other complications associated with the disease.

Also read: Diabetic Neuropathy: Symptoms, Causes, Risk Factors

Symptoms

You might have:

  • Heartburn or reflux (backup of stomach contents into the esophagus)
  • Nausea
  • Vomiting (in severe cases, this may occur daily)
  • Difficulty managing blood glucose
  • Feeling complete quickly when consuming
  • Abdominal bloating
  • Poor cravings and weight loss

Complications

Food that remains in your stomach too long can ruin and lead to the development of bacteria.

Undigested food can solidify and form a swelling called a bezoar. It can obstruct your stomach and keep what you eat from moving into the small intestine.

Gastroparesis can make it tough to manage diabetes. When food finally does leave your stomach and gets in the small intestine, your blood sugar level increases, too.

Throwing up can also leave you dehydrated.

See also: Diabetes Effects on Your Body’s Systems

Diagnosis

Your doctor will inquire about your symptoms. He’ll likewise do a physical exam, and he may check your blood glucose. He might likewise suggest other tests.

Barium X-ray: You drink a liquid (barium), which coats your esophagus, stomach, and small intestine and shows up on X-rays. This test is likewise called an upper GI (intestinal) series or a barium swallow.

Barium beefsteak meal: You eat a meal with barium in it, and the doctor uses an X-ray to enjoy how long it takes you to digest the food. That tell your doctor how quickly your stomach empties.

Radioisotope gastric-emptying scan: You eat food that has a radioactive substance in it. Then you lie under a scanner that finds the radiation. If the scan shows that more than half of the meal is still in your stomach after 1.5 hours, you have gastroparesis.

Stomach manometry: Your doctor guides a thin tube through your mouth and into your stomach. It measures how rapidly you digest food.

Wireless motility capsule: You swallow this tiny device with a meal. It determines the pressure, temperature, and pH of various parts of your gut.

Electrogastrography: During this test, you wear electrodes on your skin to measure electrical activity in your stomach.

Ultrasound: The doctor uses acoustic waves to show the inside of your body.

Upper endoscopy: Your doctor will pass a thin tube (called an endoscope) down your throat to see the lining of your stomach.

Stomach or small intestine biopsy: Your doctor might need to take a little sample of tissue to validate the medical diagnosis.

Treatment

Although there is no treatment, you can handle gastroparesis and its symptoms.

Controlling your blood sugar level helps. Ask your doctor if you must change when and how frequently you use insulin, and examine your sugar levels regularly.

Likewise, talk with your doctor about whether you need to stop or change medications that might get worse gastroparesis. These consist of antidepressants, hypertension drugs, and particular diabetes treatments.

For some people with gastroparesis, medications can help:

  • Dimenhydrinate (Dramamine), a non-prescription antihistamine, assists prevent nausea and vomiting.
  • Domperidone (Motilium) manages issues in your upper digestion system that are connected to gastroparesis.
  • Erythromycin, an antibiotic, likewise assists your stomach to move food out.
  • Metoclopramide (Reglan) makes your stomach muscles to move, which assists food leave your system. It may likewise prevent queasiness and vomiting.
  • Ondansetron (Zofran) blocks chemicals in your brain and stomach that cause queasiness and vomiting.
  • Prochlorperazine (Compazine) helps control nausea and vomiting.

With a procedure called stomach electrical stimulation, a surgically implanted device sends out quick, low-energy impulses to your stomach to help versus queasiness and vomiting.

In severe cases, you might need a feeding tube. A surgeon will put an unique tube through your abdominal wall directly into your small intestine. You “eat” specially made liquid meals through television instead of food going through your stomach.

Diet Changes

When you have diabetes, one of the best methods to assist manage the symptoms of gastroparesis is to differ when and how you eat. Instead of 3 times a day, you can have six little meals. You’ll have less food in your stomach, so you won’t feel as complete. It’ll be easier for the food to leave your system, too.

Likewise, pay attention to the texture of food. Liquids and things that are easy to digest are a great idea. For example, pick applesauce instead of whole apples.

Prevent foods that are high in fat, which can decrease digestion. Look out for fiber, which takes longer for your body to process.

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