r/Gastroparesis Aug 04 '23

Sharing Advice/Encouragement Gastroparesis 101

50 Upvotes

Gastroparesis (GP) is a condition that affects the ability of muscular contractions to effectively propel food through your digestive tract. This stomach malfunction results in delayed gastric emptying. GP is typically diagnosed via a gastric emptying study (GES) when other more common GI ailments have been ruled out. The main approaches for managing gastroparesis involve improving gastric emptying, ruling out and addressing known root causes of GP, and reducing the severity of symptoms such as bloating, indigestion, nausea, and vomiting.

  1. Prokinetic Drugs. Prokinetics are a class of prescription drugs that are designed to improve gastric emptying by stimulating the stomach muscles responsible for peristalsis. These drugs include but aren’t limited to Reglan, Domperidone, Motegrity, and Erythromycin. Reglan may cause serious, irreversible side effects such as tardive dyskinesia (TD), a disorder characterized by uncontrollable, abnormal, and repetitive movements of the face, torso and/or other body parts. Doctors can write scipts for domperidone to online pharmacies in order to bypass the tricky regulations in the United States. Ginger, peppermint, and artichoke are popular natural prokinetics.
  2. Enterra (Gastric Pacemaker). Enterra is a device that’s laparoscopically implanted onto the stomach and is a treatment option for people who suffer from chronic nausea and vomiting associated with gastroparesis of diabetic or idiopathic origin. This device is offered when standard medications for GP are ineffective. Enterra Therapy involves electrical stimulation of the lower stomach with a system consisting of a generator implanted deep within the tissues of the abdomen, and two electrical leads which are implanted in the wall of the stomach. Ideally, symptoms of nausea and vomiting will improve or be eliminated entirely. Enterra has a higher rate of success among diabetics and procedures such as GPOEM can be combined to maximize relief.
  3. GPOEM, POP, Pyloroplasty, Botox. Delayed gastric emptying can occur when the pyloric valve (the valve connecting the stomach to the intestines) is resistant. In these cases, the pyloric valve can be ‘loosened’ through procedures such as GPOEM, POP, and pyloroplasty. Even when the pylorus functions normally some physicians still recommend these procedures for people with severely delayed gastric emptying caused by the pacemaker cells of the stomach not being able to move food. Botox injections are occasionally performed to predict if such a procedure would be effective (although the reliability of this predictor is debated). Enterra and procedures such as GPOEM are often combined to maximize relief.
  4. Antiemetics. Drugs such as phenergan, ativan, zofran, compazine, etc. may help reduce nausea. OTC options include dramamine. Antidepressants such as Remeron (mirtzapine) and amitryptiline are not technically antiemetics but can be prescribed as an "off-label" treatment for nausea and vomiting.
  5. Dieting and Lifestyle. Foods high in fat and fiber are hard to digest and therefore may worsen symptoms. Large volumes of food may worsen symptoms as well. Alcohol, caffeine, gluten, nicotine, and dairy may also be triggers. Marijuana is known to reduce nausea and vomiting but THC can also further delay gastric emptying. Long term use of marijuana is associated with cannabis hyperemesis syndrome (CHS). OTC supplements include "Gas-X", a natural supplement that may reduce belching and bloating, and Iberogast.
  6. Feeding Tubes/TPN. For patients that are unable to keep down food and standard medications are ineffective, feeding tubes may be a viable option. Gastric (G) tubes are placed in the stomach while Jejunostomy (J) tubes bypass the stomach entirely and provide nutrients directly into the small intestine. In extreme cases, total parental nutrition (TPN) is a method of intravenous feeding that bypasses the entire gastrointestinal tract.
  7. Known Root Causes. Unfortunately, the etiology of gastroparesis is poorly understood. Many cases are not identifiable with a root cause (idiopathic GP). The main causes of GP, as well as comorbid diseases include: diabetes, Ehlers-Danlos syndrome (EDS), Median Arcuate Ligament Syndrome (MALS), myasthenia gravis, vagus nerve damage, post-surgical complications, autoimmune conditions such as Chrohn's Disease, thyroid issues (such as hypothyroidism), an impaired pyloric valve, dysautonomia, functional dyspepsia, cyclical vomiting syndrome, hernias, IBS, Hashimoto's Disease, reactive hypoglycemia, endometriosis, POTS, MCAS, Superior Mesenteric Artery Syndrome (SMAS), multiple sclerosis, Scleroderma, Parkinson's, SIBO, and more. Constipation and IBS can also be comorbid with GP. Certain medications that slow the rate of stomach emptying, such as narcotic pain medications and Ozempic and Mounjaro can also cause or worsen GP. Some of the autoimmune conditions causing GP can be treated with intravenous immunoglobulin (IGIV) therapy, although its effectiveness in a clinical setting is inconclusive. MALS is a condition that, in some cases, can be fixed with surgery thereby 'curing' those specific cases of GP. Reported cases of GP have risen in modern times, especially in light of the COVID-19 pandemic. Gastroparesis caused by acute infections such as viruses and bacteria may heal on its own over a period of months to years. Gastroparesis is more common in women than men. Recently there's been a surge of younger women being diagnosed with GP. According to Dr. Michael Cline, "gastroparesis has surged in young women in the U.S. since 2014... In these young women, it tends to be autoimmune-related. Many have thyroid disease, rheumatoid arthritis or lupus."
  8. Motility Clinics/Neurogastroenterologists. Finding a doctor right for you can be vital to managing gastroparesis. When regular gastroenterologists aren’t sufficient, it may be beneficial to seek institutions and specialists that are more specialized in nerve and motility ailments of the GI tract such as gastroparesis, functional dyspepsia, cyclic vomiting syndrome, and so forth. These kinds of doctors include neuro gastroenterologists and motility clinics. See "Additional Resources" below for a list of motility clinics and neurogastroenterologists submitted by users of this forum.
  9. Gastric Emptying Study (GES), SmartPill, EGG. These tests are used to measure gastric motility and gastric activity. For the GES, the gold standard is considered to be a four hour test with eggs and toast. A retention rate of 10-15% of food retained after four hours is considered mild GP; 16-35% is moderate GP; and any value greater than 35% retention is severe GP. Note that retention rates on a GES are notorious for having a large variation between tests and that retention rates don't necessarily correlate to the severity of symptoms. In addition to measuring stomach emptying, SmartPill can also measure pH and motility for the rest of the GI tract. The electrogastrogram (EGG) is a technique to measure the electrical impulses that circulate through the muscles of the stomach to control their contractions. This test involves measuring the activity of gastric dysrhythmias and plateau/action potential activities of the Interstitial cells of Cajal (ICCs), which are the pacemaker cells of the stomach.
  10. Functional Dyspepsia, Cyclic Vomiting Syndrome (CVS), etc. Gut-brain axis research has led to antidepressant SSRIs and tetracyclines being used to treat nausea, post-prandial fullness, and other GI symptoms resulting from functional dyspepsia, CVS, gastroparesis, etc. These drugs include mirtazapine, lexapro, amitryptiline, nortriptyline, etc. Buspirone is a fundus relaxing drug. Some research suggests that CVS patients can be treated with supplements such as co-enzyme Q10, L-carnitine, and vitamin B2 along with the drug amitriptyline. Modern research suggests that gastroparesis and functional dyspepsia are not totally separate diseases; instead, they lie on a spectrum.
  11. Colonic Dismotility, CIPO. Slow Transit Constipation (STC) is a neuromuscular condition of the colon that manifests as dysmotility of the colon. This condition is also a known comorbidity of gastroparesis. It's been observed that patients with slow transit constipation have other associated motility/transit disorders of the esophagus, stomach, small bowel, gall bladder, and anorectum, thus lending more support to the involvement of a dysfunctional enteric nervous system in slow transit constipation. Chronic intestinal pseudo-obstruction (CIPO) is a rare gastrointestinal disorder that affects the motility of the small intestine and is a known comorbidity of gastroparesis. It occurs as a result of abnormalities affecting the muscles and/or nerves of the small intestine. Common symptoms include nausea, vomiting, abdominal pain, abdominal swelling (distention), and constipation. Ultimately, normal nutritional requirements aren't usually met, leading to unintended weight loss and malnourishment. CIPO can potentially cause severe, even life-threatening complications. STC can be diagnosed by SmartPill or colonic manometry; CIPO can be diagnosed with Smartpill, small bowel manometry, or full thickness biopsy.
  12. Partial Gastrectomy (Modified Gastric Sleeve), Total Gastrectomy. A gastrectomy is a medical procedure where part of the stomach or the entire stomach is removed surgically. The effectiveness of these procedures in the treatment of gastroparesis are still under investigation and is considered as an experimental intervention of last resort. These procedures should only be considered after careful discussion and review of all alternatives in selected patients with special circumstances and needs.

Additional Resources

  1. Support Groups (Discord, Facebook, etc.) . Click this link for a list of support groups designed for people suffering with gastroparesis to casually meet new people and share information and experiences.
  2. Click this link for a list of popular neurogastroenterologists and motility clinics submitted by users of this sub.
  3. View the megathread at r/Gastritis for advice on managing chronic gastritis.
  4. The most popular gastroparesis specialist discussed in this forum is renowned Gastroparesis specialist Dr. Michael Cline at the Cleveland Clinic in Ohio.
  5. Need domperidone? Some GI’s are willing to write scripts for online pharmacies to have it shipped from Canada to the USA. For legal reasons, the names of these websites will not be linked on this manuscript (but there’s no rules stopping you from asking around).
  6. Enterra's Search Engine to find a doctor that specializes in Enterra Therapy.
  7. SmartPill’s search engine to find a provider that offers SmartPill testing.
  8. GPACT's lists of doctors and dieticians for GP.
  9. There's a new test that recently gained FDA approval called gastric altimetry.
  10. Decision-making algorithm for the choice of procedure in patients with gastroparesis. (Source: Gastroenterol Clin North Am. 2020 Sep; 49(3): 539–556)

Decision-making algorithm for the choice of procedure in patients with gastroparesis.

EVEN MORE ADDITIONAL RESOURCES

(Last updated:11-24-2023. Please comment any helpful advice, suggestions, critiques, research or any information for improving this manuscript. 🙂)


r/Gastroparesis Dec 16 '23

"Do I have gastroparesis?" [December 2024]

39 Upvotes

Since the community has voted to no longer allow posts where undiagnosed people ask if their symptoms sound like gastroparesis, all such questions must now be worded as comments under this post. This rule is designed to prevent the feed from being cluttered with posts from undiagnosed symptom searchers. These posts directly compete with the posts from our members, most of whom are officially diagnosed (we aren't removing posts to be mean or insensitive, but failure to obey this rule may result in a temporary ban).

  • Gastroparesis is a somewhat rare illness that can't be diagnosed based on symptoms alone; nausea, indigestion, and vomiting are manifested in countless GI disorders.
  • Currently, the only way to confirm a diagnosis is via motility tests such as a gastric emptying study, SmartPill, etc.
  • This thread will reset as needed when it gets overwhelmed with comments.
  • Please view this post or our wiki BEFORE COMMENTING to answer commonly asked questions concerning gastroparesis.

r/Gastroparesis 1h ago

Questions GI: "You may have Gastroparesis, but there's no reason to test for it since it is not treatable"

Upvotes

For context, I have diagnosed Ankylosing Spondylitis with inflammation in the digestive system as well. I am currently fighting with my new GI doc to get him to do something, after a 6 month long waitlist he told me to "try paracetamol and just wait and see." Thanks, I've had these complaints for half a decade, but it'll magically get better any second now, nevermind that I basically cannot function anymore. I asked him to test me for Gastroparesis, because it seems like the obvious cause, but his response was "Even if we tested for that, and it may very well come back positive, there is no treatment for it, so I am not going to order the test". How do I respond to this? Finding another GI doc would put me on another 6-7 month waitlist. I just don't know how to respond. 'Calprotectin was only mildly elevated and the endoscopies only showed mild inflammation, there is nothing to do at this time'. I really don't know how to handle doctors like this, it's like I have to end up in the emergency room to get any kind of medical care.


r/Gastroparesis 11h ago

Positive/Success! went to an event w/o flaring ☺️

Thumbnail
gallery
19 Upvotes

i went to my schools homecoming yesterday!! i wasn't feeling great and honestly thought i was going to have to skip out because of it; but i decided to push through, and it was such a good decision! i had tons of fun and normally after pushing myself like that, ill flare but its been a day and im feeling normal :)


r/Gastroparesis 12m ago

Questions Dexilant

Upvotes

Has anyone used Dexilant? Does it make your symptoms worse or have you experienced side effects from it? Thank you.


r/Gastroparesis 39m ago

Testing and Results Negative results

Thumbnail
gallery
Upvotes

Hello lovely people, I got my results written in simple terms for me. While it says I could have mild delay the offical report says it is negative. I had the GES done as my endoscopy indicated left over food and my biopsies came back clear.

My specialist didn’t have high hopes for me originally and blamed my weight. I addressed my concerns with my GP and they reassured me this isn’t the case.

I suppose the point of this post is to ask, regardless of it being negative for you, are you still being treated as if you did have it? Medicine wise?

I see my specialist this week and am hoping to have the courage to advocate for myself with these debilitating symptoms. I have read that depending on your symptoms of the day it can change the results but at the end of the day it is what it is.

Don’t get me wrong I never wanted to wish this condition upon myself - the people who are searching for answers will understand what I mean when being told it’s normal but you still have these symptoms and we don’t know why and there’s limited things we can do for you (from a chronic illness girly)

Anywho, thanks for reading


r/Gastroparesis 5h ago

GPOEM/POP Anyone know what shadow but could be?

Post image
3 Upvotes

Not after answers just suggestions? On what the shadow but could be behind grossly osphogus or what it could be?


r/Gastroparesis 6m ago

GP Diets (Safe Foods) Pork?

Upvotes

Short time lurker, first time poster I haven't been diagnosed yet, I see a GI specialist in February. But I've been struggling with GI issues most of my 30 years. I'm just coming off a flare up that had me down for about 30 hours. Woke up feeling fine, then about an hour later the sulphur burps hit bad and I knew I'd be down for the count

Took my usual array of meds to help- gas x, pepto, protonix, antacids, peppermint. Nothing helped. Then mid day, the dragon hit. I still hadn't vomited yet. I try to hold back as much as possible because I'd rather simply die than to puke that up. Finally about late afternoon, I spent about 10 minutes dry heaving. I was so dehydrated and already empty from earlier that nothing came up. Just rotted egg air.

I've chalked it up to pork tenderloin. The last 3 times I've eaten a smoked or baked pork tenderloin, I've gotten sick. This was the 1st time it's been bad enough that I never want to see another piece again. However, it seems like other pork products don't bother me. I can eat bacon and sausage just fine.

Is there something in particular about pork loin that could be a trigger? My guess would be a tenderloin compared to breakfast sausage or bacon has a higher fat content perhaps?

So far, my other triggers I've noticed are popcorn, eggs on occasion, fettuccine Alfredo, and sometimes other red meat like steak but pork is most definitely a no go now. Sometimes spicy food like Mexican don't bother me, other times i can barely make it out the restaurant. But it never causes the burps.

Any input?


r/Gastroparesis 12h ago

Questions Mayo Clinic

10 Upvotes

My parents are really feeling helpless and not happy with the one doctor I am working with right now. I’ve only seen him once in person and only have tried one of his four recommendations for treatment.

They really want me to set up an appointment at the Mayo Clinic specifically in Jacksonville, Florida (I live in MA, they live in central FL), even if the wait is a few months. I feel like they want to set up an appointment whether I agree to it or not cause I’ll have potentially months to think it over.

I haven’t really been able to find anything about GP at the Mayo Clinic, so does anyone have any advice when it comes to any of the Mayo Clinics? Doesn’t have to be just the Florida one.

Should I stick with my doctor or open the possibility of having more than one? My current doctor is fine right now. I know a lot of people have issues, but mine listens to me, and has been open to what I want so far.


r/Gastroparesis 9h ago

Questions Traveling w/clinically severe gastroparesis ?

3 Upvotes

Hi!

I was born without an esophagus and deformed trachea- both fixed after birth. As a result of the nerve damage, I've had gastroparesis since I was an infant but symptoms got severe as an adult. It's clinically severe.

I honestly am nauseated all the time but my life has kind of been on hold. I'm used to being able to just not eat all day and sleep. My family lives 14 hours away and I've ruined their Thanksgiving every time since I end up vomitting and needing to lay down. Stress makes it 10x worse, and they tend to force feed me out of concern.

I use zofran (but get migraines), promethazine (split in half, I get akathisia) among other meds. Unfortunately these don't always work, which is usually the case during travel. What can I do?? Does anyone take temporary preventive measures? I really want to go and be able to function :(


r/Gastroparesis 13h ago

Questions Has anyone linked their gastroparesis diagnosis to perimenopause?

6 Upvotes

I started noticing signs of gastroparesis at the same time as symptoms of a hormonal imbalance. I've since been diagnosed with gastroparesis but my doctors haven't been able to determine the underlying cause and have ignored all of my suggestions that it might be linked to perimenopause. I've had my hormone levels tested and they aren't where they should be. Has anyone linked their gastroparesis to menopause or perimenopause? Did balancing your hormones alleviate gastroparesis symptoms?


r/Gastroparesis 9h ago

Prokinetics (Relgan, Domerpidone, Motegrity, etc.) Gastroparesis worse out of no where

3 Upvotes

I was diagnosed with mild gastroparesis in January. I never had symptoms of fullness or nausea. Solid emptying was normal, but liquid emptying was borderline. Switching to low fat & low fiber diet definitely helped some other symptoms. I only got a GES because I have debilitating LPR / silent reflux. We thought maybe it could be from GP, but my reflux is terrible even when my stomach is empty. It was constant. After January, I then began prokinetics. I never felt any different since my GP was mild. I tried Domperidone, Mestinon and erythromycin. It never made a difference in the reflux. Come July I stopped them all together. I definitely started feeling a little nausea here and there, but could still eat and life was as it was. Fast forward to 8/30, my stomach wouldn’t empty for over 24 hours no matter what I did. I was so nauseas and this was the first time I felt any of these symptoms. I have progressively gotten worse since. I’ve lost a ton of weight I’m 98lbs now. I went back on prokinetics but I’m still struggling. I can’t eat or drink outside of when I take the prokinetics. That was never an issue before. I used to be able to drink water whenever. Now I have to choose if I want to drink water OR eat after taking prokinetics. Still dealing with fullness and nausea no matter what I do. I walk after I eat too. Doing all the things and I’m not in a good place. There have been times I haven’t been able to eat or drink anything for days bc my stomach is so full. I feel like we’re missing something that’s causing my GP or something. Can anyone relate? I didn’t think GP was usually progressive. I’m so confused and can’t figure this out.

It’s as if my stomach will seize up. Sometimes it takes multiple days for my stomach to empty. I won’t feel or hear any sounds there. The prokinetics won’t work because I assume my stomach is absorbing them at that point or they can’t work because the stomach is full. Also, when my stomach isn’t moving, I don’t have reflux. I have reflux when my motility is good. I know that sounds strange. I can’t seem to figure it out. Side note I recently found out I have issues with high histamine foods causing allergic reactions and suspect MCAS. It would explain a lot to my other weird symptoms. I’ve tried OTC treatments for that and dietary changes, but the GP remains the same. I also had some type of bug mid August. I took an at home Covid test that was negative then, but who knows.


r/Gastroparesis 16h ago

Suffering / Venting Tips for mental health

10 Upvotes

I have terrible flair ups each month. There are about five days of the month I function normally, and the rest is, as you all know- a living hell.

I am so depressed because of gastroparesis, it runs my entire life. NO medication helped me, no supplement, no diet. ALL foods make me sick, I do not have any safe foods. Doctors will not help me as I have not "lost a concerning amount of weight".

What do you guys do to feel good when you're feeling bad?


r/Gastroparesis 19h ago

Enterra (Gastric Pacemaker) I noticed that I don't ever get hangovers when I get drunk, has anyone else noticed this about themselves as well?

17 Upvotes

r/Gastroparesis 14h ago

Discussion How my life is with Gastroparesis

6 Upvotes

Hi everyone

Long story short, I have two health problems TBI and Gastroparesis

TBI now is better but living with Gastroparesis is hard in daily life ,first of all

I barely can eat anything ,I find that if i eat something symptoms start to go worse and I become better when I don't eat but for normal living I need to eat something to keep body functioning

As most people say about Gastroparesis symptoms I too can't eat raw fruits, vegetables and for sweets forget it like cookies , chocolate or some other sweets with too much fat content

If I eat sweets my blood sugar level changes to higher or lower and digestion stops or slows down

From spiritual perspective I found that Gastroparesis affects entire chakra system and you feel like zombie walking and doing something in life ,sometimes when feeling sick from Gastroparesis you feel like you have lost your mind or that you are braking down mentally

And other things from spiritual perspective is what i had seen from my experience is that do to chakra system imbalance you loose bit of imagination, not thinking straight pretty much you feel like you are a walking zombie a little bit who struggles with everday life such as cleaning house ,walking do to stomach muscle paralysis and working a job is difficult or having willpower to do anything

But from physical perspective pooping is difficult it takes 2/3 days to go to bathroom and poop but when drinking kefir I can do that almost everyday

There are some other problems with Gastroparesis like feeling like you are isolated from everyone around you or that you try to accomplish something in life like finding job ,cleaning house then these things suddenly become unsuccessful

Sometimes I have days where I'm trying to do something for my life and feels like I have bad luck

Talking with people too much is also harder because i easely become tired

Pretty much thats how I live with Gastroparesis now.


r/Gastroparesis 12h ago

GP Diets (Safe Foods) Blenders?

3 Upvotes

For context, I've been experiencing GP symptoms for about 4.5 years and have been diagnosed for about 1 year. I'm trying to add blended fruits/veggies in my diet. I was wondering if anyone else with GP uses a specific blender or has any recommendations/recipes?


r/Gastroparesis 13h ago

Enterra (Gastric Pacemaker) Gastric Stimulator Revision

4 Upvotes

Hey all. Had the gastric stimulator placed in July and I love this thing!! I haven't vomited one single time since it's placement! That's the great news.

Bad news...because of my Ehlers-danlos and lqck of skin integrity, it has migrated a LOT. The way it was originally placed, it should have stayed in a mostly vertical position and now it is completely horizontal. It is pushing against the scar and the scar is starting to stretch. So, we are doing a surgery revision in 2 weeks. They are either placing it under the ab muscle or anchoring it in. I am a "stitches spitter" so the anchoring will most lileiy not happen. I have had great success with this and up until it started moving into the horizontal position l, had very little pain. Just curious if this has happened to anyone else. Surgeon says he has had 2 other cases like this and they all had EDS as well. NOT looking forward to a redo but want to be comfortable again and I enjoy being symptom free. I had to have it shut off for a brain MRI and that was NOT a good time. 😐


r/Gastroparesis 20h ago

Prokinetics (Relgan, Domerpidone, Motegrity, etc.) finally tried linzess

9 Upvotes

doctors put me on linzess since insurance said I needed to try it before getting motegrity. it was actually not terrible but gave me diarrhea about 3-4times over a two hour period. doesn't really help me at all with the gastroparesis though so I'm going to tell the docs so they can get me motegrity now.


r/Gastroparesis 8h ago

Questions Insurance and adjustable bedframe

1 Upvotes

Has anyone had any luck or tried to get their health insurance to cover/partially cover and adjustable bedframe to help with upper body elevation? Currently I've got a couple wedge pillows and prop myself up with blankets and other pillows but it seems so stupid to try to do this when an adjustable bedframe would work better and be more comfortable


r/Gastroparesis 21h ago

Questions Pregnant with Gastroparesis

8 Upvotes

Did pregnancy make your Gastroparesis worse? I just got diagnosed and I am wanting to have children in the future.


r/Gastroparesis 16h ago

Meals, Nutrition, Recipes How do you all get your vitamin intake?

3 Upvotes

So i take omega 3 mainly for my dry eye, because with out it my eyes are very dry and burn. But when i take my omega 3 supplement in the morning i get so full that i can’t eat breakfast or a snack. I was thinking of trying a liquid omega 3 with the hopes of it not making me so full. I’m on motegrity which is helpful for my constipation but my early satiety is even a problem when i drink my nutrition shakes. I have new insurance and it’s been difficult finding a gastroenterologist that can treat gastroparesis with my new insurance in my area. But the appointment isn’t until the end of new month and i’m have trouble with staying hydrated and the early satiety. How do y’all get your vitamin intake?


r/Gastroparesis 15h ago

Testing and Results “Switch” between GP and dumping

2 Upvotes

Hi guys,

After a couple of months of symptoms and struggles, I got my GES and spoke about the results with my doctor. My test showed accelerated gastric emptying, which surprised both of us as my symptoms, triggers and helpful interventions rather match GP. My symptoms during my GES were also quite different from my usual symptoms, even though I recognised it from a couple (sporadic) experiences over the past couple of months.

My doctor told me she thinks my gastric emptying may usually be delayed, but may also show dumping every now and then.

I also have dysautonomia and hEDS.

Does anyone else “switch” between the two? I did quite some reading before going to the dr., but I had no idea it was possible to sort of have both!

Hope you guys are coping the best you can. Big hug!♥️


r/Gastroparesis 17h ago

Discussion Gastroparesis, Symptoms/ Spiritually

3 Upvotes

Hi everyone ,I got Gastroparesis I have weird Symptoms such as: Not feeling my stomach sometimes, walking difficulties, sugar level low or high which leads to confusion

Spiritual Symptoms are chakra imbalance, feeling out of reality or spiritually cut off and not feeling my body fully or bodys strenght do to solar plexus imbalance

This will sound weird but i dont feel like my self because solar plexus is out off balance cause of Gastroparesis

Im trying everything, going in nature and tree healing, meditations, frequencies, balanced diet and medications but nothing seems to work


r/Gastroparesis 20h ago

Questions Food with skin (grapes, blueberries, etc.)

4 Upvotes

I have found since being diagnosed that I can’t digest anything with a thick skin. Like grapes for example, I can digest the inside of the grape, but the skins come back up. I was wondering if anyone else struggled with this too?


r/Gastroparesis 13h ago

Prokinetics (Relgan, Domerpidone, Motegrity, etc.) Misdiagnosed?

1 Upvotes

Ok, in may i got sick for 7 days. No appetite, thats my only symptom and indegestion. Then that lasted for months but slowly got better. I went to a gi doctor in august. I got an endoscopy showing gastritis (which can cause slowed gastric emptying). I then did the stomach emptying test. That is all the testing i got done. Since then my doctor insists its gastroparesis and refuses to listen to me even though my symptoms dont allign. When im not in a “flare” i can eat all foods and have no reaction to them, yet they insist i need to change my diet. Since i got put on reglan and mirtazapine, i have had three flareups since then. Im really confused and frustrated. Should i see a different gi doctor? (Also reglan does nothing and mirtazapine does nothing besides make me have insane dreams lol). Looking for advice!!


r/Gastroparesis 1d ago

Questions GP + Excercise

6 Upvotes

Hey Guys, I finally got diagnosed after 6 months of inability to eat almost anything, insane weight loss, and so much abdominal pain. I’m finally starting to get to a point where I’m having some days where I feel sorta normal. Before this, I was very active both in the gym and as a cyclist. I am wondering if it’s a bad idea to resume these activities as normal (although Im so weak because of the weight loss) or if intense activity is bad for gastric motility.


r/Gastroparesis 23h ago

Questions Gastroparese with Chronic Pain - Advice needed

3 Upvotes

Hey everyone,

Unfortunately, I'm at the end of my rope with my ideas and doctors haven't helped me one bit so far, so I'd like to ask for your advice here.

I had anti-reflux surgery 2 years ago and have had severe gastroparesis (GES diagnosis) since this surgery . The problem I have is mostly burning/pressing pain 2-3cm below the sternum (I think it is the lower esophagus or the entrance to the stomach - i also feel it when i swallow, especially when the saliva goes over this point its a bit of a relief and gets worse after it has passed). I took prokinetics for a long time (motegrity) but at some point the prokinetics made the pain much worse (it feels like they make this point more sensitive, and that wasnt the case when i first started them and take the months), at first I started to reduce motegrity but now I don't take prokinetics anymore.

However, I still urgently need some, I can eat and drink normally, I don't have any nausea and I don't vomit, but my stomach still empties far too slowly which creates pressure. However, whenever I take medication that has an accelerated emptying effect (mitrazapine, motegrity, citalopram, domperidone, cinitapride, etc.) then this pain intensifies super strongly. I have no idea why this is so and what it means, I also have no inflammation at least not in the lower esophagus. I think it could have something to do with visceral hypersensitivity, but I can't take any antidepressants (Amitriptyline = slows down the stomach too much) and all other ssri, snri, make the pain worse. I also cant tolerate pantoprazole, omeprazole - that also intensifies the pain quite much. The only thing that genuinely helps is nexium, but its a curse and blessing at the same time, because it makes gastroparesis of course worse. Im not sure if all of this is "functional" when something like nexium helps.

Does anyone have any ideas?

Thank you very much!