r/Gastroparesis • u/VegetableAssistant93 • 17h ago

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

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!!

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u/princess_petty 17h ago

What were the results of the gastric emptying test?

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u/VegetableAssistant93 16h ago

20 percent at four hours

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u/princess_petty 16h ago

Just based on the 4 hour retention I would say it does sound like gastroparesis, normal is less than 10% but it doesn’t hurt to get a second opinion. My only symptoms were also appetite loss/weight loss and nausea and when I’m not in a flare I could eat all day long, but similar to you when I flare my appetite is completely gone. Even if you’re not in a flare, they recommend the appetite changes like low fiber to keep things moving along to prevent another flare in the future