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Gastroparesis

Gastroparesis · Gastroparéza

What it is

The stomach empties too slowly, usually from diabetic nerve damage or after surgery.

Symptoms & signs

  • Fullness after a few bites
  • nausea and vomiting of old food
  • bloating
  • erratic blood sugars
  • weight loss

🚩 Get help if…

  • call 112 / 911 now Vomiting blood or material that looks like coffee grounds
  • see a doctor soon Unable to keep any fluids down for a day, or very little urine
  • see a doctor soon Very high or very low sugars in someone with diabetes
  • see a doctor soon Weight loss without trying

Where it strikes

Medical treatment

  • Small low-fat low-fibre meals
  • metoclopramide or domperidone (neurological and heart-rhythm risks limit long-term use)
  • erythromycin
  • gastric electrical stimulation
  • G-POEM pyloromyotomy

Natural & lifestyle

  • Liquid calories when solids fail
  • small frequent meals
  • walk after eating
  • tight glucose control
  • ginger

Emerging & experimental

  • Prucalopride and relamorelin trials
  • pyloric botulinum (mixed evidence)

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Acupuncture — trials disagree; some show faster emptying mixed evidence
  • STW5 (Iberogast) — small studies early / small studies
  • Apple cider vinegar before meals — can slow emptying further anecdotal / traditional

ICD codes