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Gastroparesis

Also known as Delayed Gastric Emptying, Gastric Stasis, Gastric Atony, and Gastric Paralysis

Gastroparesis, also called delayed gastric emptying, is a medical condition consisting of a paresis (partial paralysis) of the stomach, resulting in food remaining in the stomach for a longer time than normal. Normally, the stomach contracts to move food down into the small intestine for digestion. The vagus nerve controls these contractions. Gastroparesis may occur when the vagus nerve is damaged and the muscles of the stomach and intestines do not work normally. Food then moves slowly or stops moving through the digestive tract.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with gastroparesis, 85% report having vomiting, 75% report having nausea, and 74% report having sharp abdominal pain. The symptoms that are highly suggestive of gastroparesis are regurgitation and heartburn, although you may still have gastroparesis without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with gastroparesis often receive hematologic tests, complete blood count, intravenous fluid replacement, glucose measurement, electrolytes panel, kidney function tests, urinalysis and electrocardiogram .

Common Medications

The most commonly prescribed drugs for patients with gastroparesis include metoclopramide, insulin, insulin glargine (lantus), insulin, aspart, human (novolog), benzocaine topical, pancrelipase (pancrease), theophylline, phenobarbital, sennosides, usp (perdiem), rosiglitazone (avandia), calcium carbonate / simethicone, calcium carbonate / famotidine / magnesium hydroxide and aloe vera preparation .

Who is at risk?

Groups of people at highest risk for gastroparesis include age 30-44 years. On the other hand, age < 1 years almost never get gastroparesis.

Age

< 1 years
0.0x
1-4 years
0.3x
5-14 years
0.1x
15-29 years
0.8x
30-44 years
1.5x
45-59 years
1.3x
60-74 years
1.4x
75+ years
0.8x

Sex

Male
0.7x
Female
1.2x

Race/Ethnicity

Black
1.4x
Hispanic
1.4x
White
0.9x
Other
0.3x
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