What Is Gastroparesis?
Gastroparesis is a condition in which the stomach empties food into the small intestine more slowly than normal. This delay can lead to symptoms such as nausea, bloating, feeling full quickly, and can interfere with nutrient absorption and blood sugar control.
Common Causes and Risk Factors
- Diabetes -chronic high blood sugar can damage the stomach's nerves
- Prior stomach or esophageal surgery -may disrupt normal gastric motility
- Certain medications -such as opioids, antidepressants, or blood pressure drugs
- Idiopathic -in many cases, no specific cause is identified
- Age and long-term nerve disorders -older adults or those with neuropathies are at higher risk
Signs and Symptoms
- Nausea or frequent vomiting
- Abdominal bloating or discomfort
- Early satiety -feeling full after only small amounts of food
- Unintentional weight loss
- Blood sugar fluctuations, especially in diabetics
Expert Treatment for Gastroparesis by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He reviews your symptoms (nausea, bloating, early satiety), dietary patterns, medication use (especially opioids or anticholinergics), and any history of diabetes or prior abdominal surgery.
Gastric Emptying Study
A standardized nuclear medicine test tracks how quickly a small, radiolabeled meal leaves your stomach over a four-hour period.
Endoscopy or Ultrasound
- Upper endoscopy (EGD) checks for mechanical obstruction, ulcers, or inflammation.
- Abdominal ultrasound rules out gallstones and assesses overall abdominal anatomy.
Advanced Testing (if needed)
Additional tests-such as a breath test for small intestinal bacterial overgrowth (SIBO) or a wireless motility capsule (-smart pill-) that measures pH, pressure, and temperature-can help pinpoint the cause and guide treatment.
Frequently Asked Questions
What is the ICD-10 code for gastroparesis?
It's K31.84, used in medical records and for insurance billing.
Will gastroparesis go away?
Some people improve with the right diet, medications, and lifestyle changes, though symptoms may persist for others.
How long is the gastric emptying test?
The standard test takes about 4 hours, and you can go home the same day.
Can diabetes cause gastroparesis?
Yes. Chronically high blood sugar can damage the nerves that control stomach emptying.
Are there natural remedies for gastroparesis?
Eating small, low-fat meals and using ginger or acupuncture may help. Always check with your doctor before starting supplements.
What if medicine doesn't work?
If diet and medications aren't sufficient, we may recommend procedures like gastric electrical stimulation (GES) or G-POEM.