Gastroparesis is a condition in which the stomach empties food too slowly. It occurs when the muscles or nerves in the stomach don't work properly, leading to delayed digestion and discomfort.
People with gastroparesis may experience:
Several factors can lead to gastroparesis:
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Yes, it can. While delayed stomach emptying often leads to nausea and bloating, some people with gastroparesis also experience diarrhea, and others may get constipation or gas.
It varies from person to person. Some individuals have fewer bowel movements due to slowed digestion, while others may have more frequent stools if the small intestine responds irregularly.
The ICD-10 code for diabetic gastroparesis ranges from E08.43 to E13.43, depending on the specific type of diabetes mellitus involved.
Gentle, easily digestible options like blended soups, smoothies, yogurt, scrambled eggs, mashed vegetables, applesauce, and soft meats are recommended.
High-fat, high-fiber, or hard-to-chew foods-such as raw vegetables, fatty meats, nuts, seeds, fried foods, and carbonated beverages-can exacerbate symptoms.
Duration varies. Some people see improvement over weeks to months, while others have chronic symptoms that require ongoing dietary and medical management.
In rare cases, GLP-1 receptor agonists like Ozempic can slow gastric emptying and mimic gastroparesis symptoms. If you notice nausea, bloating, or other digestive changes, consult your doctor.
Diagnosis typically involves a gastric emptying scan (scintigraphy), breath tests, or endoscopic evaluations to assess how quickly food moves through the stomach.
Surgical and endoscopic procedures-such as gastric electrical stimulation or pyloric interventions-can improve symptoms but are rarely a complete cure; they're usually reserved for severe cases.
Non-pharmacologic strategies include eating small, frequent meals; choosing soft, well-blended foods; walking after eating; staying hydrated; and trying ginger or peppermint tea for nausea.