The cause of the condition is often unknown. Trindade said treatments such as diet modifications and medications can help reduce your gastroparesis symptoms. Common drugs your doctor might prescribe include prokinetics, which help your stomach empty faster, or antiemetic drugs to reduce nausea and vomiting. You may be uncomfortably familiar with how gastroparesis impacts your daily life.
But the pain and discomfort may not be easily understood by loved ones and acquaintances, so we asked our Mighty community with gastroparesis to describe what it really feels like.
I get severely nauseous, and that feeling is always there. Food makes it angry. Your physician may consider this option if you fail to respond to metoclopramide or you wish to try something else. Erythromycin also has side effects. It does not work after 4 weeks. Your doctor will also help you weigh the pros and cons of using this medication. Anti Emetics Medications to control nausea and vomiting Your physician may also consider the use of medications like prochlorperazine Compro , diphenhydramine Several brand names including Benadryl , ondansetron Zofran.
There are risks and benefits to these medications as well. G -POEM gastric peroral endoscopic myotomy is a specialized procedure done in those patients who have not responded to other therapies.
It involves minimally invasive surgery of the stomach performed by endoscopy. An endoscopy is a test that is performed after giving intravenous sedation. A small tube is inserted in the stomach where the surgery occurs. There are additional experimental options that your doctor may discuss with you including surgically placing an electric stimulation device on your stomach.
The electrical stimulation helps control symptoms. There are several newer pharmacological agents on the horizon that offer promise in treating gastroparesis.
Figure 1: Gastrostomy and jejunostomy anatomy. Figure 2: Oro-jejunal feeding tube. However, the evidence that these medicines relieve the symptoms of gastroparesis is relatively limited and they can cause side effects. Your doctor should discuss the potential risks and benefits with you.
Domperidone should only be taken at the lowest effective dose for the shortest possible time because of the small risk of potentially serious heart-related side effects. If dietary changes and medicine do not help your symptoms, a relatively new treatment called gastroelectrical stimulation may be recommended.
However, this is currently not routinely funded by many NHS authorities. Gastroelectrical stimulation involves surgically implanting a battery-operated device under the skin of your tummy. Two leads attached to this device are fixed to the muscles of your lower stomach. They send electrical impulses to help stimulate the muscles involved in controlling the passage of food through your stomach.
The device is turned on using a handheld external control. The effectiveness of this treatment can vary considerably. Not everyone will respond to it, and for many people who do respond, the effect will largely wear off within 12 months. This means electrical stimulation is not suitable for everyone with gastroparesis. There's also a small chance of this procedure leading to complications that would require removing the device, such as:.
Speak to your surgeon about the possible risks. More severe cases of gastroparesis may occasionally be treated by injecting botulinum toxin into the valve between your stomach and small intestine. The injection is given through a thin, flexible tube endoscope which is passed down your throat and into your stomach.
Gastroparesis: Etiology, clinical manifestations, and diagnosis. Treatment of gastroparesis. Parsi MA, et al. Techniques and devices for the endoscopic treatment of Gastroparesis.
Gastrointestinal Endoscopy. Hasler WL. Electrical stimulation for gastroparesis. About gastroparesis: Complementary and alternative medicine. International Foundation for Gastrointestinal Disorders. Brown A. Allscripts EPSi.
Mayo Clinic. June 23,
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