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(Delayed Gastric Emptying)
|The Stomach and Intestines|
|Copyright © Nucleus Medical Media, Inc.|
- Gastroesophageal reflux disease (GERD)
- Surgery that involves the stomach or vagus nerve
- Taking certain medicines (eg, anticholinergics or narcotics)
- Infection from a virus
- Diseases affecting the nerves, muscles, or hormones
- Diseases affecting metabolism (body’s ability to make and use energy)
- Chronic disease
- Anorexia or bulimia
- Radiation or chemotherapy
- Feeling full early during a meal
- No appetite
- Nausea and vomiting
- Pain in your abdomen or esophagus (the muscular tube that carries food from your mouth to your stomach)
- Weight loss
- High-fiber foods, like raw vegetables and fruits
- Fatty foods
- Carbonated drinks
- Blood tests
Tests to measure:
- Stomach volume before and after a meal
- The rate at which the stomach empties
- The ability of the muscles in the stomach and small intestine to contract and relax
- Ultrasound —to observe movement of food out of the stomach
- Barium x-ray or CT scan —uses a milky fluid to coat the lining of the stomach intestines to look for blockage
- Gastric emptying study—uses radioactive meal to measure stomach emptying directly with an x-ray
- Gastric emptying study may also be done by MRI
- Upper endoscopy —a thin, lighted tube inserted down the throat to examine the esophagus, stomach, and small intestine
- SmartPill—a pill-sized device that is swallowed to capture information on the digestive system
- Eating small meals several times throughout the day
- Following a liquid diet
- Limiting high-fat and high-fiber foods
- Metoclopramide (Reglan)
- Control diabetes. Since diabetes is a common risk factor for gastroparesis, it is important that you follow treatment plans from your doctor if you have diabetes.
- Avoid medicines that delay gastric emptying. Some medicines may keep your stomach from emptying properly. These include narcotic pain medicines, calcium channel blockers, and some antidepressants. Keep a list of all the medicines you are taking and share this list with your doctor. Make sure you talk to your doctor before stopping any medicines.
American College of Gastroenterology http://www.acg.gi.org/
American Gastroenterological Association http://www.gastro.org/
Canadian Institute for Health Information http://www.cihi.ca/
Health Canada http://www.hc-sc.gc.ca/
DynaMed Editors. Gastroparesis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated November 29, 2010. Accessed April 4, 2011.
Fox J, Foxx-Orenstein A. Gastroparesis. The American College of Gastroenterology website. Available at: http://www.acg.gi.org/patients/gihealth/gastroparesis.asp . Accessed April 4, 2011.
Gastroparesis. The National Digestive Diseases Information Clearinghouse, National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://digestive.niddk.nih.gov/ddiseases/pubs/gastroparesis/ . Updated July 2007. Accessed April 4, 2011.
Shakil A, Church RJ, Rao SS. Gastrointestinal complications of diabetes. Am Fam Physician . 2008;77(12):1697-1702.
Soykan I, Sivri B, Sarosiek I, Kiernan B, McCallum RW. Demography, clinical characteristics, psychological and abuse profiles, treatment, and long-term follow-up of patients with gastroparesis. Dig Dis Sci . 1998;43(11):2398-2404.
- Reviewer: Michael Woods, MD
- Review Date: 06/2014
- Update Date: 06/03/2013