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Heart Disease  (Expert Forum)
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Gastroparesis and vagal nerve damage
Answered by
Cleveland - OH
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Gastroparesis and vagal nerve damage

by Duchess47, Feb 12, 2006 12:00AM
Recently I have been diagnosed with Gastroparesis.  My gastroenterologist is going to look in to underlying causes.  I have Graves disease which isin remission right now and I am not taking any thyroid meds. as my thryoid has tested normal for 3 moths now.  I only take Lipitor for high Cholesterol. In the past I have had issues with tachycardia. Now, I seem to have very low blood pressure and heart rate and very tired.  I would like to kno:



1.Can be related to the Gastroparesis since it involves the vagus nerve.  

2.What other things besides diabetes and hypothyroid can cause Gastroparesis?  

3.If it is damage to vagal nerve what can be done to correct it?



Thanks in advance

by Cleveland Clinic, Feb 12, 2006 12:00AM
duchess,



1.Can be related to the Gastroparesis since it involves the vagus nerve.



The low blood pressure itself is probably not. Some levels of autonomic dysfunction can be though. Commonly orthostatic hypotension is seen in patients with gastroparesis.



2.What other things besides diabetes and hypothyroid can cause Gastroparesis?



Any type of chronic illness can be associated with it as well as some medications that slow down GI motility such as opiates. Thyroid, diabetes and amyloid dirrectly affect the nerves of the gut. Alot of medications affect the way the movent of the bowels take place.



3.If it is damage to vagal nerve what can be done to correct it?



This is more of a question for a gastroenterologist. 1st, you need to find the cause and rectify that. That will either improve or halt/delay the progression of symtoms. There are some medicines that can increase GI motility such as reglan. Its a difficult disease to treat though.



good luck
Member Comments (6)

by Neverendingcoughing, Mar 07, 2006 12:00AM
I've been searching about chronic cough and I've seen a lot about Vagus nerve damage. Could I have injured by vagus nerve? Any ideas about how to treat a vagus nerve? which type of doctor could I see for treatment?

I've had an undianosed chronic cough for 12 years.I'm really sick and tired of this cough. I cough 3-12 times per day.

I've seen over 20 doctors in 5 different countries without success. I had a Reflux operation a year ago.  The Reflux symptoms have stopped but the cough remains.

The ONLY relief I've had is when my sinus was sprayed with anathesia for nasal endoscopy. I didn't cough for 6-8 hours...heaven.

Symptoms; tickle inside left or right side of throat, tightness and/or tingling in nose, shortness of breath while coughing, lightheaddedness, non-productive, unable to swallow mucus from sinus.

Triggers; scents/odors pleasant or otherwise, standing from lying position, rising EVERY morning, lying on back or right side, being overheated or entering a warm environment from cooler/cold environment, sudden breathing changes, eating powdery or sugary foods such as "Smarties or powdered donuts".

Physicians notations; tightness in nasal passages during endoscopy, no medications affect change, negative for; asthma, rhinitis, GERD, sleep apnea

Alergies; Asprin sensitivity

I've never smoked, drank, or done drugs.

by Duchess47, Mar 23, 2006 12:00AM
To: Neverendingcoughing
Have you seen a Laryngologist? Also, I had the same problem for about 1 year along with a lot of other problems.  My Endocrinologist had me come off of my thyroid meds. and lo and behold no more cough.  I know that acid reflux can cause this too.  Do you ever have lyryngitis also?  If you do it is a direct result of inflammation to your vocal chords.

by cdausman, Apr 10, 2006 12:00AM
Another med that might help is Zelnorm, along with with a low fat diet-high fiber diet.

by sockeye, Aug 31, 2006 12:00AM
Could a severe blow to the sternum damage the vagal nerve causing the following symptoms?

Heart missing beats; chest pains; digestive problems(constipation) and back pain.

by sockeye, Aug 31, 2006 12:00AM
Could a severe blow to the sternum damage the vagal nerve causing the following symptoms?

Heart missing beats; chest pains; digestive problems(constipation) and back pain.

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