Idiopathic Gastroparesis

  In September (after 6 months and multiple doctors) I was diagnosed with gastroparesis and am currently taking 50mg propulsid a day, prilosec, fibercon, dulcolase, and hyoscyamine.
  tests performed were upper endoscopy with biopsy showing gastritis only, thyroid and other blood work -negative, and a solid meal emptying scan  - results 200 minutes and that was on a day  that I felt good.  Are these the only tests necessary to show that the gastroparesis is idiopathic?  Also until recently I was still able to eat solid foods in extremely small amounts most days. Now over the last two weeks the symptons seemed to have returned to what they were before.  What should I be doing now?   Most mornings I drink a breakfast nutrition drink but recently I cannot without vomiting after I drink it.  I started this overweight and am luckily still in the safe range, however Iam exhausted from the lack of adequate nutrition and the trauma of eating.  I have read about tube feeding and am trying desperately not to end up there.  Could my stomach emptying rate be getting slower? And are there any specific diets of easily digestable foods that  provide nutrition?  I am a first grade teacher and my students are beginning to suffer because I am not able to function at the same mental compacity as previously!  I'd be grateful for any advice.  Thanks
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Dear christy,
The common causes of gastroparesis include hypothyroidism, autonomic neuropathy secondary to diabetes mellitus, other causes of autonomic neuropathy, medications with anticholinergic side-effects, electrolyte abnormalites e.g. hypocalcemia and intraabdominal infection.
All the above conditions must be excluded.  Additionally, it is necessary to exclude disease of the small intestine and pancreas which can impair gastric emptying.
Eat small meals,  Avoid fatty fodds.
This information i presented for educational purposes only.  Always ask specific questions to your personal physician.
HFHSM.D.-rf
*keywords: gastroparesis
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