My vagus nerve was severed on a second Nissen fundoplication after the first one failed. I am mechanically unable to throw up because of the "wrap". Immediately following surgery I began having unexpected diarrhea. I have been diagnosed by gastric emptying study with severe gastroparesis. It seems like sometimes the diarrhea hits fairly shortly after a meal which seems more like dumping syndrome. I am confused as I did not think that gastroparesis and dumping syndrome can coexist. I have had little help from my GI doc or explanation. It has now been several years and needless to say life is unpredictable. I treat myself with immodium which helps, but then unexpectedly I get very ill. How can I have gastroparesis and diarrhea shortly after a meal? How can I best manage my condition. Can gastroparesis exist with dumping syndrome?
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