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Gastroenterology (Expert Forum)
Rapid Gastric Emptying
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Rapid Gastric Emptying
by jen, Nov 10, 2000 12:00AM
Is it possible to have rapid gastric emptying without having had stomach surgery? I have been having alot of trouble with Hypoglycemia right after a meal, not 2 hours later but right after a meal. The doctor says it cant happen that soon after eating. I was wondering what else could cause hypoglycemia that soon after eating> Thank You
Doctor's Answer
by HFHSM.D.-rf, Nov 13, 2000 12:00AM
Dear Jen,
Rapid gastric emptying can occur in the absence of prior gastric surgery. If you have documented hypoglycemia ( by a low blood sugar), one would about a mismatch between carbohydrate load and insulin release. Your physician can determine if there is excessive glucose release by blood tests.
This informationis presented for educational purposes only. ASk specific questiosn to your personal physician.
Rapid gastric emptying can occur in the absence of prior gastric surgery. If you have documented hypoglycemia ( by a low blood sugar), one would about a mismatch between carbohydrate load and insulin release. Your physician can determine if there is excessive glucose release by blood tests.
This informationis presented for educational purposes only. ASk specific questiosn to your personal physician.
Some years ago, I was diagnosed with renal failure. In consequence, I had to undergo emergency haemodialysis. This was effected via a femoral route to start with.
During the attempted access to my left femoral vein, a severe amount of internal bleeding arose (about six pints). I later went on to CAPD. Two days after an increase in the volume of my CAPD exchanges, I developed the most chronic diarrhoea with my bowels opened 20 to 30 time a day(!), passing liquid unformed stool straight after eating.
I was admitted to hospital where I was to remain for 17 weeks. Despite undergoing every conceivable test, no bacteriological or infective cause was found for my gastroenterological problems. However, a collection of fluid was found in my abdomen. This was the remains of the internal bleeding. Two days after its removal, the diarrhoea ceased.
A letter of referral from the hospital states that "the most likely cause of the diarrhoea was myenteric plexus irritation secondary to the femoral access for dialysis, and the consequent internal bleeding".
Presumably the effects of this were made worse by the presence of CAPD fluid which possibly forced the retroperitoneal haematoma against my bowel wall.
Has anyone ever before heard of internal bleeding (possibly aggrevated by CAPD fluid) being the cause of myenteric plexus irritation and of it being responsible for the prolonged gastroenterological illness described?
Comments welcome.
Many thanks.
Sid.