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Gastroenterology (Expert Forum)
can this go away
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
can this go away
by funnygirl64, Nov 03, 2003 12:00AM
I was diagnosed with gastrparesis a few months ago. At that time I had NO symptoms of it and it was discovered by acciendt. I have the test done for it when you eat the eggs . The eggs sat in my stomach and NONE of it was digested after 2 hours- so I surely have it. No one could believe I had no symtpoms. I NOW have symptoms and wake up with nausea every morning. I wake up in the middle of the night with it to. Can this go away? I do not have diabetes and no one knows why I have this. I had nissen fundoplication surgery 3 months ago for acid reflux. That went o.k. and the acid reflux is gone. Any ideas? Mostly- can this leave the way it came? I should also add, that I had had acid relux, for years, controlled. Then, one day while laughing I aspirated some water into lungs and my throat closed for some 15 seconds (I could not speak). when my airways opened up I felt a huge burst of acid come up. I lost my voice for a few days. After that my acid relux was out of control. Then they discoevered the gastroparesis. COULD that have been caused byt he incident where I aspirated the water. It FEELS like it did as everything was fine before that and no fine since.
Doctor's Answer
by Kevin Pho, MD, Nov 06, 2003 12:00AM
, Nov 06, 2003 12:00AM
Surgeon has kindly shared his thoughts in his comments below and I agree with his assessment.
If the diagnosis is truly gastroparesis, there are several medications that you may want to discuss. Intravenous erythromycin is the treatment of choice for patients who cannot take oral medications, while cisapride is the drug of choice for those who can ingest oral liquids, although its availability is severely restricted in the United States.
Reglan and Domperidone (this is not available in the United States) are also medications to consider. More experimental treatments have used botulinum toxin injection. I would discuss all these options with your personal gastroenterologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Camilleri. Treatment of delayed gastric emptying. UptoDate, 2003.
If the diagnosis is truly gastroparesis, there are several medications that you may want to discuss. Intravenous erythromycin is the treatment of choice for patients who cannot take oral medications, while cisapride is the drug of choice for those who can ingest oral liquids, although its availability is severely restricted in the United States.
Reglan and Domperidone (this is not available in the United States) are also medications to consider. More experimental treatments have used botulinum toxin injection. I would discuss all these options with your personal gastroenterologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Camilleri. Treatment of delayed gastric emptying. UptoDate, 2003.
Member Comments (1)
by surgeon, Nov 03, 2003 12:00AM
It's possible that the vagus nerves, which control muscular action of the stomach, as well as influencing acid production, could have been injured during the fundoplication. That could cause gastroparesis. If so, it's possible it will gradually improve, assuming the nerves weren't totally cut. There are two main trunks, and it would be extra rare for both to be cut. There are ways to test for function of the vagus nerves. It could take many months to improve, if that's the cause...up to a year or more. I'd be optimistic that it will get better. Meanwhile, if you aren't already on it, reglan (metoclopromide) can help a lot.
