What is the GI "cocktail" you are on? Have you ever tried domperidone? Have you tried neurontin (or something similar)? What other medical conditions do you have?
What type of pain pump are you talking about?
here are the meds.I take..G I cocktail-Amoloipine-carvedilol-plavix-megestro;-misoprostel-Pravastatin-percocet 10-promethazine Beledonna.I also take relistor as needed but not often because of the direah. I have tried reglan and now tramadol but have very bad reactions with these. My dr. would like me on a pain patch that doesn't go straight into the stomach and would also help with the chronic back pain i have. I am now at my witts end as i don't know what to do about the pain and my dr. at the pain clinic doesn't believe in pain patches so would a pain pump be better? Someone please help.
Laparoscopic pyloroplasty has been around for a long time as a treatment for gastroparesis. However, the big problem with this is that it is permanent and has many risks (such as dumping syndrome and worsening in symptoms if there is also small bowel dysmotility). Diet and medications should definitely be tried first. Botox injections are also a very good thing to try before a pyloroplasty and they are a good indicator if the pyloroplasty will be helpful.
The new treatment, that not even most surgeons and gastroenterologists know, is laparoscopic pyloroplasty. The first study was quietly published in the medical literature in July 2011. I am presently writing up our study, where we found the same results. All patients improved, some cured. No mechanical devices. Two nights in the hospital. No leaks. No dumping. I am thrilled about this and it is my personal mission to bring the information to the public sooner. It takes too long for multiple studies to get published...and hopefully even read by your doctors.
Also, narcotics should be a LAST resort...
Welcome to the gastroenterology community! I also have gastroparesis and I am currently 100% fed through a J tube. Yes the gastric pacemaker might help you, but it is unlikely to relieve any of your pain (it helps with vomiting and nausea but nothing else). Have you had testing to see if your small intestine is working okay? Have you tried botox injections? What meds have you tried? Also, I understand that you can have a lot of pain with gastroparesis and often doctors are reluctant to treat this with stronger pain meds. However, narcotics can make all of your symptoms worse and sometimes even cause more pain. I would recommend that you try all other ossible other medications to help pain before trying strong narcotics. This includes things like neurontin or tramadol (which is better than other narcotics).