Gastroparesis

Gastroparesis: Symptoms, Causes and Complications

Once you consume food, the stomach passes it on to the small intestine within 15 minutes - 2 hours. The longest time taken for the stomach to empty a full meal is 2 hours. If the food remains much longer in the stomach than this, it is better to get tested for Gastroparesis.

Gastroparesis is also called delayed gastric emptying. It is a condition where the spontaneous movement of the stomach muscles is affected due to nerve damage in the stomach. The vagus nerve responsible for digestion may be damaged leading to improper digestion causing nausea, acid reflux, abdominal pain etc.

Currently, 4-7% of India's population suffers from Gastroparesis, mostly in the age of 17-57. Gastroparesis treatment is available in India on an expert and economical basis.

Gastroparesis-Causes

  • Diabetes 1 &2
  • Parkinson's disease
  • Stroke
  • Medication like antidepressants or opiate analgesics
  • Complications after surgery

Gastroparesis treatment

This delayed Gastric -emptying or Gastroparesis is detected using Barium x-ray or Radioisotope Gastrointestinal scan. Gastroparesis treatment includes

  • Medication -Gastroparesis patients suffer from nausea and vomitting and hence poor appetite. So they should be treated in 2 ways by providing medication for.
    • Nausea and Vomiting - Anti-emetics like Prochlorperazine are used.
    • Stimulation of Stomach Muscles - Erythromycin, Domperidone, Metoclopramide etc. have good results.
  • Diet Control-Patients are asked to avoid fibrous foods and switch to low fat and fluid diet.
  • Electrical Stimulation-Implantable gastric stimulation uses a device with electrodes which when implanted, trigger stomach contractions.
  • Surgery-Vertical sleeve gastrectomy involves removal of the affected part by surgical methods.
  • In extreme cases, use of a feeding tube or intravenous nutrition is provided.

    Diabetic Gastroparesis:

    Gastroparesis caused due to Diabetes 1 or 2 is called Diabetic Gastroparesis. This can be treated by using anti-emetic drugs and antibiotics. But the most important factor to concentrate on is a diabetic gastroparesis diet.

    Diabetic gastroparesis diet

    • 1.Start with liquid diets or blended foods like pureed vegetables and soups and have solid foods as your condition improves.
    • 2.Eat 6-8 small meals instead of heavy meals.
    • 3.Have more of soft foods, low-fat and low-fibre foods.

    The following kinds of foods are ideal to be included in diabetic gastroparesis diet

    • Dairy Products - Skim milk, low fat cheese and blended yoghurt
    • Soups - Broth or Soups with low fibre vegetables and blended cream
    • Meats- Egg whites and lean meat
    • Bread - White bread and its products
    • Grains- White Rice, Pasta
    • Vegetables-soft cooked vegetables like mashed potatoes, carrots and beans
    • Fruits- Fruit juice without pulp; Ripe bananas
    • Beverages-Water, Tea, Coffee, Diet soft drinks

    Gastro-cancer Treatments in India

    Gastric or Stomach cancer may be due to stomach tumours, damage to the mucosal lining of stomach or due to the imbalance of hormones and lymph cells.

    Gastro-cancer treatments in India are currently provided in the form of

    • Radiation Therapy -Here high energy rays are used to torch the cancerous cells.
    • Chemotherapy- Here anticancer drugs are injected into the bloodstream or given orally.
    • Total gastrectomy Here the entire stomach is removed along with lymph nodes, oesophagus and a part of the small intestine and spleen. A new stomach is constructed using tissues and replaced.
    • Partial Gastrectomy Here a part of the stomach is removed along with a part of the oesophagus or small intestine.
    • Cyberknife Robotic Radiosurgery This is the latest, best and safest way to eliminate inoperable stomach cancer tumours

    Gastro-cancer treatments in India are offered at the most economical prices with efficient expertise and post-operational care than in other parts of the world.