Have you heard of gastroparesis? Although it may not be widely known, grasping this condition is essential for those experiencing ongoing digestive problems. Gastroparesis is a disorder that affects the normal movement of the stomach muscles. This means your stomach takes longer than usual to empty its contents into the small intestine.

Gastroparesis symptoms can often mimic other digestive disorders, making it challenging for patients and even healthcare providers to identify the root cause. Raising gastroparesis awareness and understanding its symptoms can facilitate timely medical advice, resulting in improved management and quality of life.

Causes and Risk Factors

Understanding gastroparesis starts with knowing what causes it. Due to the delayed gastric emptying, food remains in the stomach longer than it ideally should. But what are some gastroparesis causes?

One primary cause of gastroparesis is damage to the vagus nerve, which controls stomach muscles. When this nerve is damaged, the muscles of the stomach and intestines do not work properly, slowing the movement of food through the digestive system.

Several risk factors can increase the likelihood of developing gastroparesis. They include:

  • People with diabetes, particularly type 1 diabetes, are at higher risk. 
  • Viral infections can lead to inflammation and damage to the nerves that control gastric motility.
  • Individuals who have had abdominal or esophageal surgery may experience changes in their digestive system’s normal functioning, increasing their risk. 
  • Surgery complications can damae the nerves that control stomach function. Scar tissue from surgery can block or disrupt normal digestion.
  • Certain autoimmune diseases contribute to the development of this condition. 
  • Medications such as narcotics and antidepressants can impact stomach movement.
  • Eating disorders also play a role in increasing the risk.

Symptoms and How to Recognize Them

Gastroparesis symptoms can vary from mild to severe, often making it challenging to identify without proper medical advice. However, recognizing these symptoms can be the first step toward seeking appropriate treatment.

Common symptoms include:

  • feeling of fullness after eating just a small portion
  • feeling full long after eating a meal
  • nausea
  • vomiting
  • bloating
  • belching
  • abdominal pain
  • heartburn
  • poor appetite

These symptoms can overlap with conditions like acid reflux and irritable bowel syndrome, making professional diagnosis essential. If you suspect gastroparesis, consult a gastroenterologist to differentiate it from similar conditions. Early diagnosis can improve management and alleviate discomfort.

Diagnosis and Testing

Diagnosing gastroparesis involves evaluating medical history, physical exams, and specific tests. A gastroenterologist uses advanced tools to assess the condition such as:

  • Gastric Emptying Scintigraphy: A common diagnostic test measures how quickly food leaves the stomach. The patient eats a meal with a small amount of radioactive material, and a scanner tracks its movement through the digestive system.
  • Breath Test: A non-invasive procedure that involves eating a specific food with a substance that the body absorbs. Over a few hours, breath samples are taken to check substance levels, with high levels suggesting poor digestion in the small intestine.
  • Upper Gastrointestinal (GI) Endoscopy: This test allows doctors to visually examine the stomach and small intestine for abnormalities.

Treatment Options and Management

Gastroparesis is not curable but can be managed with medical treatments and lifestyle changes. Patients often find relief through dietary adjustments, medications, or devices like gastric stimulators.

Gastroparesis treatment focuses on improving gastric emptying and relieving discomfort. Common medications include metoclopramide and erythromycin. In severe cases, surgery may be necessary.

Diet is crucial—eating smaller, more frequent meals that are low in fat and fiber can help. Soft or pureed foods and staying hydrated are recommended, while avoiding high-fiber foods and fatty meals can alleviate symptoms. Regular check-ups with a gastroenterologist are essential to tailor treatment plans.

Before making any significant changes to your diet or treatment plan, it is essential to consult with a gastroenterologist to ensure the adjustments are appropriate for your specific condition and needs.

If you are experiencing gastroparesis symptoms or seeking gastrointestinal disease treatment, consult with a specialist, such as those at the Gastroenterology Associates of Tidewater. The GI Associates doctors offer expert care for gastrointestinal conditions. Remember, you’re not alone in this journey, and there are resources available to help you every step of the way.