Question

Diabetes Complications

What is gastroparesis?

A Answers (8)

  • Gastroparesis is a form of nerve damage that affects the stomach. Digestion of food may be incomplete or delayed, resulting in nausea, vomiting, or bloating, making blood glucose levels difficult to manage.
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  • ALinda Lee, MD, Gastroenterology, answered on behalf of Johns Hopkins Medicine

    Gastroparesis is a stomach disorder in which the stomach doesn't empty properly, even when there is no blockage to the exit of the stomach. Specifically, the stomach muscles don't function properly - so food from your last meal stays in the stomach much longer than normal. This can lead to a variety of problems, including nausea, vomiting, bloating, a sense of fullness, and even abdominal pain.

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  • AUCLA Health answered
    For most people, food empties from the stomach within two to four hours after eating. But for those with a condition known as gastroparesis, the stomach doesn’t empty properly, which may cause severe nausea, vomiting and other problems.
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  • ARonald Tamler, MD, Endocrinology/diabetes/metabolism, answered on behalf of The Mount Sinai Health System

    Gastroparesis is a complication of diabetes. It happens when the nerves that regulate how the gut moves food forward in the digestive process are damaged from being exposed to high blood sugar for many years. Consequently, the stomach does not empty out the way it normally would. Patients may have nausea, bloating, poor appetite and problems controlling their blood sugar because they can no longer predict how quickly the food is absorbed from the gut.

    Good blood sugar control is the best prevention. I am very happy that Mount Sinai just happens to have one of the best gastroenterology divisions in the world, and I can refer my patients to some really good people who know what they are doing.

  • AHealthwise answered

    Gastroparesis is a disorder in which the stomach takes too long to empty after eating. The delay is caused by damage to the stomach nerves and results in bloating, heartburn, and possibly serious symptoms because digestion is altered.

    Diabetes is the most common cause of gastroparesis. Other causes include some disorders of the nervous system, such as Parkinson's disease and stroke, and some medicines, such as tricyclic antidepressants, calcium channel blockers, and narcotics.

    The most common symptoms of gastroparesis are:

    • A feeling of fullness after only a few bites of food.
    • Belching and hiccups.
    • Nausea.
    • Vomiting.
    • Food coming back up your throat, without nausea or vomiting.

    Symptoms range from mild to severe. Severe symptoms of gastroparesis may improve with treatment using medicines that help with nausea and vomiting (antiemetics) and medicines that help the stomach empty more quickly (motility agents). In very severe cases, a feeding tube placed in the small intestine may be needed.


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  • Many people with diabetes have a condition known as gastroparesis, which is also known as delayed gastric emptying. What happens is that the stomach takes too long to empty its contents. Signs and symptoms of gastroparesis may include stomach upset such as heartburn, nausea, an early feeling of fullness when eating and abdominal bloating.
     
    There are many other causes of stomach upset. Eliminating various foods may help identify any offending foods. If you are unable to determine if your symptoms are food-related, talk with your doctor. He or she can investigate further to determine the cause of your stomach upset.
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  • ARobynne Chutkan, MD, Gastroenterology, answered
    Gastroparesis means paralysis of the stomach -- affectionately referred to as a "lazy stomach". We see this condition commonly in diabetics because the disease can affect the nerves that control emptying of the stomach. But why are we seeing gastroparesis in so many non-diabetics? Because we're spending the majority of our day sitting at a desk hunched over a computer and that couldn't be more at odds with our hunter-gatherer ancestry and design.
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  • Gastroparesis is a disorder in which the stomach cannot contract and empty its contents into the intestines in the absence of any intestinal blockage. Because people with gastroparesis cannot move food properly through their digestive system, they may experience symptoms including pain, nausea, vomiting, abdominal bloating, malnutrition and more.
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