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Gastroparesis Info

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"Monkey Girl"

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Gastroparesis
FAQ's
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Q: What are the
causes of gastroparesis? A:
Gastroparesis is a common complication of diabetes. Other less
common causes include post-surgical, idiopathic (unknown), genetics
(rare), and neurological disorders. Q:
Why is abdominal pain a symptom of GP? A.
Good Question! The weird thing about GP pain is that it is not
necessarily confined to the stomach. In fact, it usually jumps
around. I have been doubled over in pain after eating in the
past. It jumped around from my gall bladder area, to my appendix
area, over to my side, stomach, back, etc. I do not know why
patients with GP have abdominal pain, but it is certainly a symptom as
the majority of people I talk to with GP list it as a major symptom, if
not the worst symptom. Could be caused by food sitting in there
for so long and getting hard, or from build up of acid as the food sits
in there. If anybody has a more medical explanation then please
let me know! Q:
What do you know about the gastric pacemaker? A:
Not very much! Although I was involved in a temporary pacing study with
Dr. Richard McCallum five years ago, I have not tested the permanent
gastric pacer. I have heard mixed stories. In some cases it
has been very successful, and in others not successful at all. It
seems that all the treatment for GP is the same way! I know it is being
tested at the University of Kansas Medical Center in Kansas City, as
well as some other major medical centers. It could be promising in
the future. Q:
Why can I eat something one day and be fine, then the next day eat the
same thing and get sick? A:
This is a baffling question. One of the most frustrating things
about GP is the unpredictability of it. It is very common for a
person with GP to have good days, and bad days, weeks, and even
months! It is also very common for us to have a good half day or
bad half day, or even fluctuate from one hour to the next. It
makes it difficult to make any plans or commitments. This
can't really be explained. Q:
Why is gastroparesis so difficult to treat? A:
Gastroparesis is more difficult to treat than other gastrointestinal
disorders for a number of reasons. First of all, there are really
no drugs available in the US to help with motility. Patients are
typically treated with medication to help the symptoms, but they do not
get to the underlying cause of the nausea and vomiting, so they are not
very helpful in most cases. Also, patients may not be able to
tolerate oral medication. Depending on the severity of the GP,
patients may throw up any medication taken by mouth. Often GP'ers take
IV medication as the only option. Some often develop complications
from medication, and in many cases suffer very serious side
effects. Also, gastroparesis is helped by modification of the
diet, but in spite of a modified diet, a patient may not be able to
tolerate any food or liquid orally. Although some food are easier
to digest, all foods digest slowly and can cause symptoms. Also,
for unknown reasons, GP'ers can suffer symptoms without eating
anything. Symptoms may last for days and at times are so
uncontrollable that hospitalization is necessary in order to get them
under control.
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