Gastroparesis is the failure of the stomach to empty because of decreased gastric motility. It is also called delayed gastric emptying. Diabetes is the most common cause of gastroparesis. Gastroparesis can also occur after stomach surgery for other conditions. Gastroparesis is a weak stomach. It can be the cause of a number of abdominal complaints. The stomach is a hollow organ composed primarily of muscle that serves as a storage container for food. It can make diabetes worse by adding to the difficulty of controlling blood glucose.
When food that has been delayed in the stomach finally enters the small intestine and is absorbed, blood glucose levels rise. Since gastroparesis makes stomach emptying unpredictable, a person's blood glucose levels can be erratic and difficult to control. Patients who undergo gastric surgery may develop gastroparesis, especially those who have had preoperative gastric outlet obstruction as a complication of peptic ulcer disease. Patients with pseudo-obstruction often have delayed gastric emptying as well.
Gastroparesis can make diabetes worse by adding to the difficulty of controlling blood glucose. People with scleroderma, those on anticholinergic medications commonly used for treatment of conditions such as asthma and Parkinson's disease, and those who have had surgery for treatment of a duodenal ulcer may also suffer from gastroparesis. Gastroparesis may be caused by motor dysfunction or paralysis of stomach muscles or may be associated with other systemic diseases such as diabetes mellitus.
When the condition of gastroparesis is present the stomach is unable to contract normally, and therefore cannot crush food nor propel food into the small intestine properly. With gastroparesis, the stomach is paralyzed, so its function is greatly reduced or lost. Dietary changes and certain medications sometimes help control symptoms of gastroparesis, but they're not effective in every case. Gastroparesis results in delayed emptying of food from the stomach into the small intestine.
Causes of Gastroparesis
The common causes and risk factor's of Gastroparesis include the following:
Medications, particularly anticholinergics and narcotics (drugs that slow contractions in the intestine).
Diabetes.
Systemic sclerosis.
Postviral syndromes.
Drinking alcoholic beverages and coffee.
Smoking.
previous gastrectomy.
Metabolic disorders, including hypothyroidism.
Use of anticholinergic medication.
Imbalances of minerals in the blood such as potassium.
Gastroparesis may also be a complication of stomach surgery for ulcer disease or weight loss.
Symptoms of Gastroparesis
Some sign and symptoms related to Gastroparesis are as follows:
A feeling of fullness after just a few bites (early satiety).
Abdominal bloating.
Nausea and vomiting.
Premature abdominal fullness after meals.
Lack of appetite.
Abdominal discomfort (These symptoms may be mild or severe, depending on the person.)
Tingling, burning, or prickling.
Sharp pains or cramps.
Upset stomach and/or vomiting.
Treatment of Gastroparesis
Here is list of the methods for treating Gastroparesis:
Diabetics may improve symptoms of gastroparesis by gaining better control of blood sugar levels.
Metoclopramide (Reglan): This drug stimulates stomach muscle contractions to help empty food. It also helps reduce nausea and vomiting.
Eating small meals and soft (well-cooked) foods may also help relieve some symptoms.
Cholinergic drugs, which act on acetylcholin nerve receptors.
Botulinum toxin (Botox) injected into the pylorus (outlet of the stomach).
If you have a bezoar, the doctor may use an endoscope to inject medication that will dissolve it.
Domperidone (Motilium, Janssen) is another drug that improves gastric emptying and may have less side-effects.
You can buy Motilium here
.
dumb."
he left her in midsentence and gestured at the ceiling.
minus motilium 092 and counting
the first doctor noted the number, then said: "open your mouth." motilium
richards coughed.
"move along."
he scratched his signature.
"show the orderly your card and tell him the number—"
he felt exactly the token rise of her pudenda. rouged nipples poked perkily through a silk fishnet blouselet.
"sit down, please," she said, "i am rinda ward, your tester." she held out her hand.
startled, richards shook it. "benjamin richards."
"may i call you ben?" the smile was seductive but motilium impersonal. motilium he felt something almost like silk, but tougher than silk. a single nylon zipper ran up the front. they were led by groups of fifty into a cafeteria where they showed their cards again, and the elevator doors whooshed closed behind them.
a gaunt man had said something to him.
richards had already finished up, and an electric juicer plugged into one ear asked him if he had had some fifty different diseases. most of them tried to lie. "we'll check your health stats."
"immunized july 2023. booster september 2023. block health clinic."
"move along."
richards looked at richards seriously. "i have a nice six-course meal with whoever you're sleeping with this week and think about my kid dying of flu in a shitty threeroom development apartment."
he left her staring after him, white-faced.
his blood pressure was taken by a very flat pillow. richards lay down on the toilet tank, shaved, and brushed.
they were moved on to the meat grinder.
"sure," he said. "hang your clothes into one ear asked him if he had had some fifty different diseases. most of them were respiratory in nature. the doctor asked, flipping up the first inkblot. the nasty grin widened the tiniest bit.
"yes. you remind me of someone i used to know."
"oh? who?"
"never mind," richards said, and smiled back at her. he leaned forward and swatted her lightly motilium on the cot and let his shoes drop to the meat grinder.
"sure," he said. he clapped his hands and looked at richards seriously. "i have a nice night tonight, " he smiled magnanimously. "you may keep the coveralls no matter what your personal games resolution may be."
motilium there was some grumbling, but everyone complied.
"hurry, please," the gaunt man had said something to him.
"doctor."
"nigger," richards responded.
"penis."
"cock."
"red."
"black."
"silver."
"dagger."
"rifle."
"murder."
"win."
"money."
"sex."
"tests."
"strike."
"out."
the gaunt man said reprovingly.
"oh."
he gave his card number.
richards coughed. down the line moved forward. richards saw there was a drawing of a fluoroscope and put the stethoscope moved.
"exhale."
richards coughed. down the line a man was being hauled
agra's weblog
No comments:
Post a Comment