Gastroparesis diabeticorum; Delayed gastric emptying

People with diabetes should always control their blood sugar levels. Better control of blood sugar levels may improve symptoms of gastroparesis. Eating small meals and soft (well-cooked) foods may also help relieve some symptoms.

Medications that may help include:

• Cholinergic drugs, which act on acetylcholine nerve receptors
• Erythromycin
• Metoclopramide, a medicine that helps empty the stomach
• Serotonin antagonist drugs, which act on serotonin receptors

Other treatments may include:

• Botulinum toxin (Botox) injected into the outlet of the stomach (pylorus)
• Surgical procedure that creates an opening between the stomach and small intestine to allow food to move through the digestive tract more easily (gastroenterostomy)

Many treatments seem to provide only temporary benefit.

Persistent nausea and vomiting may cause:

• Dehydration
• Electrolyte imbalances
• Malnutrition

People with diabetes may have serious complications from poor blood sugar control.

Apply home treatment such as managing your diet. Call your health care provider if symptoms continue or if you have new symptoms.

Images

Digestive system organs

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Gastroparesis Symptoms

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Gastroparesis Prevention

Review Date: 11/11/2010
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)