Gastroparesis

  • Alternative Names

    Gastroparesis diabeticorum; Delayed gastric emptying


    Treatment

    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)

    Support Groups


    Expectations (prognosis)

    Many treatments seem to provide only temporary benefit.


    Complications

    Persistent nausea and vomiting may cause:

    • Dehydration
    • Electrolyte imbalances
    • Malnutrition

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


    Calling your health care provider

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