What should I do if gastroparesis is not getting better?

Oct 14, 2022 Source: Cainiu Health

Dr. Zhou Chao

Introduction

Persistent gastroparesis can generally be improved through medication or surgical treatment under a doctor's guidance. Additionally, dietary adjustments are recommended to help improve the condition. Besides these treatments, some patients with gastroparesis may also benefit from acupuncture, massage, and gastrointestinal decompression to alleviate uncomfortable symptoms.

When gastroparesis does not improve, dietary adjustments should be made to help alleviate the condition. Additionally, improvement can be achieved through medication or surgical treatment under a doctor's guidance.

1. Dietary Adjustment

Patients with gastroparesis should maintain a light diet during treatment, consuming more warm liquid or semi-liquid foods, while reducing intake of raw, cold, greasy, and spicy irritants such as ice cream, fried foods, and chili peppers.

2. Medication

For persistent gastroparesis, it is recommended to use medications under the supervision of a healthcare professional to inhibit gastric acid secretion, protect the gastric mucosa, and enhance gastrointestinal motility. Examples include domperidone tablets, hydrotalcite tablets, and rabeprazole enteric-coated tablets.

3. Surgery

If the condition worsens despite medication, timely surgical intervention under medical guidance may be necessary to reduce gastric pressure and relieve symptoms such as abdominal bloating, nausea, and vomiting.

In addition to the above treatments, some patients with gastroparesis may also benefit from acupuncture, massage, or gastrointestinal decompression to alleviate their symptoms.

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Symptoms of gastroparesis

Gastroparesis may present with symptoms such as nausea, vomiting, gastroesophageal reflux, and heartburn, as well as early satiety, loss of appetite, and weight loss. Management typically involves eating smaller, more frequent meals to reduce the amount of food remaining in the stomach, or taking prokinetic medications as prescribed by a doctor. If symptoms are difficult to control and significantly affect quality of life, surgical treatment may be considered.

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Can gastric retention get better by continuously not eating?

In general, whether gastric retention can improve by continuously not eating depends on the underlying cause of the gastric retention. Gastric retention refers to the accumulation of a large amount of food and fluid in the stomach. If gastric retention is caused by indigestion, abstaining from food may allow the existing stomach contents to gradually digest and absorb, thereby alleviating the condition. Patients should pay attention to their diet in daily life.

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Can gastroparesis fail to recover?

Gastroparesis usually does not fail to recover under normal circumstances. Once it occurs, gastroparesis may last for several weeks or even longer, but generally it is reversible. Abdominal massage, drinking plenty of water, and taking prokinetic medications as prescribed by a doctor can help promote recovery. In more severe cases, surgical treatment may be considered under a physician's recommendation to restore normal function.

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How long does it take for gastric paresis to return to normal?

Gastroparesis usually returns to normal within 3 to 5 weeks. It can be caused by various factors, and if the condition is severe, the recovery time may be longer, depending on the individual patient's condition. In addition, gastrointestinal diseases may also lead to gastroparesis. In such cases, the underlying disease should be treated first. Once the primary condition is cured or improved, gastroparesis will gradually resolve or disappear.

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Stomach feels very uncomfortable

In general, abdominal bloating and discomfort may be caused by non-pathological factors, or by pathological conditions such as chronic gastritis and gastroparesis syndrome. It could also result from factors like gastric ulcers, gastroptosis (dropped stomach), or pyloric obstruction. Specific diagnosis requires medical evaluation and appropriate tests at a hospital, followed by treatment according to medical advice. Prompt medical attention is recommended to avoid delaying proper care.

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Ate hard-to-digest food, stomach feels uncomfortable

The abdomen, commonly referred to as the stomach area, may become uncomfortable after consuming hard-to-digest foods. This discomfort could be caused by conditions such as indigestion, cholecystitis, or gastritis, and appropriate treatment should be selected based on the specific underlying cause. Additionally, it might also result from gastric ulcers, duodenal ulcers, or gastroparesis syndrome. It is recommended to seek timely medical attention at a hospital, undergo necessary examinations to determine the exact cause, and receive targeted treatment accordingly.

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Why do I pass gas excessively after taking Erchen Pills?

Passing gas excessively after taking Erchen Pills may be caused by physiological factors or pathological conditions such as irritable bowel syndrome, gastroparesis, and others. Erchen Pills, a type of traditional Chinese medicine, are commonly used to treat symptoms like cough with phlegm, chest tightness, and vomiting. If dietary habits are not properly managed during treatment—such as frequently consuming raw, cold, spicy, or other irritating foods—this may exacerbate gastrointestinal discomfort.

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What are the symptoms of gastroparesis?

Gastroparesis generally refers to a clinical syndrome characterized by delayed gastric emptying. It may present with symptoms such as postprandial upper abdominal fullness, loss of appetite, nausea and vomiting, constipation or diarrhea, and upper abdominal discomfort or pain. These symptoms may be associated with various diseases; therefore, timely medical consultation is recommended to determine the specific cause and receive appropriate treatment.

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