Gastroparesis: Causes, Tests and Treatment Options
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Gastroparesis is a condition in which the stomach empties its content much later than is normal. One of the very common symptoms of gastroparesis is the feeling of being full even after you have taken just a few bites of food. In fact, sometimes after eating a very small amount to food, you may start to have a feeling of nausea and vomiting.
You may also experience excessive belching. Heartburn
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Gastroparesis - Mary Ann Ellenburg
Gastroparesis
Causes, Tests and Treatment Options
Mary Ann Ellenburg, MA
Smashwords Edition
****
Copyright 2012 Mary Ann Ellenburg, MA; Charles Wilson MD (Ed.)
Smashwords Edition, License Notes
This ebook is licensed for your personal enjoyment only. This ebook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each recipient. If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please purchase your own copy. Thank you for respecting the hard work of this author
Contents
What is gastroparesis?
Common symptoms and signs
Causes
Meeting the doctor for diagnosis
Diagnosis and Tests
Treatment
Modifications in lifestyle
Appendix A: Internet Resources / Further Reading
Glossary of Medical Terms
What is gastroparesis?
Gastroparesis is a condition in which the stomach empties its content much later than is normal. The food, as we swallow, moves to our stomach. Once it reaches the stomach, the stomach contracts to gradually move the food into the small intestine where it is absorbed. This movement of the food from stomach to small intestine is controlled by the vagus nerve. When the vagus nerve becomes damaged, the muscles of the stomach and the small intestine stop working normally. The result is that food is pushed very slowly out of the stomach or may even stop within the digestive tract. This condition is known as gastroparesis, or delayed gastric emptying.
Digestion
The stomach is comprised of three parts. The upper portion of stomach is called the pylorus and fundus. In this portion, the swallowed food and liquid accumulate. The lower portion is called the antrum and in this portion, the food is grinded into small pieces and then passed on to duodenum, which is the starting part of small intestine.
Another important feature of the stomach is the ‘pacemaker.’ This pacemaker creates electrical waves which sweep across the stomach. As a result of each wave, the lower portion of the stomach contracts, grinds the food and then pushes small amounts of the ground food into the small intestine. Normally, this happens three times in a single minute.
When a person is suffering from gastroparesis, the pacemaker in the upper portion of the stomach starts to malfunction. As a result, the rate of the electrical waves generated by the pacemaker slows down and the stomach contracts less often than normal. This results in a slower movement of food from the stomach to the small intestine. The food simply lies in the stomach, digested by stomach juices and slowly pulled into the intestine under the force of gravity.
The pacemaker usually starts malfunctioning when the vagus nerve, the nerve that controls the stomach contractions, is damaged. There are a number of reasons why the vagus nerve is damaged and starts to malfunction. These are detailed in the next chapter.
Sometimes, gastroparesis may occur even when the pacemaker is working perfectly. This happens when