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Gastroperesis, diabetic, blind, cannot walk, lost weight. What can i do for it?

My daughter 0f 37yrs is presently in hospital with gastroperesis. she has be I D diabetic since the age of four with the complications that come along with it. She is also blind and cannot walk unaided so life is tough for her. My husband and I have managed to cope through the years but this recent diagnosis is worrying us as she has lost so much weight due to it. what is your feeling of her. Thanks Sarah MacKay
Asked On : Tue, 16 Apr 2013
Answers:  3 Views:  83
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Diabetologist 's  Response
sorry to hear your problem but gastroparesis is not a big thing . its one of the complications of diabetes . like the sensory loss in foot this is a sensory loss in intestines which due to autonomic neuropathy. simply the intestines do not feel the stretching of its walls so that they can contract to propel its contents ( eg. motion ) so they may have constipation etc. so tight control of diabetes and some neurotropic vitamins will help her, but will take months to get a relief . keep in touch
Answered: Wed, 17 Apr 2013
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General & Family Physician Dr. Sadaf Akhtar's  Response
Hello really sorry to hear your problem
As far as her vision os concerned you can get help from special people therapist ,,,,,secondly har gastroperesis it can be cured this is because of nerve damage,,,,all you need are good quality vitamins plus motility agents ,,add anti peptic drug also,,,this combination wil not only improve her gastropathy but also will improve her apetite,,,dome lifestyle modification also needed make her mobile give her more finer atleast 20 min of light walk after meals
Hope so all this will help you stay blessed
Answered: Thu, 18 Apr 2013
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
I really feel sorry for your daughter as well as for both of you.May god bless you  and your daughter to cope up with your hardships.
 Gastroparesis  is a disease of the muscles of the stomach or the nerves controlling the muscles that causes the muscles to stop working.It is a type of neuropathy where food is delayed from leaving the stomach.
This nerve damage can be caused by long periods of high blood sugar.
Delayed digestion makes the management of diabetes more difficult.
Gastroparesis usually is treated with nutritional support, drugs for treating nausea and vomiting, drugs that stimulate the muscle to contract, and, less often, electrical pacing, and surgery.
....Take small frequent meals.
....Take more of liquid diet
....avoid high fatty and high fibre diet.
....Drugs for nausea,vomiting and stomach contractions like METOCLOPRAMIDE,DOMPERIDONE and CISAPRIDE are used.
....take insulin often and after the meals and not before meals.

If these approaches do not work, you may need surgery to insert a feeding tube. The tube, called a jejunostomy tube, is inserted through the skin on your abdomen into the small intestine.By avoiding the source of the problem (the stomach) and putting nutrients and medication directly into the small intestine, you ensure that these products are digested and delivered to your bloodstream quickly. 

It is important to note that in most cases treatment does not cure gastroparesis,since  it is usually a chronic condition. Treatment helps you manage gastroparesis, so that you can be as healthy and comfortable as possible.
I hope it helps.
Best of luck
Answered: Wed, 17 Apr 2013
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