Suggest medication for gastroparesis
Hello mam, the following are my recommendations.
I did review your concern.I can understand that you have been through a lot with health issues.
I totally believe that you must have taken all the instructions properly before undergoing the ct scan.
1)I would recommend to take higher dose of laxatives or a bowel enema before a repeat CT colon test for better visualization of colon. Some patients do not respond to normal doses of laxatives for bowel preparation and they need higher doses.
2)Your spleen is unremarkable as per CT colon report but as you said it is enlarged so I would recommend a repeat examination by a doctor or an ultrasound abdomen to determine exact spleen size.
3)Your blood count seems essentially within normal limits except few glitches like a marginally high lymph count and high cholesterol(which can be managed by proper low fat diet and exercise).
Essentially to manage gastroperesis domperidone is a great medication followed by metoclopramide. However, it is prudent that you discuss appropriate medication with your gastroenterologist.
So all in all I would recommend a repeat CT colon with stronger laxative meds and bowel enema preparation and and let me know how the meeting with your hematopathologist goes. Atleast, a peripheral smear is prudent to just rule out any hematological problems, which are less likely given normal blood findings. A repeat spleen size estimation to rule out CT colon and clinical discrepancy is needed.
I hope this helps
Wish you all the best.
Let me know if you have any more questions or concerns.
Dr Parth Desai.