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Suggest Treatment For Gastroparesis And Severe Dehydration

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Posted on Wed, 23 Sep 2015
Question: I was recently hospitalized for the 5th time with an episode of gasteric parisis. I never had this before I had been given barium for a ct scan and became violently ill that day and hospitalized with severe dehydration. I've been ok for 2 years but got sick a few weeks ago. I'm wondering if my pancreas or gall bladder could be part of the cause. My Dr. says more tests are necessary. I have type 2 diabetes and am using insulin and doing ok with my diet.
doctor
Answered by Dr. Dr.Maheshwari (58 minutes later)
Brief Answer:
It could be diabetic gastroparesis.

Detailed Answer:
Hello,
Thankyou for your Question.
Dear I have gone through your history and it seems that it could be diabetic gastroparesis.Two main factors (increasing age and diabetes) could be the main reasons.
It is just like a diabetic neuropathy as an example, in which nerves get effected and there is no sensation in feet etc .Like wise in diabetic gastropathy or gastroparesis, intestinal wall and gastric nervous system is effected and function of peristalsis is diminished.So on and off problrms of chronic constipation and indigestion can happen.
If it would be gallbladder or pancreas ,the symptoms would be bulky stools (because of fat metabolism error) and foul smell stools etc .As both of these organs help in fat digestion.
I would like to ask that what diet you follow to decrease the symptoms of gastroparesis?
Hopefully I answered your question.If I need to clarify you more ,pls let me know.
Thankyou.
Regards,

Dr.Maheshwari


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr.Maheshwari (6 hours later)
Thankyou for your response, I have been currently on Regalin to help with stomach motility. It has helped in the past. I was working at a camp and the day I got sick they had a cookout. I don't usually eat much meat but I had part of a hamburger. That seemed to set it off. I also can't handle fried foods yet I avoid them anyway. Right now I'm on a diet of broth, applesauce, herbal tea, rice cereal, pureed fresh organic vegetables. I sometimes have a slice of rice bread with some turkey. I am taking it slow as i'm nervous about something setting it back off. I stay away from sugar except a small bit of fruit. For now I can't have whole grains or anything raw according to the gastroparesis diet. Also for now I am to avoid fiber. History has shown over time I can slowly add these things. I watch my carb intake and have stopped drinking coffee and diet soda. I also eat small frequent snacks and have been for years as I can't and shouldn't eat plates of food. I am never hungry really and have to remind myself that I need to eat. It is alot of work and I have to have what I need nearby or pack it to take with me. I take some supplements and get regular acupuncture as it has been helpful. Is there anything I can do to keep this from happening again? This last time I threw up for 4 days and was on saline iv for the whole time. It really zaps me and takes a few months to get back to normal. There seems to be a lack of real solutions to this whole thing. Thanks so much. XXXX
doctor
Answered by Dr. Dr.Maheshwari (5 hours later)
Brief Answer:
Yes diet regarding this problem may help.

Detailed Answer:
Dear what you have told about diet, it is fine. I have seen my patients getting really good results following proper diet.First of all sugar control is very necessary to be prevent worsening of the condition. Secondly, as intestinal wall transit time gets increased because of less peristaltic movement of the GIT. So, bread and burgers could worsen the problem.

Low fibre diet is taken as fibers need longer time to digest. But what my patients got the maximum help from was with aleovera juice (half cup) in empty stomach in the morning.

Restrict intake of carbohydrates to only one time. Carbohydrates can be consumed in the form of cereal or wheat puree in the night time, timing is very important so that the blood sugar levels aren't low in the morning after starving all night during sleeping.

For breakfast I recommend papaya shake,after one hour of aleo vera juice may give enough energy for consuming.

This diet will help in maintaining blood sugar, energy levels of body and also relieve symptoms of gastroparesis.You may add carrot and cucumber (with skin) juice in lunch time with fish or chicken (boiled and blended) .


Gastroparesis symptoms may be avoided by eating easily digestible, soft food. Likewise, avoid snacks in mid meals instead try to take watermelon, papaya or apple and vegetable juices.
Taking a walk after meals also helps in easy digestibility.
Hopefully my answer will be helpful to you.You may ask further doubts without hesitation.
Regards.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Sonia Raina
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Answered by
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Dr. Dr.Maheshwari

General & Family Physician

Practicing since :2006

Answered : 766 Questions

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Suggest Treatment For Gastroparesis And Severe Dehydration

Brief Answer: It could be diabetic gastroparesis. Detailed Answer: Hello, Thankyou for your Question. Dear I have gone through your history and it seems that it could be diabetic gastroparesis.Two main factors (increasing age and diabetes) could be the main reasons. It is just like a diabetic neuropathy as an example, in which nerves get effected and there is no sensation in feet etc .Like wise in diabetic gastropathy or gastroparesis, intestinal wall and gastric nervous system is effected and function of peristalsis is diminished.So on and off problrms of chronic constipation and indigestion can happen. If it would be gallbladder or pancreas ,the symptoms would be bulky stools (because of fat metabolism error) and foul smell stools etc .As both of these organs help in fat digestion. I would like to ask that what diet you follow to decrease the symptoms of gastroparesis? Hopefully I answered your question.If I need to clarify you more ,pls let me know. Thankyou. Regards, Dr.Maheshwari