
Managing Gastroparesis
Poorly controlled diabetes can damage your stomach. It can interfere with eating and with digestion. Diabetic stomach worsens blood glucose control and causes a range of symptoms. This complication is called “gastroparesis” (pronounced gas-tro-pa-REESE-es).
What causes this complication? How can we prevent it and manage it?
Gastroparesis means “weak stomach.” The nerve that tells the stomach to contract and push food along has been damaged, so the stomach muscles don’t work properly. Food stays in the stomach instead of being passed along to the intestine.
This delayed emptying causes painful, unpleasant symptoms and leads to further complications. Studies show gastroparesis is related to a heightened risk of death, more complications, increased hospitalizations, and increased emergency department and doctor visits.
Gastroparesis symptoms include heartburn, nausea, vomiting of undigested food, an early feeling of fullness after meals, weight loss, lack of appetite, gastric reflux, and stomach pain.
Because food can stay in the stomach and start to ferment, patients can get terrible bad breath. Because of all these symptoms, gastroparesis can make it difficult or impossible to hold a job.
Sometimes undigested food forms solid masses called bezoars that may cause nausea, vomiting, and obstruction in the stomach.
Because food intake may be limited, and food may be poorly absorbed, people with gastroparesis are at risk for malnutrition and dehydration. They usually need to drastically change the way they eat — as if diabetes didn’t demand enough changes already
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