Treatment of Gastroparesis
Treatment of gastroparesis includes diet, medication, and therapies that helps in emptying of the stomach. The goals of treatment include:
Diet is one of the most important thing to be taken care for the treatment of gastroparesis. The most important goal in the treatment of gastroparesis is to maintaining adequate nutrition. You can manage gastroparesis with some dietary changes .
metoclopramide (Reglan) and erythromycin (Eryc, E.E.S.) can be used for this purpose. However both of these medicines have serious side effects. Domperidone, with fewer side effects, is also available with restricted access.
Prochlorperazine (Compro) and diphenhydramine (Benadryl, Unisom) can be used for treating nausea and vomiting.
Ibuprofen (Motrin) and naproxen (Aleve), low dose tricyclic antidepressants such as amitriptyline (Elavil, Endep) can be used to relieve from abdominal pain.
Surgery for gastroparesis should be considered for the person with severe and refractory symptoms, intolerance to therapy, or malnutrition related to the condition. In these situations, a feeding tube called jejunostomy tube can be placed in the small intestine.Feeding tubes can be passed through your nose or mouth or directly into your small intestine through your skin.
Venting tubes placed into the stomach may reduce symptoms and hospitalizations for person with recurrent vomiting and dehydration. These tubes are available to vent trapped air from within the poorly contracting stomach.
Some people may require an IV (parenteral) feeding tube that goes directly into a vein in the chest. The stomach is completely removed in some rare cases.
Gastric electrical stimulation is a surgically implanted device that provides electrical stimulation to stimulate stomach muscles to move food more efficiently. It has its effect on the nerves that control sensation within the stomach wall. This technique uses electrodes that are surgically or endoscopically attached to the stomach wall and when stimulated, trigger stomach contractions. The device seems to be most helpful for people with diabetic gastroparesis.
Gastric pacing also involves a surgically implanted pacemaker, usually placed laparoscopically that stimulates the stomach muscles
Treatment options for dehydration and malnutrition include:
Enteral nutrition is preferred over TPN because long term use of TPN is associated with infections of the catheter and liver damage. when infection spread through the blood to the rest of the body, a serious condition called sepsis occurs.