Stomach Diseases That Begin With G

Gastroparesis

What’s Gastroparesis? .

Gastroparesis literally interpreted means “stomach paralysis”. Gastroparesis is a digestive disorder in which the flexibility of the gut is either unnatural or absent. In health, when the gut is functioning typically, contractions of the belly help to crush digested food and then propel the pulverised food into the small intestine where further digestion and absorption of nutrients happens. When the state of gastroparesis is present the stomach is unable to contract usually, and therefore can not crush food nor propel food into the small intestine properly.

Causes of Gastroparesis

There are many reasons for gastroparesis. Diabetes is among the most common causes for gastroparesis. Other causes include illnesses, endocrine disorders, connective tissues aberrations like scleroderma, autoimmune conditions, neuromuscular sicknesses, idiopathic ( unknown ) causes, cancer, radiation-based treatment applied over the chest or stomach, some kinds of chemical treatment, and surgery of the higher abdominal tract. Any surgery on the esophagus, stomach or duodenum may cause injury to the vagus nerve which is answerable for many sensory and motor ( muscle ) responses of the intestine. In health, the vagus nerve sends neurotransmitter impulses to the smooth muscle of the stomach that can result in contraction and forward propulsion of gut contents. If the vagus nerve is wounded in the op gut emptying may not occur. Signs of postoperative gastroparesis may develop straight away or maybe years after a surgery is performed.

Medications may cause delayed gut emptying, mimicking the symptoms of gastroparesis ; this is especially common with narcotic agony medications, calcium channel blockers and certain mood suppressant medications ( table 1 ). It is critical to have the names of all of your medicines recorded and with you when you see a consultant for analysis of gastrointestinal symptoms. People with eating disorders such as anorexia nervosa or bulimia may also develop delayed stomach emptying. Fortunately, stomach emptying resumes and symptoms improve when consumption and eating schedules normalize. Perhaps the most typical symptom is early satiety, or the sensation of feeling full straight after beginning a meal. Revulsion and barfing are also common. Someone with gastroparesis may regurgitate or barf undigested food many hours after their last meal. Weight management can occur due to poor assimilation of nutrient elements, or taking in too few calories.

How is gastroparesis diagnosed?

A history of early satiety, bloating, queasiness, regurgitation or barfing with meals would usually prompt an evaluation to pinpoint the reason for symptoms. Soreness, ulcer disease, or obstruction by a cancer may also cause these symptoms and diagnosis tests would be used to pinpoint the cause. Radiographic tests, endoscopic procedures, and motility tests are used to exclude obstruction, to view the stomach lining and obtain biopsies, and to look at muscle contraction patterns. These tests are described in some detail below.

Gastroparesis

Gastroparesis

 

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