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Gastroparesis

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Gastroparesis is a disorder in which the stomach takes an abnormal amount of time to digest its contents.  Normally, within 90 minutes of eating, the stomach will have emptied at least 50% of its contents.  With gastroparesis, the stomach muscles are damaged or not working correctly, resulting in the stomach not digesting properly.  This results in the food remaining in the stomach for hours or even days.

Symptoms of Gastroparesis vary from person to person.  The general symptoms may include nausea, vomiting, burning in the chest, cramping, pain, bloating, weight loss or weight gain, malnutrition, dehydration, burping, hiccupping or heartburn. 

Gastroparesis can be caused by a variety of things, such as Diabetes, Hypothyroidism, post-surgical complications,  neurological disorders, neuromuscular disorders, rheumatoid or immune deficiency disorders (scleroderma, lupus) or eating disorders.  There are also people suffering from idiopathic gastroparesis, meaning there is no known cause for them having this disorder.

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This disorder can be diagnosed with a gastric emptying study, in which the patient eats a meal that has a radioactive material in it.  This is often egg white prepared at the test location, with the patient having fasted since the previous evening.  A normal gastric emptying study usually results in 50% of the meal being digested within 90 minutes.  If more than 50% of the meal remains in the stomach, the patient is often diagnosed with Gastroparesis.  Other tests may include an EGD, upper GI study, EGG, phProbe or Esophageal Manometry. 

There is no known cure for Gastroparesis, which is a difficult disorder to treat.  Medications are available to help treat the symptoms, and surgical intervention may be required in certain cases.  For more information on this disorder, visit G-PACT at http://www.g-pact.org/index.htm.

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