I was diagnosed with gastroparesis in 2018. My Gp is idiopathic ( unknown etiology) .I have other digestive diseases tat make things worse for me. I struggle with nausea, bloating, reflux, gas, weight loss , constipation and fatigue. I was not a candidate for the Enterra device. I refused to take Reglan because of its side effects (Tardive Dyskinesia). I had botox injections to relax the pylorus, but they did not work. I manage my gastroparesis with diet. I only eat soft, purée, small meals. I follow a low fiber, low fat, dairy and gluten free diet. I never eat out and I spend hours in the kitchen cooking from scratch. No matter how careful I am with what I eat, I never feel well. For me, bloating is the worst sympton. I take vitamins, supplements and digestive enzymes to easy my digestion ( most of the time they don`t work). I sip water or smoothies all day to stay hydrated. I also push myself to exercise. I try to learn as much as I can about this disease. Crystal Saltrelli books are a good resource. She has gastroparesis herself. I wish there were at least treatment for this rare and painful disease.