During a Nissen surgery to relieve GERD the nerves that do the stomach emptying were damaged.. which resulted in gastropaneisis.. The Doctors in Central Iowa could not diagnois for 2 months (9 days in the hospital) I went to Mayo Minnesota and they (GI tests and doc) figured it out that first morning. I had lost 50 pounds (was not overweight before the surgery) the GI doctor at Mayo talked with me for nearly Half an hour...sent me to the Nutritionist... I had to go back once .. Mayo gave me a way to cope.. eat often, small meals and small bites, chew very well, don't get too full, don't lie down after eating...prop yourself up when sleeping.. gravity has a big role in emptying the stomach... I've gained 25 pounds back after they gave me directions... None of your friends or family members understand.. avoid carbonated beverages, soft bread, don't bother with hard to digest veggies like broccoli etc.. Your blender will make almost anything etible..ken