There are books you can buy and other sources of information. All patients are different, and different foods work for people differently. Get info from your doctor. There s a medication that can help the stomach. A safe one is Motillion, but must be gotten from Canada. The one available in US (forget name) is dangerous and can cause serious side effects.

@bori
Welcome to Mayo Clinic Connect!
Gastroparesis, as you know, is a very unpleasant condition.
I have a milder form I have been told.
The drug Motillium, as another member mentioned, is not approved here in the US. Its generic name is Domperiodone.
It can cause cardiac arrhythmias.
I’m taking Reglan ,(Metoclopramide), that also helps empty the stomach faster.
I take it a while before meals.
It does help.
Regarding diet I eat small meals, low in fat, since fatty meals stay longer in the stomach.
I also eat slowly.
I drink liquids in small portions too.
I also prefer to lie down after a meal- it seems to help digestion.
I hope more members will share their experiences too.

@bori - hello, and welcome to Mayo Clinic Connect. I wanted to let you know I moved your post here to where other members were already chatting about gastroparesis so that you could join in their discussion:

- Gastroparesis https://connect.mayoclinic.org/discussion/gastroparesis-13/

Glad to see, too, that you've already connected with @tsch and @astaingegerdm. Hoping you will also connect here with members such as @jlharsh and @achalasia2 and that they will have further input on diet and water intake with this condition.

You mentioned you need guidance on everything, bori. Wondering if you have questions beyond diet and water intake, as well?

@bori Gastroparesis is tough. I want you to also know you are not alone.
My experience was with my 15 year old niece, who had her stomach just stop working after a dental procedure. Which I am sure is a coincidence. I myself last year woke up one morning and could no longer eat without excruciating pain/pressure in my stomach, just under my sternum. My niece has done very well with a feeding port over the years and is now married and just had her 3rd child.

Last year, I did do a Stomach emptying study via a series of x-rays that determines how quickly my stomach is emptying, Unfortunately it was inconclusive as I kept vomiting the contrast solution up. My doctor put me on medicine that increase motility in the stomach. It gave me some relief but not enough that allowed me to eat and maintain my nutrition.

My best advice is to document your experience. What foods you can or cannot tolerate by keeping a food diary, bathroom diary and any other type of information that can help you towards the best possible care and outcome.
Then you need to see a GI doctor and get them to keep working with you towards a solution. If you need help someone in the group has suggested using A.I. to enter your information and experience and give you ideas about questions you can ask your doctor about. My first GI doctor kept pushing GERD and meds and that made things actually worse. My second GI doctor actually worked on the WHY of what was happening and then the what.

There are many A.I. products out there but my go to is ChatGPT. Just remember it is A.I. so it is not perfect, there is a learning curve.
I hope you get the answers and help that you need. Don’t give up trying to find out why this is happening.
Keep us all posted on your progress. Remember every adventure has a few potholes along the way. We are all here to help with support, questions and even a lot of virtual hugs.

Entering in Spanish to help with information - Hopefully it translates the right way.

@bori La gastroparesia es difícil. Quiero que sepas también que no estás solo/a.
Mi experiencia fue con mi sobrina de 15 años, a quien el estómago le dejó de funcionar repentinamente tras un procedimiento dental; algo que, estoy segura, fue pura coincidencia. Yo misma, el año pasado, me desperté una mañana sin poder comer debido a un dolor o presión insoportable en el estómago, justo debajo del esternón. A mi sobrina le ha ido muy bien con una sonda de alimentación a lo largo de los años; ahora está casada y acaba de tener a su tercer hijo.

El año pasado me hicieron un estudio de vaciado gástrico mediante una serie de radiografías para determinar la velocidad a la que se vaciaba mi estómago. Lamentablemente, los resultados no fueron concluyentes porque vomitaba constantemente la solución de contraste. Mi médico me recetó medicamentos para aumentar la motilidad gástrica. Me proporcionaron cierto alivio, pero no el suficiente para poder comer y mantener una nutrición adecuada.

Mi mejor consejo es que documentes tu experiencia: qué alimentos toleras y cuáles no, llevando un diario de comidas, un registro de tus deposiciones y cualquier otra información que pueda ayudarte a obtener la mejor atención y los mejores resultados posibles.
Luego, debes acudir a un gastroenterólogo y asegurarte de que siga trabajando contigo para encontrar una solución. Si necesitas ayuda, alguien del grupo sugirió usar inteligencia artificial (IA) para introducir tu información y experiencia, y así obtener ideas sobre qué preguntas plantearle a tu médico. Mi primer gastroenterólogo insistía en el diagnóstico de ERGE (reflujo) y en medicación, lo cual en realidad empeoró las cosas. Mi segundo gastroenterólogo se centró en entender el *porqué* de lo que sucedía antes de abordar el *qué* hacer al respecto.

Existen muchas herramientas de IA, pero yo suelo utilizar ChatGPT. Recuerda que es IA, por lo que no es perfecta y conlleva una curva de aprendizaje.
Espero que encuentres las respuestas y la ayuda que necesitas. No te rindas en tu búsqueda de la causa de este problema.

Mantennos informados sobre tus avances. Recuerda que toda aventura tiene algunos baches en el camino. Todos estamos aquí para apoyarte, responder preguntas e incluso enviarte muchos abrazos virtuales.