Does anyone know if gastroparesis is progressive over time?

I wanted to ask you - do you have problems laying down after you eat. How many hours before you go to bed do you eat your last pureed type food? Other than being very restricted as to what I am able to eat, this is my biggest issue. I really cannot take anything other than liquids 6-8 hours before I go to bed - which means 2 p.m. is my "cut off" for eating any food. I can have high protein chocolate milk or a smoothie up to about 5-6 p.m. and then just tea/water

no other medical issues at all - on no medications other than thyroid medication, omeprazole and Tums. no food allergies - extremely delayed gastric emptying proven on the standard gastric emptying test - been worsening over the years slowly but surely - which is why I was asking if it is known to be "progressive" .

@willows , @denisef , @kamama94
I have had "post operative Gastroparesis" for 7 years as, since a botched Nissen to relieve Gerd.. the surgeon damaged nerves that surround the stomach.. the local clinic in Iowa was no help in diagnosis.. Mayo MN gave me cope mechanisms .. I can eat some solid food...in small amounts frequently.. I live alone in a small house so eating something every time I go through the kitchen is a must.. I lost 50 pounds initially but gained 20 back and constantly try to gain weight.. now 85 .. I do finding putting of Dinner a comfort mechanism.. bloating is a constant threat.. but I take papaya enzyme to help calm the foam that forms when eating anxiously.. too fast.. I have no trouble sleeping on a wedge and pillows that bends me so my head is a foot above the bed top.. I trend to play a few mind games to get in the mood to sleep.

hi Ken - thank you for your response. mine is "idiopathic" however maybe from a laparoscopic gallbladder surgery that "got complicated" and was converted to open procedure years and years ago. However, I did not have bad symptoms until years and years later - so not sure if that was what caused it. I did recently get a bed wedge - and yes its at least 12 inches above the bed - about 60 degree angle - but I am unable to fall asleep like that. I am a stomach sleeper - there is no way I can sleep on either side (right side is the worst - pressure and pain) or on my back. as a result of my "sleeping issues" I have to stop eating at 2 p.m. - 7-8 hours before going to bed - and still I can only sleep on my stomach. I am going to keep trying to use the wedge but if I haven't fallen asleep in 30 minutes I usually toss it aside and lay in the position I am accustomed to.

Was your condition "acute" I.e. did it come on suddenly directly after the surgery - or did it happen more gradually and then got worse and worse as time progressed?

So sorry to hear it's worsening. Hope you find out what's causing it to worsen. In my thoughts and prayers.

Mine did become more sever as years passed. I never strayed
from my diet.
I had surgery on Nov 1.
I am still sore but recovering.

Did you have surgery related to the gastroparesis? Perhaps the neurostimulator implant surgery? Or something unrelated? You are the first person that actually answered my question! thank you for that.. How many have you had it and how far did it progress (for example where you able to eventually only take liquids etc etc ).

Also are you an idiopathic case or prior surgery or diabetic related?
Thanks

I hope you get some real answers. My daughter has gastroparesis as aftermath of treatment for chronic fatigue illness. Vagus nerve apparently damaged. She has good times and bad. Also has cyclic vomitting now on occasion, somehow related. She does not want surgery, but it would be good to know what procedures have really helped people. She is not diabetic either.

My surgery was done by a surgeon who specializes in Gastroparesis.
He did a surgery to open and clean out my pyloric valve.
It has been a painful recovery and am not recovered completely yet. It will be long but so worth it! Mine was far advanced and more than he had expected.

I have been diagnosed with GP. Mine is considered idiopathic (unknown cause) since I do not have diabetes. If you are a diabetic controlling your blood sugar will help and in most cases cure GP. However, for people like myself, there is no cure or cause. I regurgitated food for over 5 years without a diagnosis. I still regurgitate food. Going on a liquid diet and making sure my bowels are moving helps me. I eat baby food, and almond milk with pea protein, and avoid meat. There are medications that claim they help. One that many find successful is Motegrity. I had serious side effects and had to stop this med after 5 days. It is an awful disease because every social event and every Holiday involves foods we cannot eat. Stay away from fried foods, dairy, and all Mexican food and cabbage. There are other foods that are not GP friendly. The list is extensive. It is very distressing and can leave you feeling isolated and alone. Usually, after I follow my liquid/baby food protocol for 3 days I can return to eating simple, nongaseous foods in small portions. Think white. Rice, potatoes, and bread. Think fish and nonfibrous veggies. I sincerely miss eating salads and all heart-healthy foods. Try to remain calm and seek help if you become dehydrated. I hope this helped a little. My sincere sympathy. Life is not easy with GP, but remain optimistic and work to find inner happiness in a world of nausea and stomach pain. Hugs!