interesting that the Botox injections made things worse.
There are two procedures you should look into - they only do them at specialty centers. i just changed my insurance so that i could see a doctor at one of these centers who does them. It is a pyloroplasty and a pyloromyotomy. The pyloroplasty is supposedly the #1 solution for gastroparesis. it is done laparoscopically (small incisions in the abdomen). the pyloromyotomy is less invasive - they do that endoscopically (like an upper scope - with a tube down your throat) however if you read up on the internet about it apparently it sometimes only lasts 1-3 years and then you have to have the pylorplasty after the fact. Most "regular gastroenterologists" won't be able to help you and for some reason they also don't tell you about these procedures. I was advised to "drink Ensure - you can live on it for the rest of your life"!!!!!!!!!!!! Really???? i found out about all the options by doing my own research. There is also a gastric implant - like a pacemaker called Enterra - which stimulates your stomach to contract. Try to find a big university center near where you live or google your state e.g. "pyloroplasty in Florida" or something like that. hope this is helpful