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@denisef

Hi There:
sorry to hear about your GP. Sounds like you already had a gastric emptying test which is the "gold standard" to diagnosis this. The #1 thing to "manage this" is lifestyle changes. my diet has become more and more and more restrictive over the years to where now I am on 80% liquids/pureed type foods and I do not eat anything solid after 2 p.m. (the latest) otherwise I am up all night with "gas pain" from the food just "sitting" there. It is important to find a physician who specializes in this. Most GI specialists don't know the first thing about treating it. There are some motility agents you can try - but they are either very very expensive (insurance doesn't cover much of the newer ones) or they might not work for you - which they did not for me - they made my symptoms worse because they make the stomach contract but the food could not get out - so the pain was worse. I am having the pyloroplasty procedure in a few months - it is 90% effective for gastroparesis. Again - find a "digestive specialty center" near you . I went to a bunch of gastroenterologists and rather ran refer me they told me to "drink Ensure" - useless information! I do not have diabetes either - they think it was from a surgery I had years and years ago that damaged the vagus nerve. it has been a gradual thing - worsening gradually over many years...

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Replies to "Hi There: sorry to hear about your GP. Sounds like you already had a gastric emptying..."

Thanks for your post; your story is nearly identical to mine. I’m 70, but while I can eat a good solid (vegan) breakfast, I dare not snack in-between that & my (at largest) 2-3 pm
lunch; no dinner. I’m not restricted to purée foods yet, but when I mis-eat by a fraction, it’s gas that’ll keep me up, sometimes til dawn. Even my old charcoal w/water & stomach massaging doesn’t work as well . My Kaiser gastro doc refuses to confirm gastroparesis (!!) due to stomach emptying test (in AM only, when I’m in better shape to digest). I’ve tried 2 motility drugs (albeit for IBS) which also didn’t work. He doesn’t put much stock in SIBO (though thru an ND I tested twice very abnormal methane levels). As I struggle to get enough food & protein (since too much at wrong time will affect me all night), I’ve lost weight. And his only suggestion is
also to drink Ensure. Your frustration with western medicine gastro docs (I’ve been to a few) is right on.