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.