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Title : Gastroparesis: Know the Risk Factors for This Mysterious Stomach Condition
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Gastroparesis: Know the Risk Factors for This Mysterious Stomach Condition

As diabetes cases soar, another condition called gastroparesis is quickly becoming a more common diagnosis. stomach capacity is reduced to empty its contents, but does not involve a lock. Nausea, vomiting, loss of appetite, bloating and chronic abdominal pain are typical symptoms, according to the gastroenterologist Michael Cline, DO.

If you have diabetes, gastroparesis can make is poorly controlled. Severe gastroparesis makes it difficult to manage your blood sugar.

- Primary care physicians and even gastroenterologists - often overlooked and under-diagnose the condition, he says. Sometimes it is initially diagnosed as an ulcer, heartburn or an allergic reaction.

In non-diabetic patients, the condition can be associated with acid reflux.

"In the current data, up to 40 percent of people with acid reflux have some kind of delayed gastric emptying" he says. "So that's a pretty big number, when you look at the millions of Americans who have acid reflux," says Dr. Cline.

motility of the stomach, either abnormal or absent

gastroparesis, which means a partial paralysis of the stomach, is a serious disease that prevents your stomach to digest food and emptying properly. the damaged nerves and muscles do not work with normal strength and coordination. That slows the movement of contents through your digestive system.

Doctors still do not know how to reverse the damage, but there are a variety of treatment options. And, early diagnosis help, Dr. Cline said.

A look at the causes of gastroparesis

The main cause of gastroparesis is damage or dysfunction of the peripheral nerves and muscles.

In diabetic patients, Dr. Cline says, seems more like a disease based on the neuropathy associated with nerve damage. In patients without diabetes, it seems more muscle based: Nerve endings are fine, but the muscles are not responding, says

In addition to diabetes, other sources of gastroparesis include:.

• persistent post-viral effects - You get a virus, but nausea and vomiting from the virus will not disappear after the virus is gone " some of those cases will be resolved, and just. have to wait and see, "says Dr. Cline. "However, a lot of times it does not work, so we have to continue to treat patients."
• connective tissue diseases - gastroparesis can plague patients with diseases such as multiple sclerosis or muscular dystrophy
• Side effects of medication [ - probably the most difficult to treat group, narcotic analgesics and other drugs reduce intestinal motility of a patient, says Dr. Cline "that can be very difficult to treat because the drugs often take precedence over it. prescribed for the treatment of gastroparesis, "he says.
• post-surgical effects -. Some patients develop gastroparesis after the vagus nerve is damaged or caught during a gastrointestinal surgery

a difficult disease to treat

Treatment often begins with adjustments in diet and medication. If these approaches do not work, surgical treatments are the following:

• The pipe - Because gastroparesis affects proper nutrition, surgeons can insert a tube feeding through the patient's nose that does not pass through the stomach. Or a surgeon may place what is known as a tube directly J in the small intestine of the patient to feeding.If these do not work, the total patient nutrition (TPN) is the next step. The patient is fed through an IV.
• gastric pacemaker - A surgeon may also use a minimally invasive laparoscopic procedure to implant a pacemaker to treat gastric digestive system this small chronic condition.The uses mild electrical pulses to stimulate the stomach muscles to perform their usual functions. These impulses help move the contents of the stomach through the digestive tract and bring relief of symptoms of the patient "We are moving towards gastroparesis'm not cured -. Because I really do not know how to reverse neuropathies yet - but fixing what best he can, "says Dr. Cline. "So patients and their families need to boost the diagnostic tests we can do, because the sooner you are diagnosed, the easier it is to treat."

Treatment of psychological problems

A neuropsychiatric specialist is sometimes called on addressing mental health problems that can accompany this chronic disease.

"If wake up sick every day and vomiting all the time, this disease can quickly go from a purely physical to a mental hospital, so the treatment of the possible components of depression, anxiety, pain and so on, too, "says Dr. Cline.

Source: http: //health.clevelandclinic.org/

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