Gastroparesis is a condition that affects the normal spontaneous movement of the stomach muscles. Also known as “delayed gastric emptying,” it can interfere with normal digestion, cause nausea and vomiting and cause problems with blood sugar levels and nutrition. Gastroparesis is not common, affecting only 0.05% of the population. Fortunately, various treatments are available to help manage gastroparesis and improve the symptoms.
David P. Yamini, MD, and his teams in Santa Monica and Beverly Hills diligently work to determine the most suitable treatment plan for your specific needs after diagnosing gastroparesis. Here are some of the most common treatment protocols.
Dietary Modifications
One of the first steps in managing gastroparesis is making dietary changes. This may involve eating smaller, more frequent meals that are low in fat and fiber. Avoiding foods that are difficult to digest, such as raw fruits and vegetables, and opting for softer, well-cooked options can help ease symptoms. In some cases, liquid nutritional supplements may be recommended to ensure adequate nutrition.
Medications
Several medications can be used to manage the symptoms of gastroparesis. Prokinetic agents, such as metoclopramide and domperidone, work to stimulate the muscles in the gastrointestinal tract, helping to improve stomach emptying. Antiemetics may also be prescribed to control nausea and vomiting. Additionally, medications to control acid reflux or manage pain may be utilized as part of the treatment plan.
Botulinum Toxin Injection
For some individuals with gastroparesis, botulinum toxin (Botox®) injection can be considered. This procedure involves injecting botulinum toxin directly into the pyloric sphincter, a valve that controls the movement of food from the stomach to the small intestine. This injection can help relax the pyloric sphincter, promoting improved stomach emptying.
Gastric Electrical Stimulation
Gastric electrical stimulation is a treatment option that involves implanting a device similar to a pacemaker in the abdomen. This device delivers electrical pulses to the stomach muscles, aiming to control symptoms by regulating gastric motility.
Surgical Intervention
In severe cases of gastroparesis that do not respond to other treatments, surgical options may be considered. Surgical procedures such as pyloroplasty (widening of the pyloric valve) or gastrectomy (partial removal of the stomach) may be recommended in certain situations.
Lifestyle Management
In addition to medical treatments, certain lifestyle modifications can also contribute to managing gastroparesis. Avoiding lying down after meals, staying upright during and after eating and engaging in gentle physical activity can aid digestion. Maintaining a healthy weight, managing stress and staying hydrated are also important aspects of managing gastroparesis.
Santa Monica Gastroparesis Diagnosis, Treatment
It’s crucial to consult with a gastroenterology specialist like Dr. Yamini to create a personalized treatment plan that addresses the specific needs and symptoms associated with gastroparesis. He and his talented team can help you make necessary lifestyle adjustments and perform the best treatments to help you effectively manage the symptoms of gastroparesis and improve your overall quality of life.
Contact the offices of David P Yamini, MD, in Santa Monica or Beverly Hills for an accurate diagnosis and the most up-to-date treatments available.
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