Q&A - Dr. John Bienvenu: How is gastroparesis treated?
The way we treat gastroparesis is to first make the diagnosis, and generally we do that with the combination of an upper endoscopy and imaging studies. In this case, we do what’s called a gastric emptying study to see how quickly food leaves the stomach or how long it stays in there. Once the diagnosis is made, then we need to go about treating it. One of the first modalities we use to treat gastroparesis, especially if you’re a diabetic, is to get a patient’s blood sugar under tight control because poorly controlled blood sugar results in increased and worse symptoms of gastroparesis. Additionally, we enact lifestyle changes. We have the patient eat small, frequent, low-volume, low-fat and low-fiber meals because high-fiber and high-fat meals tend to be hard to digest, and that impairs the emptying of the stomach. Additionally, we can put the patients on a handful of different medications that we use to try to improve the rate of gastric emptying and improve their symptoms.