By the way, it is common to have many types of problems due to diabetes. Due to this, foot pain, dizziness, weight gain or occurrence, and gastroparesis ie gastrointestinal problems can also occur. This problem is not the same as other problems. Diabetic gastroparesis has a great effect on the digestion of the body. Due to which many problems may have to be faced. Over time, diabetes can affect many parts of your body. One of them is the vagus nerve, whose function is to control how quickly your stomach empties. But when it gets damaged, your digestion slows down and food stays in your body for a long time. This is a condition called gastroparesis. This can make you feel restless and nauseated. It can also have a bad effect on your blood sugar level. Although it is more common in people with type 1 diabetes, it can also occur in people with type 2 diabetes. Most people with gastroparesis have diabetes as well as other types of complications for at least 10 years. In this article, we will give you detailed information about diabetes and gastroparesis, under which we will tell you about the symptoms, risks, and treatment. So let's know what the symptoms are.
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Symptoms of diabetes and Gastroparesis
- Stomach Irritation
- swelling
- loss of appetite
- Trouble controlling blood sugar
- Getting nausea
- Indigestion food vomiting
- Feeding less food
- Weight loss
- Stomach cramps
- Acid reflex
Symptoms of diabetic gastroparesis can be both mild or severe, depending on the damage to the vagus nerve, a long cranial nerve that extends from the brain stem to the abdominal organs, including the digestive system. Is included. These symptoms can cause problems at any time, but they are more common after intake of high-fiber or high-fat foods, which cause a very slow digest.
Risk of Diabetic Gastroparesis
Food that stays in your stomach for a long time can spoil and lead to the growth of bacteria. Undigested food can harden and form a lump called bezoar. This can block your stomach so that what you eat does not reach the small intestine. Women with diabetes have a higher risk of developing gastroparesis. Other conditions may reduce your risk of developing the disorder. May include a previously performed abdominal surgery or a health condition history associated with eating disorders. Diseases and conditions other than diabetes can cause gastroparesis, such as:
- viral infections
- Acid reflex disorder
- Chronic pancreatitis
- Cystic fibrosis
- Kidney disease
- Smooth muscle disorder
- Parkinson's disease
- Turner syndrome
Sometimes even after extensive testing, no known cause can be found.
Diagnosis of diabetic Gastroparesis
The diagnosis of gastroparesis is confirmed through one or more of the following tests.
blood test
Doctors can also order laboratory tests to examine blood and measure chemical and electrolyte levels. To find out the cause of diabetes and gastroparesis, doctors may perform an upper endoscopy or an ultrasound.
Upper endoscopy
After giving you a sedative, the doctor inserts a long, thin tube called an endoscope through the mouth and gently directs the esophagus into the abdomen. Through the endoscope, doctors can look inside the abdomen to check for any abnormalities. After which he reaches the treatment option.
Barium x-ray
This X-ray is performed after a 12-hour fast. For this, after a 12-hour fast, you will drink a thick liquid called barium. Which coats the inside of the stomach. This makes it visible on the X-ray. Generally, all the stomach food is emptied after 12 hours of fasting. If the X-ray shows food in the stomach, there is a possibility of gastroparesis. If the X-ray shows your stomach emptying, but the doctor still suspects that your stomach emptying is still delayed, you may need to repeat the test. If you have diabetes, your doctor may have specific instructions about fasting.
Barium beefsteak meal
In this, you are fed barium-rich food. The radiologist then allows you to see your stomach as it digests the food. The time the barium takes to digest food and empty the stomach makes the doctor understand how well the stomach is working. This test can help detect emptying problems that do not appear on liquid barium X-rays. In fact, people who have diabetic gastroparesis often digest fluids normally, so barium beefsteak meal testing may be more useful.
Gastric manometry
This test measures electrical and muscle activity in the abdomen. The doctor inserts a thin tube from your throat down into the abdomen. The tube has a wire that measures the electrical and muscular activity of the stomach as it digests fluids and solid food. Measurements show how the stomach is functioning and whether there is any delay in digestion.
Radioisotope gastric
In radioisotope gastric tests you are asked to eat food, which contains radio isotopes, a little radioactive material that will appear on the scan. Radio isotope is not dangerous at all in testing. After eating in this test, you will lie under a machine that detects radio isotopes and shows an image of food in the stomach and also how quickly it empties the stomach. If more than half of the food remains in the stomach even after 2 hours, then gastroparesis is treated.
Ultrasound
To detect diabetes and gastroparesis or other stomach related problems, ultrasound is the first to be recommended. To detect gallbladder disease or pancreatitis as a problem, you may have an ultrasound test, which uses harmless sound waves to try and define the size of the gallbladder and pancreatitis.
Treatment of diabetic gastroparesis
The primary treatment for diabetes and gastroparesis is aimed at controlling blood sugar levels. Further treatment includes insulin, oral medications, when and what you eat, and in severe cases, changes in tubes and intravenous feeding. It is important to note that in most cases the treatment does not cure gastroparesis. This is usually a chronic condition. Treatment helps prevent your condition for some time so that you can stay healthy and comfortable.
Insulin for blood sugar control
If you have gastroparesis, it means your food is being absorbed more slowly and at unexpected times. So to control your blood sugar, you may need the following. Which are like this,
Take insulin more often.
Take your insulin after meals instead of before.
Check your blood sugar level every time you eat food and after administering insulin whenever necessary.
Your doctor will give you specific instructions based on your special needs.
Medicines for Gastroparesis
Many drugs are used to treat gastroparesis. But your doctor may recommend taking different drugs or combinations of medicines to find the most effective treatment for you.
The above information is not a substitute for medical advice. Therefore, before using any medicine or supplement, please consult a doctor. GoMedii does not provide any type of medical advice, diagnosis or treatment.
Metoclopramide
This medicine stimulates the stomach muscles to help empty the stomach with food. It also helps reduce nausea and vomiting. Metoclopramide is taken 20 to 30 minutes before meals and at bedtime. Side effects of this medicine include fatigue, sleepiness and sometimes depression, anxiety.
Erythromycin
This antibiotic also improves emptying of the stomach. It works by increasing the contractions that move food through the stomach. Among its side effects are nausea, vomiting and stomach cramps.
Domperidone
The Food and Drug Administration is reviewing domperidone, which has been used elsewhere in the world to treat gastroparesis. It is a propagating agent such as metoclopramide. Domperidone also helps with nausea.
Other drugs
Other medications may be used to treat symptoms and problems related to gastroparesis. For example, antiemetics can help prevent nausea and vomiting. Antibiotics help to clear bacterial infections. If you are sick, the doctor may use an endoscope to inject the medicine, which can improve it.
The above information is not a substitute for medical advice. Therefore, before using any medicine or supplement, please consult a doctor. GoMedii Health does not provide any type of medical advice, diagnosis, or treatment.
Dietary changes for diabetic gastroparesis
Changing your eating habits can help control gastroparesis. Your doctor or dietician will give you several instructions, but you will have to eat at least six times a day, instead of three times a day. Dieticians may suggest that you need to try to eat liquid food several times a day until your blood sugar level is stable and the gastroparesis is cured. Liquid foods provide all the nutrients found in solid foods. Doctors may also recommend that you avoid high-fat and high-fiber foods. Fat naturally slows down digestion. If you have gastroparesis, the fiber may be difficult to digest. Can not be digested in some high fiber foods like oranges and broccoli. Avoid these foods as indigestion will remain in the stomach for a very long time.
