7

votes

Curing gastroparesis

Answered on March 14, 2017
Created August 05, 2011 at 10:31 AM

Has anyone experienced gastroparesis, complete with extreme bloating and discomfort under the rib-cage? If so, what have you found helps? I am currently embarking on a Whole 30 (basically strict paleo- no sugar, no alcohol, no dairy, no legumes, and for me limited fruit and nuts) to see if it makes a difference, but a few days in it doesn't seem to be much. I know that stress is a huge factor but the feeling seems to last even when I am not in stressful situations or overthinking things. I get the sensation that my stomach is inflated, and while burping and farting help somewhat, they do not totally relieve the discomfort. I am loathe to take pharmaceutical drugs, but was wondering whether anyone else has had this, and what they think works.

I have tried acupuncture quite a few times but the effect never lasts that long, and does not relieve the pressure directly.

I am also trying to cut down on coffee because I know that can be a contributing factor but find that I generally need it in the morning to have a BM, although occasionally my nightly dose of magnesium is enough.

And before anyone suggests that the gas is caused by other things, I have noticed symptoms after all kinds of foods, and then absent after eating exactly the same foods... I really doubt it is strongly related to, say, leafy green vegetables, or eggs, or dairy, although I notice cold and acidic things can cause burping or a tightening sensation in my stomach/ around my ribs.

Af9e23fd927bacc1ad31e83db69f454e

on February 21, 2014
at 05:35 PM

How long did it take for you to heal?

C471216c9fb4fcf886b7ac84a4046b49

(1371)

on November 16, 2011
at 06:36 PM

im not the one with the problem the OP is...

9d43f6873107e17ca4d1a5055aa7a2ad

on November 16, 2011
at 04:20 PM

you should go in and get a diagnosis. It's not the worst test at all and it's somewhat common in thin young women with ED. The doc said I probably had it because I had been starved by my chronic food poisoning.

Cfc7dee889a66db9cd76c4f348109294

(1652)

on September 23, 2011
at 05:41 PM

agree with not over/self-diagnosing, but still trying to feel better.

C471216c9fb4fcf886b7ac84a4046b49

(1371)

on September 23, 2011
at 03:18 PM

sorry one more thing, ACV + blackstrap molasses before/after a meal is what i do and it works awesome

C471216c9fb4fcf886b7ac84a4046b49

(1371)

on September 23, 2011
at 03:10 PM

and maybe try curcumin, dont know why but my digestion started going to hell when i ran out...

Cfc7dee889a66db9cd76c4f348109294

(1652)

on September 23, 2011
at 01:44 PM

I've also read a cause of idiopathic Gastroparesis is median arcuate ligament syndrome - which I am being tested for. Basically, the MAL blocks blood flow to the celiac artery and potentially the vagus nerve. Its more common in petite women. If blood flow cab be restored, that could be a potential remedy.

166f449979d83186bd876e8f466d0a69

(1317)

on August 06, 2011
at 04:06 AM

Okay, thanks for the advice. Dr's on Monday for checks. Last year I had a couple of vasovagal syncopes which a chiropractor diagnosed as problems with my vagus nerve- felt like I've pinched it. Bernstein focuses on it through prism of diabetes because thats what his book was about and it is commonly, but not always, caused by high BG. Anyhow, time for some fun endscopy/barium tests. If the Drs are as useless as they were before (I live in japan and its difficult to find a "good" dr- I might go back to my acupuncturist who said it was "stagnant liver qi".. But then you might not believe in woo

Cbb1134f8e93067d1271c97bb2e15ef6

on August 05, 2011
at 11:20 PM

COMMON accompanying symptom of acute gallbladder disease, when whether because of stones which begin to lead to infection/ blockage/severe irritation in GB, or, diseased GB itself.

3c6b4eed18dc57f746755b698426e7c8

(5147)

on August 05, 2011
at 10:45 PM

The only other possibility I can think of if you don't have diabetes is you have some undiagnosed autoimmune diseases that are giving you neuropathy. If so, I would get my antinuclear antibodies tested and follow up for specific markers.

3c6b4eed18dc57f746755b698426e7c8

(5147)

on August 05, 2011
at 10:30 PM

What's your A1C, and what makes you think that you have gastoparesis? Did any health practitioner say you might have it? Gastoparesis is usually due to abnormal (high) blood sugars, and is a neuropathy related to your vagus nerve. I don't think flatulence is among its symptoms but I could be wrong. I would get Dr. B's book ... look in Ch 22 and he details several diagnostic tests available. My hunch is that you have something else.

166f449979d83186bd876e8f466d0a69

(1317)

on August 05, 2011
at 10:05 PM

Been bouncing around doctors for a while now, and no, haven't had full diagnosis. But apparently 20% of cases are idiopathic and nothing to do with BG. I dont hav diabetes or any of the symptoms and am slim. Also with a condition like this you can fart eying just meat and fat as air trapped in the stomach when the pyloric sphincter doesn't open properly makes it's way out. It's almost always completely odorless so nothing to do with fermentation type farting.

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15 Answers

2
C471216c9fb4fcf886b7ac84a4046b49

on September 23, 2011
at 03:09 PM

I get these symptoms too... before self diagnosing ourselves(yourself) you should tweak the diet. coffee may be good but if you need it for a bowel movement, your deficient in micronutrients. also, small meals, not large ones will help. try food combining, and not mixing up foods at meals. start the day with meat/fat, have VERY WELL cooked veggies at lunch, and a bone stock/rich gelatin dinner.

the bone stock/broth and marrow should REALLY help you with this. excess protein is gonna be your biggest problem so keep an eye on it. cut fiber you dont need and cooooooooook down your veggies.

also, what melissa said about the ACV, will help with a meat heavy meal to get the digester goin. again, dont eat large meals

C471216c9fb4fcf886b7ac84a4046b49

(1371)

on September 23, 2011
at 03:10 PM

and maybe try curcumin, dont know why but my digestion started going to hell when i ran out...

C471216c9fb4fcf886b7ac84a4046b49

(1371)

on September 23, 2011
at 03:18 PM

sorry one more thing, ACV + blackstrap molasses before/after a meal is what i do and it works awesome

Cfc7dee889a66db9cd76c4f348109294

(1652)

on September 23, 2011
at 05:41 PM

agree with not over/self-diagnosing, but still trying to feel better.

C471216c9fb4fcf886b7ac84a4046b49

(1371)

on November 16, 2011
at 06:36 PM

im not the one with the problem the OP is...

9d43f6873107e17ca4d1a5055aa7a2ad

on November 16, 2011
at 04:20 PM

you should go in and get a diagnosis. It's not the worst test at all and it's somewhat common in thin young women with ED. The doc said I probably had it because I had been starved by my chronic food poisoning.

1
6984d31d0c639b4f470dc7ae15783929

on November 16, 2011
at 02:25 PM

I don't think anyone has mentioned hypothyroidism. This condition slows down body processes, often prominently including digestion. Have you had your TSH and thyroid antibodies checked?

1
44a3c38c71df57431390c5ce49de5339

(115)

on November 16, 2011
at 01:18 PM

Gas is caused by carbohydrates. I have GP and green leafy vegs cause big problems. If you cut out the nuts and vegs (carbs in your diet) for a week you may find the bloating and gas greatly reduced or eliminated. For me I can't eat any green leafy vegs. If they don't cause problems at the time I eat them I find they will cause gas and bloating later as they move through the digestive tract.

1
2c3e77c518204ecb2dff606d48c2d170

(30)

on November 16, 2011
at 05:09 AM

I strongly recommend you see a GI. They will most likely do a gastric emptying study to see how long it takes for food to digest in your system (radioactive eggs anyone?) This will tell you if you have gp or not. It can be caused by diabetes, surgery, idiopathic or like me from a serious gastrointestinal disease (I.e our filtered drinking water on our week long backpacking trip didn't filter out giardia and basically destroyed my vegus nerve) But other conditions like Celiac disease, Crohn's, IBS, and even food allergies can cause the symptoms you mentioned. Nausea and vomiting along with early fullness usually accompany the boating, heartburn and gas that comes with gastroparesis. Probiotics have helped me some as well as eating small meals and not eating 3 hrs before bed. Gerd is pretty common with it so low acidity is important, no caffeine, citrus or tomatoes, at least in limited quantities. A liquid diet of vegetable broth and watered down Apple juice rests your stomach and then slowly introduce low fiber foods in small quantities and work towards the fruits and vegetables, cooked first, then raw. You should get a good idea of what you can tolerate by how you feel. Hope this helps.

Af9e23fd927bacc1ad31e83db69f454e

on February 21, 2014
at 05:35 PM

How long did it take for you to heal?

1
9d43f6873107e17ca4d1a5055aa7a2ad

on August 26, 2011
at 11:57 AM

I think I have had this. I guess the main symptom for me was burping. My doc just thought it was a side effect of my GERD. I did a pretty much meat/eggs/fish only diet for a few weeks and it made a huge difference. Vegetables/seeds/nuts/etc. are on Whole 9, but those are common triggers (the diet recommended for gastroparesis is low-residue). Almost all bacteria that cause burping eat carbs. It would be very rare if they are eating something else. Also, a low-residue diet can allow the stomach lining to repair.

Eventually I was able to go off zero carb, mainly though adding in new foods slowly and drinking apple cider vinegar tonics after every meal.

0
B7362cfa94af02fa753b28294c7beefa

on March 14, 2017
at 11:41 PM

Mayo said I have GP, after 4 years of suffering.Long story short, they called idiopathic, but to my sudies show that since we discovered I have Hoshiomotois, hypothyroid my tsh was not that bad, but as we know that really is a mute point with this disease.Now do you think Mayo said ok lets put you on T3 or at least T4?Nope, they did not even look for it we found it ourselves from my ENDO.So I am hoping that if I get mt thyroid straight it could improve me GP any certainly the constiation.The abstracts all say this is mostly a female disase, like 70% woman , thats huge, not that hard to say ,if the stomach gets hormonal singnals the grawl when hungery or hormonal signals to tell it to empty, then what do we think TSH stands for thyroid stimmulating HORMONS!!!! Why is this now suddenly becoming so prevalent?Hormones, in the meat the milk the eggs on and on. It is going to take someone famous's daughter or wife to get this, before they REALLY look into it.If the Kardahians had it, I bet their doctor would spend more the 15 mins on them to find out the DIS-EASE, thanks for your time and PLEASE except my apoligies for my spelling I have a learning disability. Ava

0
B7362cfa94af02fa753b28294c7beefa

on March 13, 2017
at 05:36 PM

Mayo said I have GP, after 4 years of suffering.Long story short, they called idiopathic, but to my sudies show that since we discovered I have Hoshiomotois, hypothyroid my tsh was not that bad, but as we know that really is a mute point with this disease.Now do you think Mayo said ok lets put you on T3 or at least T4?Nope, they did not even look for it we found it ourselves from my ENDO.So I am hoping that if I get mt thyroid straight it could improve me GP any certainly the constiation.The abstracts all say this is mostly a female disase, like 70% woman , thats huge, not that hard to say ,if the stomach gets hormonal singnals the grawl when hungery or hormonal signals to tell it to empty, then what do we think TSH stands for thyroid stimmulating HORMONS!!!! Why is this now suddenly becoming so prevalent?Hormones, in the meat the milk the eggs on and on. It is going to take someone famous's daughter or wife to get this, before they REALLY look into it.If the Kardahians had it, I bet their doctor would spend more the 15 mins on them to find out the DIS-EASE, thanks for your time and PLEASE except my apoligies for my spelling I have a learning disability. Ava

0
Medium avatar

on June 06, 2014
at 06:21 PM

Hey there @sophie 1

I had Dr. Justin answer your question on BWR. Your question was answered at (35:35)

http://beyondwellnessradio.com/beyond-wellness-radio-episode-4-listener-questions/

I know this is super late, but I hope it is helpful.

0
44ff4ba81aeadd00811cde91f07f3a15

on February 09, 2013
at 07:10 AM

I can't help, but just want you to not let everyone else scare you lol. Thy are not doctors! -nor am I. BUT I do have Gastroparesis.... And do have my sort of other medical issues, but not one is diabetis, autoimmune, lactose intolerance, I am not under weight or unhealthy. But for me, if I do liquids I don't feel as full and gassy and like a water balloon. ) anything 'heavy' like pasta, cheese, milk, or patatos makes me feel like crap. -And my dr recommended clear liquid diet for a couple weeks, then liquid, then soft food and then fruits and veggies.... That way you will know what made you feel bad. LIKE... If you have been doing all liquids and dairy, and you finally eat spaghetti and feel bad, you will know it was either noodles tomato sauce or hamburger meat... Then can narrow it down and figure out what works for you.

0
7ef49d79b161f6fc25fa7eca7937286d

on January 24, 2013
at 08:36 AM

NSAID Painkiller Drugs/Too much intake of Strong Food like Fried food, White Flour, Red Meat/Baked food or in some case surgeries or for some other reason, have Caused slow down in stomach Digestion thus resulting in Dysmotility Or Gastro paresis or partial paralysis of stomach Causing delayed emptying of stomach.

These results in ACID BUILDUP, also known as Acid Indigestion and excess acids in turn make our stomach Sensitive thus making it difficult to drink tea coffee Alcohol or anything that stimulates the stomach. Mostly over acidic state in small intestine is the culprit which inhibits further emptying. The acids are also released, if you have consistent anxiety and panic attacks especially if they are centered on stomach area. This causes stomach anxieties, severe weight loss and regular flare ups making you nausea, dizzy and always hungry etc. It has major impact on your bowel movement as it literally slows it down causing severe constipation issues. What this means is that final cure shall ensure regular bowel movement.

Delayed emptying and acid buildup in turn can manifest additional issues like Constipation, sensitive stomach (where intake of spicy food especially liquid curries, tea coffee causes further anxiety) and Functional dyspepsia (feeling of fullness even with small meals). All these 3 issues must be dealt with to get final cure i.e. increasing stomach motility. Functional dyspepsia can be cured by stomach exercise (kapalbhati) while Triphala helps Sensitive stomach and motility issues

Treatment therefore should be done using all of following steps:-

  1. Having only Soft diet food, avoiding strong food or food that takes long time to digest. Start with Boiled only food diet for first 1-2 week (No oil) as this is the lightest form of food to stomach. Boiled food diet to start with is also a test to tell you, that if you can sustain boiled food and do not required any medicines and are not having stomach flare ups when you are on boiled food diet, then all steps below will mostly take you to recovery gradually, i.e. yours is a Food induced Dysmotility and can be cured by gradually increasing from soft to strong diet. The journey from soft diet to strong diet is a slow one, but will ensure final cure.
  2. Avoiding acid buildup at all costs by sticking to grilled/Boiled/light preparation of food and sticking to step 1. Avoid most baked goods or anything made with flour. Meat (Poultry, Fish) can be had only once 3-4 days during recovery. You shall mostly avoid strong foods (Flour based) and Meat during this time. Stick to Rice and Rice based foods.
  3. Dextoxing by using natural herb triphala or coconut water after every meal to help stomach lose excess acids and thus make it less sensitive. Never eat to full stomach. Eat up to 70-80%. Sensitive stomach, which is result of prolonged acid buildup, can be cured with triphala after every meal which must be a soft diet. To lubricate the stomach for better digestion, Have 1-2 spoon of pure ghee followed by hot milk every day only after you have cured sensitive stomach by taking triphala after every meal.
  4. Only ALKALINE food snacking with Dates, cucumbers, carrot, papaya, banana, water melon etc.
  5. Stomach exercise (Kapalbhati) every day morning to bring elasticity back to stomach and also regain its motility. I do this at least 10-15 minutes every day morning (400-500 stomach steps). Like any other exercise this must be increased gradually. Also those with BP issues shall do it with 10 sec break every 20-30 steps. This exercise has helped me to enhance motility of stomach and also to cure Functional dyspepsia.
  6. Taking NATURAL CURE method AVOIDING MEDICINES, as this specific problem can be treated easily through natural means. Triphala has played very important role in this recovery in my example.
  7. Doctors recommend small and frequent meals, but forget to mention that snack/food/meal must be either soft diet or alkaline and not add to further acid buildup. All acidic category food must be in soft diet form only. That means you must avoid Sugar/fried/baked (cake, pastries etc)/red meat/flour, white flour (bread , flat bread etc)/all type of processed food (chips, tomato sauce, chocolates etc) at all costs till the stomach is ready to take them back till recovery take place (at least 8-12 weeks of consistent diet monitoring and stomach exercise). FRIED food is always no no for you henceforth.
  8. Bland food that is fried /baked will not help. Method of preparation is very important. Avoid most baked goods or anything made with flour. All food must be lightly prepared avoiding oil as far as possible or use only 1-2 spoon oil at most for preparing food. Spices are always welcome addition and they do not necessarily cause stomach anxieties. Avoid all types of curries (liquid) if you have a sensitive stomach. My stomach ceased to sensitive after 7-10 days of use of Triphala after every meal.
  9. Combination of food made from flour and meat should be avoided. Meat (protein, egg) should never be combines with flour products (chapatti, flat bread, and bread). Meat can be had with rice instead. Similarly PH of food (chyme) in small intestine less than 3.5-4.0 will inhibit stomach emptying until duodenal chyme (food) can be neutralized. What this means is that over acidic conditions of food in small intestine which is the next stage of passing food from stomach, will delay further emptying if the state of food (chyme) in small intestine is over acidic (<3.5). In that case acids must be neutralized to start further stomach emptying. Moral, do not eat food that is over acidic like red meat or Alcohol in large quantities. Meat shall be avoided during recovery stage to prevent further acid buildup. Also Alcohol can reduce ph state of small intestine so you must avoid or have alcohol in moderation. I have myself notice delayed emptying whenever I had alcohol before food. If you had alcohol, you must follow it by light/soft diet or small meal.
  10. Constipation may be frequent during this stage, so you must make conscious efforts to make a bowel movement and also to cure this as and when required by either using natural means (2-3 spoons Pure Ghee followed by hot milk/Caster Oil/drink plenty water) or any other suitable method.
  11. Train your eyes to pick up the food that will not give you anxiety. I have been able to pick up my type of food even from roadside stalls. Fats take longest to empty. Similarly High protein will release acids. Gastric emptying is favored when standing or by lying on right side if you are immobilized.
  12. Whenever I did a mistake of having food that caused stomach anxiety and flare ups then immediately I would have 1-2 triphala capsules, or coconut water, or cold milk, or baking soda dissolved in a glass of water. It is important not to stress stomach anymore and so these steps should be taken immediately whenever flare ups happened. I normally keep triphala handy for such cases.

In short, DETOX , DETOX & DETOX after every meal (use either Coconut water Or Triphala), do stomach exercise (kapalbhati, sit-up), Stay away from High fat meal, Fried food, Baked food, Flour products, & Red meat (As these take long time to digest, causing acid buildup and thus causing Sensitive stomach & gastroparesis/Dysmotility), have food that is Boiled/Grilled Or is lightly prepared/is Soft Diet (1-2 spoon oil (less oil the better), cooked less than 10 minutes and is not curried, Dried preparing), sticking to 3 meals, strictly avoiding Painkiller drugs (NSAID), avoiding stomach stimulant like Tea Coffee alcohol during sensitive stomach stage, and no snacking before Lunch and breakfast, and only ALKALINE food Snacking with Dates, cucumbers, carrot, papaya, banana, water melon and using Digestive tonic (Not enzymes!)/ Preferably Triphala after each meal for 8-12 weeks, would help you restore your stomach back. Drink 3-4 spoon of pure ghee daily, followed by glass of Hot Milk before sleep to lubricate your stomach and help with constipation issues, but only after you have cured sensitive stomach by using triphala after every meal. Start Ghee intake only after 2-3 weeks of triphala use.

One link for KAPALBHATI Exercise: “ http://www.youtube.com/watch?v=GF_Kj6vFPd8

http://www.buzzle.com/articles/triphala-benefits.html

http://www.wellnesspathways.com/handouts/acidalkalinefoodchart.pdf

http://en.wikipedia.org/wiki/Soft_diet

Triphala & pure ghee is available in most Indian groceries and is very cheap. My stomach ceased to be sensitive after around 7 days of triphala use, so I could start having my Tea without any problem. Also you must drink lots of water to avoid constipation issues when taking Triphala or Digestive Enzymes. Tea (always Ginger Added for enhancing digestion & motility), Coffee, & Alcohol (now always with soda water, as soda water is very soothing to stomach) can be taken along with food or immediately after food once your stomach ceases to be sensitive after a week or two of Triphala use. Always eat acidic food in Soft diet / Boiled/ Grilled form only. Also all snacking should be Alkaline only as you do not want to push acidic food thus promoting acid buildup during snacking.

A similar results may be achieved by having Coconut water after every meal, as coconut water also tones up stomach and is a good detoxication drink. But having coconut water after every meal may be difficult, so Triphala may be used instead to achieve same and perhaps better results.

Post recovery, If you ate large meal like buffet then use either digestive enzyme supplement or triphala to speed up digestion to prevent acid buildup later. We must avoid acid buildup in future to prevent re occurrence of gastro paresis, avoiding trigger food that takes long to digest (for e.g. Red meat, Fried food & White flour or baked food products specifically). Large meals are no no henceforth.

For More read here please:- http://sunild1204.wordpress.com/2011/04/09/acidic-stomachdyspepsiahyper-aciditystomach-problems/

0
0beda28cc061f3baba3e8d24170ba424

on January 16, 2013
at 02:14 AM

I have had problems with bloating under the ribs, fullness under the ribs. I had a cholecystectomy and it did not relieve the fullness and bloating. My doctor prescribed Ursodiol for thick bile and it did give me relief.

0
Cfc7dee889a66db9cd76c4f348109294

on September 23, 2011
at 02:45 PM

I'm going to move my comment to an answer. One cause that I have read of idiopathic gastroparesis is median arcuate ligament syndrome:

http://www.ncbi.nlm.nih.gov/pubmed/9068484

The median arcuate ligament, which connects the rib cage and the diaphragm blocks blood flow through the celiac artery - and can lead to ischemic gastroparesis, and perhaps affect the vagus nerve.

(I always thought it was funny that it was the celiac artery - since I apparently don't have celiac's, there might be something celiac-related that is wrong with me)

In this study, the ligament was resected and blood flow and normal gastric emptying was restored. I understand MALS is more common in petite women -- I'm being tested myself. If anyone has any additional thoughts or info, I'd be grateful. It's a difficult diagnosis to confirm since many people have MALS with no symptoms (perhaps because they get enough peripheral blood flow support to the area?). Also, abdominal surgery doesn't always restore blood flow to the artery if the artery has collapsed or become injured.

I wonder if there is a way to "move" the ligament out of the way through some other non-surgical manipulation... That's a bit out there, but could be.

Anyways, good luck!

0
Eecc48184707bc26bce631485b5b7e34

on September 23, 2011
at 01:37 PM

I agree with Melissa and would expound a bit:

It seems reasonable to

1) eliminate nuts and seeds

2) tweak/decrease/modify veggie intake. A couple friends with gastroporesis and/or IBS and/or other gut issues like diverticulitis and colitis do ok with fermented/cultured veggies cooked, pureed veggies soups in moderate amounts but always other veggies.

3) Chris Kressers tips for GERD (from Wright's book) also seem worth trying. ie betaine at specific doses and digestive enzymes.

4) bone stock is exceptionally healing to the gut.

0
Cf4576cbcc44fc7f2294135609bce9e5

on August 12, 2011
at 05:12 AM

you mentioned you eat dairy, i recommend a paleo diet instead. the lactose sugar found in milk reeks hell when gut flora uses it for a meal.

0
3c6b4eed18dc57f746755b698426e7c8

on August 05, 2011
at 08:11 PM

How do you know you have gastoparesis? Are you diagnosed with t1 or t2 diabetes? Gastoparesis is normally a diabetic complication, often accompanying autoimmune diseases that result in polyneuropathy.

The best remedy for this is BG normalization: someone like Dr. Bernstein will recommend a VLC diet: 6-12-12 = 30g of carbs per day.

Even then, I'm not sure if gastoparesis can be reversed in a short time. I think Dr. B said after several years of BG normalization you'll be able to reverse somewhat. I'm not so sure entirely.

First, I would make sure you have it. Many other stomach or bowel discomfort diaseses will resemble gastoparesis. If you have it, your BG will rise not as quickly but will stay elevated for a very long time, as if you're eating pasta for every meal. A proper diagnosis might entail something invasive.

Get on a VLC diet and get rid of starchy vegetables. You will not be farting if you're on a VLC diet --not a joke.

166f449979d83186bd876e8f466d0a69

(1317)

on August 05, 2011
at 10:05 PM

Been bouncing around doctors for a while now, and no, haven't had full diagnosis. But apparently 20% of cases are idiopathic and nothing to do with BG. I dont hav diabetes or any of the symptoms and am slim. Also with a condition like this you can fart eying just meat and fat as air trapped in the stomach when the pyloric sphincter doesn't open properly makes it's way out. It's almost always completely odorless so nothing to do with fermentation type farting.

3c6b4eed18dc57f746755b698426e7c8

(5147)

on August 05, 2011
at 10:30 PM

What's your A1C, and what makes you think that you have gastoparesis? Did any health practitioner say you might have it? Gastoparesis is usually due to abnormal (high) blood sugars, and is a neuropathy related to your vagus nerve. I don't think flatulence is among its symptoms but I could be wrong. I would get Dr. B's book ... look in Ch 22 and he details several diagnostic tests available. My hunch is that you have something else.

Cbb1134f8e93067d1271c97bb2e15ef6

on August 05, 2011
at 11:20 PM

COMMON accompanying symptom of acute gallbladder disease, when whether because of stones which begin to lead to infection/ blockage/severe irritation in GB, or, diseased GB itself.

3c6b4eed18dc57f746755b698426e7c8

(5147)

on August 05, 2011
at 10:45 PM

The only other possibility I can think of if you don't have diabetes is you have some undiagnosed autoimmune diseases that are giving you neuropathy. If so, I would get my antinuclear antibodies tested and follow up for specific markers.

166f449979d83186bd876e8f466d0a69

(1317)

on August 06, 2011
at 04:06 AM

Okay, thanks for the advice. Dr's on Monday for checks. Last year I had a couple of vasovagal syncopes which a chiropractor diagnosed as problems with my vagus nerve- felt like I've pinched it. Bernstein focuses on it through prism of diabetes because thats what his book was about and it is commonly, but not always, caused by high BG. Anyhow, time for some fun endscopy/barium tests. If the Drs are as useless as they were before (I live in japan and its difficult to find a "good" dr- I might go back to my acupuncturist who said it was "stagnant liver qi".. But then you might not believe in woo

Cfc7dee889a66db9cd76c4f348109294

(1652)

on September 23, 2011
at 01:44 PM

I've also read a cause of idiopathic Gastroparesis is median arcuate ligament syndrome - which I am being tested for. Basically, the MAL blocks blood flow to the celiac artery and potentially the vagus nerve. Its more common in petite women. If blood flow cab be restored, that could be a potential remedy.

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