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Forum Name: Gastroenterology Topics

Question: Gastroparesis...Prognosis and Treatment...please help


 mindxpander - Sat Apr 11, 2009 12:49 pm

Hi..I'm a 26 year old male.

For the past couple of months i have been battling loss of appetite, nausea, a full feeling and belching. Its also important to know i was taking 40mg of fluoxetine for ocd/depression/anxiety. For the longest time my doctor kept saying it was my anxiety that was causing my loss of appetite and symptoms and i maintained it was not. Finally he ordered a gastric emptying study and it came back as my stomach is delayed in emptying itself. If i remember correctly the wording on the paper said something along the lines 'average emptying takes 120 minutes, subjects took 172 minutes'. So when the results came back he said, "you have delayed gastric emptying." I said "gastroparesis?"...he emphatically said, "NO...just delayed gastric emptying." (i thought the two was the same thing).

I'm not a diabetic and blood work came back fine, so he doesnt know what has caused this. Because of this my anxiety and depression skyrocketed and after going up to 60 mgs of fluoxetine i stopped fluoxetine altogether and started lexapro (i believe i ran into prozac poop out). Metaclompramide (reglan) didnt work for me, it gave me hightened anxiety and really bad agitation. The Doctor suggested a medication called Motilium (donperidone) which i went and ordered on line since its not available here in the U.S.

This whole situation has affected my quality of life and my weight is starting to alarm and scare me. When Symptons started i weighed 155 lbs. In the span of 4-5 months i am down to 137 lbs. I loved eating and i miss it dearly. Like i mentioned it has seriously affected my quality of life. The doctor gave a really vague prognosis and it didnt help my mind set. My question is what is the prognosis of gastroparesis? does it go away or fix itself, or is this something i will have to live with for the rest of my life? Is Motilium a good medication to take? Is there anthing else i can do?

i have yet to receive encouraging news on this condition and its prognosis. Please help.

-AP
 Dr.M.Aroon kamath - Sun Oct 18, 2009 9:15 pm

User avatar Hi,
Some patients start to worry disproportionately more if some complicated medical terminology(at times ominous sounding!)is mentioned.I guess, your doctor wished to avoid the term "Gastroparesis" and that is presumably why he told you that it was 'only delayed gastric emptying' (may be he was right, after-all!).
Gastroparesis has many causes-Diabetes mellitus is notable among them. It is more common in females, because gastric emptying is naturally slower in females.
In your case, it is probable that there is a fair contribution from your medications.
Please do not worry excessively. This should hopefully get better in due course.Good luck!

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