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Pancreas Cancer

Gastroparesis was posted 12/30/2014 08:49 pm by Anonymous
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Gastroparesis is a common side effect of the Whipple, and a common side effect of PC.

Symptoms can include (often after eating) gas, reflux, burping, nausea, abdominal discomfort/pain, feeling of early fullness after eating and more. Symptoms can vary. Some foods can make it worse - especially high fat or high fiber, so you can try avoiding triggers. Smaller meals can help. You can use various medicines to treat the symptoms (anti-nausea meds, PPI, gasX/TUMS) but the most effective initial medicine is Reglan (generic metro loperamide), four times a day before meals. Sometimes other meds can be tried.

Do you have a good gastroenterologist? They may help.

You diagnose it definitively using a gastric emptying study, but many docs will just try the meds if your symptoms sound consistent with gastroparesis. My Mom had an endoscopy to work up the cause of her symptoms and she also had gastritis. This was because gastroparesis (slow stomach emptying) caused a back up of bile containing intestinal fluid back into the stomach, which is very irritating.

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*DISCLAIMER: This page is an unmoderated forum, and the opinions expressed herein do not necessarily reflect the viewpoint of The Johns Hopkins Medical Institutions. Patients are advised to consult their personal physicians before making any medical decisions.
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