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Pancreas Cancer

Gastroparesis was posted 05/10/2017 02:03 pm by Anonymous
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What medicines are you taking?

Who is monitoring your symptoms and advising you?

Have you noticed any food triggers, that make your symptoms worse?

A common complication with PC and after whipple is gastroparesis. Gastroparesis is slow stomach emptying. When things stay in your stomach longer than usual, there is a greater chance of reflux. While medicines like proton pump inhibitors (which are you on and what dose?) or H2 blockers can be helpful, sometimes you will benefit from a medicine that encourages moving food through your stomach faster. Reglan (generic metoclopramide) is the medicine that can help this. It is usually taken as a 10mg tablet, 20-30 minutes before meals and before bed.

Do you have a gastroenterologist advising you? They should be most familiar with this. If Reglan is helpful, and you decide to take it long term, some people will transition to the sister medicine domperidone. This you have to purchase from Canada and have delivered here, I think. That's what we used to do for my Mom.

Also, avoid eating after dinner, and look for trigger foods. For example, for some people high fiber, high fat will move slowly out of the stomach. Smaller meals, spread throughout the day can help. Sometimes specific foods will make it worse. It varies from person to person, so you will need to experiment a little food wise.

If it is only getting worse, and isn't improving, talk with the gastroenterologist to see if you should have an upper endoscopy (look in the stomach) to see if you have developed an inflammation or ulcers. You can't diagnose gastroparesis by endoscopy. It is diagnosed using a test called a gastric emptying study. However, many doctors will not bother with this test if your symptoms and history are consistent with gastroparesis - they will just try the medicines to see if they help.

Good luck, and keep us posted.

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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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