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Gastroparesis

Causes

Gastroparesis is most often caused by diabetes (referred to as diabetic gastroparesis).

The physician will likely look first at other conditions which mimic the symptoms of gastroparesis:

The chart below helps distinguish symtoms of gastroparesis from rumination syndrome:

Gastroparesis Rumination Syndrome
Periodicity Few bad days a month Every day, every meal
Timing 2-4 hours after meal About half an hour after a meal
Vomitus Bitter, sour Just like food
Re-swallows Food Never Often

Other Factors

Other factors which can cause this condition include:

  • Upper gastrointestinal tract surgery
  • Certain medications such as: narcotic pain medications, tricyclic antidepressants, calcium channel blockers, antacids containing aluminum hydroxide, some high blood pressure medications, and lithium
  • Certain chemotherapy and radiation cancer treatments
  • Other disorders such as: scleroderma (a connective tissue disorder), Parkinson's or other neurological disorders, hypothyroidism or other metabolic disorders, and flu or other viral illnesses

When a underlying cause is not found, the disorder is called idiopathic gastroparesis.

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