When Diabetes Causes Stomach Problems
Also, talk with your doctor about whether stopping or changing any medications that might worsen gastroparesis, such as some antidepressants, high blood pressure drugs, or certain diabetes drugs.
For some people with gastroparesis, these medications and procedures may help:
Metoclopramide (Reglan): You take this drug before you eat, and it causes your stomach muscles to move to help food leave your stomach. Reglan may also help prevent nausea and vomiting. Side effects include diarrhea and other, sometimes serious, side effects.
Erythromycin: This antibiotic also causes the stomach to move food out. Side effects include diarrhea and development of resistant bacteria.
Domperidome (Motilium): This medication manages problems in the upper part of your GI system that are linked to diabetic gastroparesis. Side effects include headache.
Dramamine (dimenhydrinate): This is an over-the-counter antihistamine that helps prevent nausea and vomiting. Side effects include drowsiness and thickening of bronchial mucus.
Compazine (prochlorperazine): This medication helps manage nausea and vomiting. Side effects include drowsiness, dizziness, blurry vision, skin reactions, and low blood pressure.
Zofran (ondansetron): This drug blocks chemicals in the brain and stomach that cause nausea and vomiting. Side effects include headache, fatigue, and constipation.
Gastric electrical stimulation: This surgically implanted neurostimulator sends out brief, low-energy impulses to the stomach to improve nausea and vomiting.
Feeding tube placement: A surgeon inserts a tube through the abdominal wall directly into the small intestine. You are fed specially made liquid meals through the tube. This is only done in extreme cases.
Diet Changes to Make
If you have diabetes, one of the best ways to help control the symptoms of gastroparesis is to vary when and how you eat.
For instance, instead of three meals a day, you can eat six small meals. You'll have less food in your stomach, so you won't feel as full. It will be easier for the food to leave your stomach.
Also, pay attention to the texture of food. Liquids and foods that are easy to digest are a good idea. For example, choose applesauce instead of whole apples.
Avoid foods that are high in fat, which can slow down digestion, and fiber, which is hard to digest.