Gastroparesis | Emphasis on Diet/Nutrition
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- Опубліковано 31 тра 2024
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👉🏼 Lecture Notes: cnu.sellfy.store/p/gastropare...
This video provides an overview of gastroparesis.
You will learn about the 3 major diet recommendations to assist in the management of symptoms like nausea, vomiting, and abdominal pain.
You will also learn appropriate mealtime behaviors and options for nutrition support if tolerance to an oral diet cannot be established.
Gastroparesis is a chronic disorder that’s characterized by delayed gastric emptying in the absence of mechanical obstruction.
It's most common in patients with diabetes.
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📚 Chapters for this video:
0:00 What is the best diet for gastroparesis?
0:18 Definition of gastroparesis
1:11 Pathophysiology of gastroparesis
1:57 Causes of gastroparesis
4:19 Fiber and gastroparesis
6:24 Fat and gastroparesis
9:58 Food texture and gastroparesis
12:58 Meal size and gastroparesis
13:51 Summary of diet recommendations
14:27 Mealtime behaviors and gastroparesis
15:08 Nutrition support and gastroparesis
16:14 Enteral nutrition and gastroparesis
18:21 Parenteral nutrition and gastroparesis
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This video is for educational purposes only. It is in no way intended to serve as a way to diagnose medical conditions or replace individualized care from a physician 🙏🏼
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#medicalnutritiontherapy #clinicalnutrition #gastroparesis
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Thank you for this video but i feel like you didn't touch the edges yes this video explains something but not much gastroparesis is so much more wores it destroys your life iv been suffering 12yrs now i want my stomach cut out i can't cope i don't want to die i just dont want to suffer nomore 💔 😢
After listening to the diet of food to avoid makes a person wonder whats left to eat
A symptom that this video do not mention is reflux , I have gastroparesis for 15 years it is not easy yo gone what to eat for me the best way is to keep a diary of what you eat and find the food that give you less symptoms.
Thank you for this! Just want to add a remark about fat content - as someone with idiopathic gastroparesis, I was told early on to avoid fatty foods, but for two reasons. One of course is the delay in gastric emptying, but the other is that fatty foods cause acid production, and a lot of us with gastroparesis also suffer from acid reflux as a result of the delayed emptying. So even if fatty foods don't significantly affect emptying times, they may trigger acid reflux. Just something else to consider in addition to all of the great info you provided!
Acid reflux happens due to A LACK OF ACID. That's why indigestion and heartburn takes place... Taking antacids is the WORST thing someone can take if he/she suffers from delayed digestion.
Taking HCL betaine or sipping lemon juice throughout the day is the most recommended thing.
I have gastroparesis and dysphagia along with orthostatic intolerance caused by Ehlers Danlos syndrome. so I need to get my diet figured out . My smart pill test took 77 hours to go through my system and my stomach 25 hours about and 49 for the colon .in Dec 2018 I did the test .
I grew up wanting to be a dietician so badly. I wanted to help and educate people about loving food as you would medicine. I loved and excelled in each of my college courses regarding food and dietetics. 4-5 years postgraduate, I totally burned out on this because I couldn’t apply it to myself or the very least, get my doctors to understand my condition of gastroparesis. My GI is nice but has no experience or ability to treat my illness. I’ve been dealing with that on top of bowel issues, kidney problems etc.., since I was 4 however no one really knew how to diagnose it, let alone how to treat it. So twenty years later it got a whole lot worse….
What’s worse is I’m allergic to all the anti nausea medication like reglan and causes severe nerve issues. Or like zofran it doesn’t work and gives me QT intervals. There’s really nothing they can do except tell me to go to the hospital. There ends up a time where I cannot stop vomiting no matter what, and I have to force myself to go to the er/hospital but more than the physical pain I am in, it is mentally taxing being around people who have no idea what Gastroparesis even is. A lot of the times they think that I have an eating disorder because they correlate it to my weight always being low but that’s my metabolism and also that’s from vomiting for 24-48 straight. Truthfully, yes I cannot eat sometimes though because my stomach is in so much pain but last I checked that was part of the epidemiology, not anorexia. They just don’t get it, don’t care, and are ever so rude. So after constantly getting accused of this and eventually having to go to a treatment center to get an NG tube to gain weight a good amount of weight back. After all was said and done I quit my practice. One I was actually really quite good at. Albeit I had lost my happiness among most things considered important to me and my health started to decline again. I read a medical journal on gastroparesis that if you don’t have diabetes and you have it idiopathically, that it’s 0.02%. So rare..
Sorry no one understands. It is very disheartening. I have nothing as major as you. But I do have a slow digestion and have bowl and constipation issues. I got sick bad two years ago and lost a lot of weight and couldn't put any back on. I have a few okay weeks then I will have major digestion problems. I will think I'm getting better to not really. I am taking magnesium glycinate. It helps me relax and sleep well. I take just a small amount of b1.... that seems to help move the muscles of digestion and most days helps move the food through. I take b12 drops ... it took about six months for that to help my energy level. I do feel better now. But if I eat protein seems I have more digestion problems. I am very sensitive to smells and can't be around perfume. I hope you get to feeling better. I am 64 years old. I have had to not work most of my life. I had several nice jobs.... one was in Nutrition myself.... I had to quit.... I know lots about food health and things to do to be well.... but being sick myself I hate to give advice to anyone....
i feel so bad for you to have to leave your profession..
people don't understand what they can't see.. I also have arthritis, a very common thing but people do not even understand that pain
Basically there is NOTHING you can do but educate yourself hoping to find a loop hole to find relief! Miralax works pretty good! Flares are hellish! I have NO hope of ever living without my gastro till I die! I don't want pity I am just stating a fact! If you get gastroparesis your in for a fight! Low fiber low fat it does help guys but it never eases enough though;( My last flare my nurse had gastro and I hugged her tight for she was my first human I met that had gastro! I live in worry for my nest hellish flare and will I be entertained in the er or left to suffer unaided:(
Keep them videos coming, super helpful.
I am currently in RDN internship and Masters program. I graduate and August and will be an RDN by the end of the year. I am loving your videos. Thank you.
Thank you so much for your generosity again. Please send me an email at clinicalnutritionu@gmail.com so I can send you a free gift (review papers, lecture notes)
Thank you so much for the videos. I have graduated with B.S in Nutrition 1 month ago and applied for DICAS Spring match. Refreshing my knowledge with your videos, please never stop making the 🙏❤😀
Thank you for watching them, Elena!! Wishing you best of luck for the upcoming match! 🤞🏼
Im at over 12mins iv had gastroparesis for 12yrs nothing works my life is miserable so please every1s gastroparesis is different 12yrs of nusea pain and vomting i don't want to die i just dont want to suffer nomore gastroparesis is ALOT more serous then this 💔 😢
I have same problem , Homeopathic medicines helped me .
@@farkhandajavaid844 iv never heard of that and you found it good yes coz im at my wits end i want my stomach cut out im qt the stage im so scared to eat its not worth the pain nusea and vomting 🥺
Botox in the Pyloric valve might help or gpoem
@@michaelhiggs342 I was offered that but it's actually really bad in the long run
@@moonbeam8120 I having botox next month can't wait
Thank you for the best video on the topic I’ve seen so far. Having my gastric emptying study today.
Thank you so much, Misty! I hope the gastric emptying study went well 🙏🏼
@@clinicalnutritionuniversity I guess it went well. I have a diagnosis of Gastroparesis now. But they didn’t give any detailed explanation of severity. The radiologist just put “slow”. How slow are we talking here dude. Lol
My wife she is 35 years old and she has epilepsy. After trying lamictal for over 2 years she developed gastroparesis. She never had any issues with her GI before. Now she has drop over 45 lbs. Super limited to food. She can even get treated with reglan since she has an allergic to it.
I have GP secondary to Hypermobile Ehlers Danlos, but not nearly as bad as many others. I do well on a primarily animal-based diet low in fiber, seeds, and nuts, avoiding seed oils and grains, and am able to eat plenty of fat, which I find helpful for other comborbidities.
I was diagnosed with GP. I am overweight. In 2003 I had a laparoscopic Nissen and ever since I cannot drink carbonated drinks and I can only drink with a straw. When I was a kid I have always had a very hard time being able to eat many different types of foods like many fruits and vegetables. My entire life if I was to eat a salad I would get sick the minute I put it in my mouth let alone if I was to get any of it down? For example, if I have a burger it could only have the bun meat and cheese and no spread of any kind. No mayo etc. If I was to have a tuna fish sandwich it could only be made with butter plane. I have been trying to lose weight but have been having a hard time doing so? I was just put on a medication called Metformin because I was told I was producing too much insulin and that was causing me to gain weight? I hate the food pyramid and even the my plate because they don't address issues like GP and other dietary issues? Because I am legally blind and use a power chair with limited mobility it's hard to read labels and count calories to be healthy and know what will help me lose weight and live healthier? I wish someone could make a video about this issue?
Your comment about producing too much insulin suggests that you are pre diabetic or full diabetic T2D! Also you seem to be able today animal product. Look into a low carb diet, 10% or less of carbs. That will clear up GERD and also drop your blood sugars, along with insulin levels. Also, watch your meds as sugar will drop, lessening your insulin and metformin needs. First, talk to doctor about what you want to do. After he tells you that you are nuts and that won't work, find a doctor who uses low carb or ketogenic protocols. Don't do anything without doctor supervision!
I had a gall bladder removed years ago. Several years after that I had a 0:14 because of ulcers after 10 years. 11 years ago I had a 0:14 Nissan procedure do yo extreme acid. Now I have . I’m tired of this. Now they are checking for IPE.
I have GP. Damned auto spell
I have severe gastroparesis that I've had symptoms of my entire life but was FINALY diagnosed at 43. I have been able to eat nothing but primer protein drinks for the last 6 months. while I am diabetic, it is extremely well controlled and never tested above 300 at any point and I have an A1C of 5.6. I was told again and again that it's because of uncontrolled blood sugar. I finally had to pull out my monitor and show them... my blood sugars are NOT uncontrolled. I do however have hEDS. The dr had never even heard of it and I was pretty shocked. It's a genetic connective tissue disorder that IS linked with gastroparesis. I don't understand how doctors that work with gastroparesis don't know about connective tissue diseases when the digestive tract is all connective tissue. They offered no help or advice other than 'here is medication and follow these diet guidelines.' .... when I'm literally surviving on protein drinks and have lost 60 lbs in 6 months. The dr was quick to tell me that this isn't a fatal disorder and I was like .... yeah? Then why is it killing me?!
How are you managing it Jamie...it seems that i have the same condition.
anxiety meds helped me.. but the low fiber causes so much other problems.. im suposed to use fiber additives which also causes other problems
Mine feels like spasms.
10 hrs dinner did not digest.
Hola doctor tengo parálisis intestinal, visité a más de un médico y no encontré solución, por favor ayúdenme, ¿puedo implantar un estimulador cardíaco para defecar?
Does betain hcl help with gastric emptying?
I’d like to say yes because it seemed to help me for a while but doesn’t seem to be now and I don’t know why
I'm looking for information about the extreme pain that caused me to go to the ER 3 times this month, and I am waiting on an endoscopy to confirm GP caused by Ozempic for weight loss. The pain is worse than when I shattered my ankle or gave birth to each of my 3 kids. It's like a contraction, but of the stomach, and it contracts so hard that I dry heave and eventually vomit if there is anything to vomit.
Does anyone else experience this? I feel completely alone, and the doctors have no real answers yet. IV opiates stop the pains, but this is not the answer for me if these attacks continue. I have 4 kids at home I am raising, and constant pain meds just isn't realistic for me. Help?
Still waiting to hear from Gastroenterology
I have had messed up digestion ever since pregnancy. I had such bad heartburn it made me puke more than the nausea during it. Ever since then the heartburn never went away and I feel my digestion never went back to normal after giving birth. I feel like after eating but as soon as it starts digesting (which starts soonish after but then lasts hours!) My stomach cannot handle the feeling and I almost burn it back up and feel the burn. So sometimes if I won't be able to sleep, I have to force it out. But dont want to keep having to throw up. Or be labeled as a bulimic.
Not to mention as you may already know that will eat away at you esophagus and your teeth. I hope with all my heart you feel better. All of these digestive issues are so confusing and can be so scary. So much of our good that is at the store is garbage! The stuff that’s convenient and cheaper anyway. Our society and this day and time, it’s trying to kill us! Blessings!
@@1ronmad1n fortunately I had my baby and so far no permanent teeth ir throat damage! I threw up daily till the last day!
I have serious GI issues and I get sick whenever I eat no mater what it is. I just don't know if it's Dumping syndrome or gastroparesis. How do I talk to my GI about it?
You can ask for a gastric emptying test - they will feed you an egg sandwich with trace amounts of an element that can be seen with a special type of radiation-detecting camera. They watch the sandwich travel through your gastric system and use that to determine how long it takes for your stomach to empty halfway. With that information they can definitively tell if you have gastroparesis, and if you do, how severe it is.
Also - there are phases to the gastroparesis diet, which begin with liquids-only. If you're having severe issues, you can begin with stage 1, and try only consuming liquids like Ensure and soup (plain soup with no bits of chicken, etc...), then after a few days moving on to things like saltines and mashed potatoes. As you add foods back in you will find your tolerance level. But the first step is always to give your stomach a break by consuming only liquids for at least a day or two. Check out this nice guide here for more details: www.unitypoint.org/cedarrapids/filesimages/Services/Digestive%20Health/Information%20Regarding%20Your%20Diet%20Progression%20for%20Gastroparesis%202013.pdf
@@Julius_S Thank tou so much! I drink a lot of slimfast and boost shakes since I have trouble getting a lot of nutrition from actual foods. 😅
So sodium bicarbonate isn't recommended?
How can you fix this , can someone please help me
there is no fix only ways to cope best to hedge off flares eat less light is best I take miralax it helps one go :) Low fiber low fat diet like water that is your diet1
Gpoem surgery
Gastroparesis destroys your life 🥺
Have you looked at the connection between gastroparesis & the neck? Which country are you in? This Dr explains it & he actually has a therapy to correct the issue but he's based in the U.S ua-cam.com/video/-zBSm9Ouslc/v-deo.html
@@Rob__James im live in Belfast Ireland iv had gastroparesis for 12yrs now its at the stage where I'm bedridden and no doctors will help me at all i suffer daily nusea and vomting i littrey have no life iv tryed everything from diets to making sure my bloods sugars are good still nothing I'm just sooo miserable i don't want to die i just dont want to suffer nomore it's only for my children that i keep trying 😢
@@moonbeam8120 did you watch the video about cervical instability? Also, have you tried taking curcumin, Swedish bitters, ginger?
I have been doing a lot of research over the past few days & found some positive info on Ginger & Artichoke for gastroparesis. It promotes motility & is very effective apparently. There are even studies to prove it. Also many people are getting good results with swedish bitters so you can give that a try too & lastly, there's a product called iberogast that also is very effective for many people. If you decide to try these then try them separately especially if you take the iberogast, make sure you take it on it's own & don't mix it with anything else. The ginger & artichoke can be taken together & the swedish bitters should maybe be taken on its own as well, don't take it with anything. Give these supplements a try & see if it helps. I have a feeling it could help you a lot.
@@Rob__James iv been adding ginger to everything never heard of any of them other things i went for test today so hope they can do something 🙏
so.. does that mean, I have to
BLEND my MEAT in the BLENDER!?
EWW that sounds DISGUSTING.....
I've been struggling with this issue..
feels like my food is just sitting in
my stomach.. sometimes I feel so
NAUSEOUS I vomit my food.
I know live on TPN because of Gastroparesis. It's a horrible disease!
It destroyed my life because 4 doctors couldn't figure it out.
It also affects smoking Marijuana
What!?! Do you mean smoking weed flairs the gastroparesis? Cuz of the smoking or cuz of the weed?
@@sarahduhart8958 Getting hi on weed last 5 hrs for me that’s my personal experiance
Suboxone has caused me to become unable to digest properly. This medication is insidious
E EM PORTUGAL NÍNGUEM DIZ NADA ????!!!!!! SOB ÉSSA DOENÇA PORTUGAL É ASSIM TÃO ATRASADO!!!!?????
Pode ter outro nome. Ja Foi a um gastro? Melhor lugar donde começar.
G-POEM saved me
When did you have it done? And are you still ok? And what country please?
@@fredacharbel7510 I had the procedure done Fall 2023. At Shands hospital in Gainesville, FL, USA
How are you now???
Spinach, yogurt, water smoothie. Every damn day. Its awful
You must not have terrible rheumatoid or arthritis if you were cured in a week
Five hrs to consome 2 small bowls of chicken soup
I'm having Gastroparesis
i think im fucked, i got type 2 diabetes and uncontrolled, now i reckon i got them. fucked haha
I almost didn't respond to your message because of your language but this is what I what I was told by a gastro specialist. If you were tested and diagnosed with gastroparsis and you have diabetes you have much better chance of getting help with a nutritionist. Ask your gastro specialist or your diabetes doctor for a nutritionist, your insurance with pay for it. A nutritionist is really important. I can't get help because I don't have diabetes but I have much other gastro diseases along with gastroparsis. Now, in your words who is f...ed.
@@sherismith7032 why censor yourself? werid.. i'll say what i want.. btw it's fucked, not f..ked.
I appreciate the information, but the way you talk like a drone makes it difficult to listen.
Hey Emil! I’m sorry my voice is not up to your standard. Thank you for your feedback 🙏🏼
Sorry, struggled to listen to this. You sound as though you’re totally bored with the material, which is actually quite interesting.
The good news is you don’t have to watch it. There is plenty of free information about gastroparesis on UA-cam for you to enjoy.
Horrible reading style with the same downward tone at the end of every sentence.