Gastroparesis diet for slow stomach

The gastroparesis diet is recommended for patients with gastroparesis (slow stomach).

What is gastroparesis?

Gastroparesis is a low stomach. It is delayed gastric emptying in the absence of a mechanical obstruction.

What causes gastroparesis?

  • Idiopathic-unknown cause.
  • Diabetes mellitus.
  • Viruses.
  • Medications like narcotics, antidepressants, and anti-hypertensive drugs.
  • Autoimmune disorders.
  • Neurologic disorders like parkinson’s disease and multiple sclerosis.
  • Surgeries like gastric bypass.

How do you diagnose gastroparesis?

  • Symptoms of gastroparesis like nausea, vomiting, easy fullness, abdominal pain, bloating.
  • Upper endoscopy to exclude mechanical obstruction.
  • Gastric emptying study. When more than ten percent of a standardized meal is still present in the stomach after 4 hours.

How do you treat gastroparesis?

  • Diet.
  • Medications like Reglan, erythromycin, Zofran.
  • Gastric electrical stimulation.
  • Surgery.

What is the gastroparesis diet? 

Gastroparesis diet can reduce the symptoms of gastroparesis and provide nutritional support.

How to eat when you have gastroparesis

  • Liquid diet is better because gastric emptying of liquids is preserved in patients with gastroparesis.
  • Low fat is better because fat delays gastric emptying.
  • Low fiber is better because fiber delays gastric emptying.
  • Small size meal is better because the stomach may only empty 1-2kcal per minute.
  • It is better to have small low fat, low fiber meals 4-5 times a day.
  • Avoid alcohol and tobacco smoking because they can affect gastric emptying.
  • If you have diabetes mellitus, control your blood sugar because high blood sugar delays gastric emptying.

 

How to eat during an acute episode of gastroparesis

How to eat immediately after an acute episode of gastroparesis

  • Liquids and solids. May have less than 40 grams of fat.
  • Examples are skim milk, low fat yogurt, low fat cheeses, fat free consommé and bouillon, and fat free broth. Also, white rice, egg noodles, low fat crackers, eggs, vegetable juice, and cooked vegetables without skins. In addition, frozen yogurt, fruit ice, gelatin, puddings and custards.

How to eat to maintain weight and nutritional needs

  • Liquids and solids. May have less than 50 grams of fat per day. High fiber diet is discouraged.
  • Examples are skim milk, low fat yogurt, low fat cheeses, fat free consommé and bouillon, and fat free broth. Also, white rice, egg noodles, low fat crackers, eggs, vegetable juice, and cooked vegetables without skins. In addition, frozen yogurt, fruit ice, gelatin, puddings and custards.
  • You may have other foods in small quantities while avoiding high fiber foods.