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Hi All,
Thanks for the very helpful responses.

I originally wrote to inquire about delayed gastric emptying (is it related to
celiac? how do I treat it?)

below find the summary in details format.
cheers, Nina in MA
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ALTERNATE NAMES:
Gastroparesis

RISKS:
Mesenteric Ischemia

SYMPTOMS:
bloating, belching, sensation of fullness upon eating a small amount of food,
distention of stomach, vomiting, nausea, heartburn, lower or upper GI pain.

TEST:
There is a test called a "Gastric Emptying Study". You eat a small amount of
food (typically egg whites) laced with a radioactive substance (a "tracer"),
and then lie down while a camera takes a series of pictures of your GI tract
over the course of a couple hours.
This test can confirm delayed stomach emptying, and results may lead to
additional testing.

RELATED DIAGNOSES:
Diabetes
Celiac Disease
Multiple Sclerosis

TREATMENTS: (self-administered)
-Eat small, frequent meals
-Eat low-fat (fat delays digestion)
-Lay down on one side when symptoms are bad, to allow food in stomach to empty
-GF diet has helped some immediately, and some more on a longer term basis
-Probiotics to help balance intestinal flora
-Avoid large-ish meals at night.
-Avoid foods that are difficult to digest
-Ginger or Papaya Enzymes
-Meal replacement shakes when symptoms are at their worst.

MEDICATIONS:
Reglan, Propulsid (Propulsid not on market in US anymore)
-Both increase the contractions of the stomach and help it empty more quickly.
-Both have rather marked side effects (fatigue being the main one).

Urecholine
-Originally used to treat bladder retention. Off-label use to treat Gastroparesis.

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