Friday 8 March 2013

The diagnosis of diabetic gastroparesis


Diabetic gastroparesis, and other stomach problems

Gastroparesis (delayed gastric emptying) digestive problems associated with diabetes. In type 1 diabetes, the most common gastroparesis, however, can also occur in type 2 diabetes. Most people at least 10 years from the onset of diabetes and other complications of diabetes as well. Gastroparesis, stomach is not empty of food in a normal way.

Diabetic Gastroparesis

Gastroparesis by fans nerves regulate the digestive system, so that the damage of muscle function. Diabetes is caused gastroparesis, representing about one third of the cases. The vagus nerve injury to maintain the normal functioning of the muscles of the stomach and intestines. Gastroparesis, food in your stomach, because you do not have to deal with pump and through the intestinal tract.

Other causes of gastroparesis include:

Infection
Abdominal surgery and vagus nerve injury
Drugs such as narcotics and some antidepressants
Change in the tissues and organs of amyloid protein fibers (deposits), which affects the skin, blood vessels, bones, muscles and internal organs, connective tissue disease, scleroderma ()


Diabetic gastroparesis symptoms

With diabetes symptoms of gastroparesis include:

Heartburn or reflux (back in the contents of the stomach, esophagus)
Nausea
Vomiting of undigested food
Poor glycemic control
Complete sense to eat quickly
Distension
Loss of appetite and weight loss


The complications of diabetic gastroparesis

If you have diabetes, gastroparesis, you should be aware of the following complications:

It may kill the feed remains in the stomach for a long period of time, which can lead to bacterial growth.
The food in the stomach hardened into a lump called a bezoar. The bezoars can cause blockages in the stomach to prevent the food moves into the small intestine.
Gastroparesis people with diabetes, can lead to health problems. When finally the food leaves the stomach and the small intestine, glucose levels rise. Gastroparesis can cause a person with diabetes is difficult to control their blood glucose levels consistent.
In severe cases, vomiting may occur daily.


The diagnosis of diabetic gastroparesis

If you have diabetes, doctors suspected gastroparesis, him or her about your symptoms and medical history with you. The doctor will perform a physical exam and may order blood tests, including blood glucose levels. Your doctor will want to make sure the lock is not the cause of your symptoms. The test for the diagnosis of gastroparesis may include:

The prospect of Barium drink the liquid (barium), including the esophagus, stomach, small intestine, and X-ray. This test also known as the gastrointestinal (GI) series or barium swallow.
The steak dinner Barium you eat a meal, doctors use X-rays to see if your stomach to digest food. The digestion rate is tell your doctor how fast on an empty stomach.
Radioisotope gastric emptying scan: the food you eat, a radioisotope (radioactive materials), and then extends the scanning machine detected radiation. If the analysis shows that more than half of the food is 1.5 hours, even on your stomach, you have gastroparesis.
Gastric manometry: a thin tube through the mouth into the stomach measures the electrical activity of the stomach muscle, in order to determine how fast to digest food.
EGG: This test measures the electrical activity through electrodes placed on the skin in the stomach.
Ultrasound: This imaging test uses sound waves to create pictures of the different organs of the body. Your doctor may use ultrasound to rule out other diseases.
Gastroscopy: through your esophagus, this process involves the lining of the stomach through a thin tube (endoscope) to check.

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