I am so beyond confused at the moment. Ok, about 6 weeks ago I was diagnosed with severe gastroparesis. Not just mild gastroparesis, but severe gastroparesis since the delay on the nuclear med emptying scan was significant and certainly classified as severe. Ok, cool, I have gastroparesis, well not cool, but at least it explains the constant nausea and bloating I experience. So as a result of this diagnosis which was made by a GI here where I locally live in a suburb in the Twin Cities, Minnesota and since I am only 50 mn from one of, if not, the best medical clinic in the entire world in Mayo Clinic Rochester I figured I wanted a Mayo gastro doc helping me with the gastroparesis. As a result, I booked an apt at Mayo, met a terrific doc down there, and she ordered extensive testing to look for a cause and of course confirm the gastroparesis. Well, as far as looking for a cause, one cannot be found. Blood tests all normal minus an IgA Deficiency which I already knew I have and have had since birth. However, she ordered a complete and total GI emptying scan that not only looked at the stomach, but the small and large intestines as well.
You could have blown me over with a feather whenever I was sitting in her office yesterday as she was reading my results of the study:
Impression: Minimally ACCELERATED gastic emptying. Small bowel transit time is within normal limits. Normal colonic transit time at 48 hours.
HUH? How on earth do I now have rapid gastric emptying when just six weeks ago I had SEVERE delayed gastric emptying? I am so incredibly confused now! My doctor could not believe the result as well. She still thinks based on my symptoms something is wrong and she would think clinically it points to delayed gastric emptying yet this test at Mayo says no delay, the exact opposite, the stomach is emptying slightly too fast!
As a result she is ordering that horrible scope thingy called a Gastroduodenal Manometry where they insert the tubes and track things via endoscopy while you eat, etc. I will have this done in two weeks.
Until then I am scratching my head. What on earth could cause such different results? Could it be me? I literally do go back and forth from delayed to rapid gastric emptying? In only six weeks time?! Or is one of the tests wrong? How could Mayo be wrong? This is so strange! I would have thought there could be some variation in that maybe Mayo wouldn't see such a severe delayed emptying but STILL a delayed emptying. Not only was that NOT shown, but it showed a RAPID emptying! I have absolutely NO idea how it could go from one end to the other. It makes zero sense to me.
Has anyone had this happen to them or have you gone from delayed emptying to rapid emptying before? I am so lost here. I cannot with all that's in me figure this out.