gastroparesis constipation

i ve been diagnosed with gastroparesis, but i think my body is just slow in processing food. the problem that im having is constipation the inability to have a bowel movement. do people with gastroparesis suffer from this? if you do please let me know as this has been something that my doctors dont seem to understand. thanks. call me at 626-255-5218 or email me willyq12@pibschool.com. i have tried different things and they have me on medication for my gastroparesis (idopathic). I dont know if its because i have lost over 200 pounds in 1 year, my change in diet, from fast foods to healthy eating over 1 year ago. I used to weigh close to 500 pounds now im dont to 285. But recently i had constipation in late july felt full all the time and was having 1 bowel movemnet a day, with the constant urge to go but when i would sit down nothing would come out. Only in the morning after sleeping it would come out. I'm just confused, i have been reading and alot of my symptoms conincide with gastro, but no one with gastro talks about the inability to go to the bathroom #2. if some one can please clarify this that will be great. If people with gastro suffer from constipation. By the way i have tried several things like all fruit and vegetable diet raw and that has helped alot.

Edited September 14, 2008 at 1:39 pm

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I was diagnosed with gastroparesis 20 years ago, but have had life-long constipation problems. Yes, gastroparesis and constipation go hand in hand. Not just the stomach, but the whole digestive tract can be sluggish or completely paralyzed.

Miralax plus one colase/day has solved the constipation problem for me. Miralax plus Senekot-S was a little too much help. You'll have to experiment to find the right combination/dose.
Sometimes I will still miss a day and will use Fleets saline suppositories rather than risk impaction.

Important: Research recommended diet plans for gastroparesis patients. You should NOT eat fiber, raw vegetables or hard to digest foods if you have gastroparesis. Your stomach is paralyzed. It cannot digest food. You need to eat foods that can pass through as they are. Otherwise, they will remain in the stomach too long, causing inflammation or even permanently forming a mass (bezoar) that must be surgically removed. Undigestible foods can even cause a life-threatening intestinal obstruction.

What is so frustrating is that doctors do not seem to think it important to tell this to patients. I was not told this by my doctor. I learned it by researching on my own. When I did find the info and asked my doctor, he said it was correct! I was stunned. All the years of pain and symptoms could have been avoided by the right diet?

My recent severe atatck is under control now. My pain is nearly gone. The inflammation is healing. Protonix and Reglan help, but it is the low fat, low fiber liquid and puree diet that has really been the miracle for me. Maybe doctors don't think we'll go for it. But you can still eat well. Food can still be tasty.
For example, debone a roasted chicken, discard fat, put through a grinder or food processor until meat is in small bits, but not mush. Saute a little onion in a small amount of butter. Add LF chicken broth, LF milk, spices to taste (no pepper of any kind) and meat to make a gravy. Cook until everything is very soft. Serve over thin mashed potatoes. Serve with soft cooked carrots or well-cooked blended spinach. Delicious, healthy, and most of all...pain free.

I live in New Orleans, world capital of rich and decadent foods. At first, this seemed a death sentence. Now that I feel good again, I do not even miss regular food.

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thanks for the information i will take it into consideration. You know i have eperimented with eating raw fruits and vegetables to the point i feel my stomach complete full, and guess what my stomach and digestion starts works, as there are stretch rewceptors in stomach that onced stretched they activate your digestions process. Now my concern is that i have been overweight for almost 6-7 years at almost 450-500 pounds for those years, and now i lost 200 pounds in 1 year, and i lost by supllmeneting the fatty foods the quantity i ate with vegetables and fruits, so in essence i continued eating the same quanity of foods while il lost my weight, in april may i started eating less food and now my problem started. i tested to see if i ate alot again would everything work and it did. i asked my doctor is my stomach could be overstretched where if i eat small amount off foods it thinks im not full and it works slower??

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I find I get constipated when I don't pump plain water in addition to the formula. So I now pump 1200ml of formula, and then 1200 ml of water. Also, I take colace 2x daily as well as 2 extrastrength exlax (or generic equivalent) 2x daily.

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I have a motility disorder also. Mine is actually triggered by medication. The first time I got sick I had the flumist vaccine. I was nauseaus, had diarrhea, no appetite, and really weak. I was in bed for a year but slowly my body corrected itself as the doctor said it would. I had every test imaginable too. I am now sick again after starting in vitro and blood thinners. Not sure which drug triggered it this time but I think it was blood thinners. I have been nauseas again but now I have gone from diarrhea to constipation. Fleet did not even work. The doctor gave me a new medication and it is helping my stomach a bit but I only go to the bathroom maybe once a week and it is such a strain and like others I barely get anything out. I also get body tremors from time to time. Last time I took a fiber pill called konsyl and it is the only thing that worked so I am going to try it this time too. I have already tried every other fiber tablet and pill there is. Hope this helps.
Katie

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katie thanks for your story, it really helps to know how others are dealing with these problems, im currently on about 60-70 percent of my daily food intake is raw fruits AND vegetables, and that has really seemed to help alot especially green leaf vegies, like salads will make me go alot.

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That's classic symptoms of of gastroparesis.
I myself have gastroparesis and a failed Nissen fundoplication (Acid Reflux surgery).
Which means I can't throw up and it takes FOREVER to digest so my tummy bloats with gas and I have extreme pain. One bowel movement a day if I'm lucky and that's on a good day.
After the swallow study I showed to have 86% paralysis of my stomach.
I am scheduled for a subtotal gastrectomy with Roux-en-Y December 16th to cure my gastroparesis and pain and other resulting issues.
Good Luck

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I have it when it backs up I start to have nausea then vomiting becomes vicous cycle, I have a diet eat small meals, I find putting miralax in my coffee works wonders. I have shared this with other employees that have sever constipation and they love it. try it. I also was put on amitizia to help move my bowels along. doc says not to eat meat at dinner because it is hard to digest same as salad have your dinner at lunch and a snack for dinner. by meat I mean red meat. I try and eat things that are easy digestible. you can also use 2 cups of miralax if the one cup does not work doc says I need to keep my bowels moving especially me because I take pain meds. I spent a total of 19 days in the hospital from vomiting , I had to have a picc line and TPN(steak in a bag) doctor called it. after that I learn to not to eat when nausea develops and I eat small easy digestable food. I have gained weight because I fell of the wagon with my diet so I know it is time to go back on before I am sick. please try miralax in the coffee gets the bowels going. good luck.

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I recently had a Nissen Fundoplication surgery about 2 months ago and I've been having trouble having bowel movements. I also don't eat very much as I get full easily. Every coulple of days I get severe stomach pain to the point of throwing up. I am afraid to eat solid foods because of the pain that might come after wards. My stomach rumbles for hours after I eat or drink. When I am in such pain i will take a supository to try and ease the pain, but the problem is I'm in so much pain it hurts to even do that. I don't know what to do. Can anyone relate to this?

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I haven't read all the post's on here, so if I'm repeating something I apologize. First , and foremost, you have to increase your liquid intake. Plain water is best. But if you just cannot stand plain water drink it with lemon juice, tea, etc. Next, increase your fiber intake...fruits and veggies is a no brainer and has been said over and over, but, whole wheat items and whole grain items such as brown rice also helps. Finally, take olive oil every day! This may sound silly but it really helps and worked like a charm for me. Find some extra virgin olive oil that you like the taste of ( I suggest redisland if you can find it. The one with the red label. Taste great! ) Take 1 tablespoon in the morning, first thing, and 1 tablespoon in the evening before going to bed, last thing. If you cannot stand the taste alone, mix the oil with some tomato juice. Do this every day. Not only should this help with constipation but the oil has many healthy benefits. Hope this works for you.

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I had problems going and at 68 the Dr.found out i have
celiac desease.You might ask your Dr.to test for this.
It is a gluten-free diet. Just saying.I've never written
anything before.
I also have other thing wrong.I have chronic fatigue
syndrome and fibro. Have a Happy Valentines Day!

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Do you feel this was every day or every few days?
I will have a bad episode on one day and then I seem to be ok for a few days. My upper stomach does usually hurt after I eat though, but tolerable. I am afraid to eat solid foods because I know that I will eventually start having alot of pain and nausea. I can't vomit because of the Nissen I had a few months ago, and I also cant burp. I was in the Emergency Room last week with severe pain. The next day I had an upper GI and that came back ok.
I'm confused because I don't get sick every day, although my stomach is always rumbling and gassy.
I didn't even start having this problem till about 1 1/2 months after my Nissen.

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Have you tried Miralax? My Gaso doc has put me on it.

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I've dealt with severe constipation since birth and I'm now a senior. I've been in the hospital for it, seen several gastro and colon specialist, worked with a nutritionist, did large water and fiber intake, fruits and veggies, on and on. Nothing worked. I would go for a week without any urge and finally have to take an enema or laxatives. Finally I decided there had to be more to it than drinking water and eating fiber. I spent several months researching the subject and reading books until I found something that works for me. I will share it in hopes it might help some of you. I found out the following:
Slow parastalis causes constipation, causes the stool to dry out and no matter how much water you drink, if you have "slow bowel syndrone" it doesn't help the perastalis because you don't have enough stimulation in your intestines. Here is what I found to work.
At night I take 1/4 to 1/2 tsp. magnesium oxide powder (NOW brand) mixed in 8 oz water. I've tried other magnesium compounds but this is the best one & is very inexpensive.
Next morning at least an hour before breakfast I eat some fruit like pear or a kiwi PLUS ALWAYS A FEW BITES OF FRESH PINEAPPLE. The canned doesn't seem to work. The enzymes in the pineapple help stimulate perastalis in the intestine. I did not know that enzymes help activate perastalis until I worked with a nutritionist and she told me. This is an important piece of the puzzle.
Also I have added to my diet every day 1/2 avocado (good fat) and a couple tsps of butter or ghee plus a little olive oil on salads. I also have something everyday made with coconut oil (I eat 1/2 c of Perfectly Decadent ice cream made with coconut milk) which acts as good as any laxative I've ever taken. Before you panic about the fats, read Dr. Aziz's book, The Perfect 10 Diet, what he says about coconut oil which is eye opening. He is a doctor in New York and this is a great book. With adding more fruits with the enzymes in the pineapple, taking the magnexium oxide which draws water into the colon, and adding some fats (I always ate low fat which adds to the constipation), I can say that I now am able to go to the bathroom EVERY DAY. This is a first in my 72 years. Yea! I feel like a new person. Hope some of this help you. P.S. Goggle coconut and constipation and read what it says about how it helps that problem I feel like I've discovered a gold mine with coconut.

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Me too. I just figured it was IBS and I had to live with it.

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