Gastroparesis history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
The hallmarks of gastroparesis are [[nausea and vomiting]]. A positive history of [[diabetes mellitus]], [[ | The hallmarks of gastroparesis are [[nausea and vomiting]]. A positive history of [[diabetes mellitus]], [[Parkinson's disease]], or [[Collagen vascular disease|collagen vascular disorders]] is suggestive of gastroparesis. Other common [[symptoms]] of gastroparesis include [[Satiety|early satiety]], [[abdominal pain]] and [[bloating]]. | ||
==History and Symptoms== | ==History and Symptoms== | ||
* The hallmarks of gastroparesis are [[nausea and vomiting]]. A positive history of [[diabetes mellitus]], [[ | * The hallmarks of gastroparesis are [[nausea and vomiting]]. A positive history of [[diabetes mellitus]], [[Parkinson's disease]], or [[Collagen vascular disease|collagen vascular disorders]] is suggestive of gastroparesis. Other common [[symptoms]] of gastroparesis include [[Satiety|early satiety]], [[abdominal pain]] and [[bloating]].<ref name="NguyenSnape2015">{{cite journal|last1=Nguyen|first1=Linda Anh|last2=Snape|first2=William J.|title=Clinical Presentation and Pathophysiology of Gastroparesis|journal=Gastroenterology Clinics of North America|volume=44|issue=1|year=2015|pages=21–30|issn=08898553|doi=10.1016/j.gtc.2014.11.003}}</ref><ref name="pmid9824125">{{cite journal |vauthors=Soykan I, Sivri B, Sarosiek I, Kiernan B, McCallum RW |title=Demography, clinical characteristics, psychological and abuse profiles, treatment, and long-term follow-up of patients with gastroparesis |journal=Dig. Dis. Sci. |volume=43 |issue=11 |pages=2398–404 |year=1998 |pmid=9824125 |doi= |url=}}</ref><ref name="pmid25667023">{{cite journal| author=Parkman HP| title=Idiopathic gastroparesis. | journal=Gastroenterol Clin North Am | year= 2015 | volume= 44 | issue= 1 | pages= 59-68 | pmid=25667023 | doi=10.1016/j.gtc.2014.11.015 | pmc=4324534 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25667023 }}</ref> | ||
=== History === | === History === | ||
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* Physical and sexual abuse in female patients | * Physical and sexual abuse in female patients | ||
* [[Parkinson's disease]] | * [[Parkinson's disease]] | ||
* Collagen vascular disorders | * [[Collagen vascular disease|Collagen vascular disorders]] | ||
=== Common symptoms === | === Common symptoms === | ||
Common symptoms of gastroparesis include: | Common [[symptoms]] of gastroparesis include: | ||
*Chronic [[nausea]] (more than 90% of patients) | *Chronic [[nausea]] (more than 90% of patients) | ||
*[[Vomiting]] (especially of undigested food of several hours) | *[[Vomiting]] (especially of undigested food of several hours) | ||
| Line 29: | Line 29: | ||
*[[Bloating]] | *[[Bloating]] | ||
=== Less | === Less common symptoms === | ||
Patients might present with following symptoms in severe cases: | Patients might present with following [[symptoms]] in severe cases: | ||
*[[Weight loss]] | *[[Weight loss]] | ||
*Malnutrition | *[[Malnutrition]] | ||
*Dehydration | *[[Dehydration]] | ||
*[[Anorexia|Lack of appetite]] | *[[Anorexia|Lack of appetite]] | ||
*[[Heartburn]] due to [[Gastroesophageal reflux disease|gastroesophageal reflux]] | *[[Heartburn]] due to [[Gastroesophageal reflux disease|gastroesophageal reflux]] | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
The hallmarks of gastroparesis are nausea and vomiting. A positive history of diabetes mellitus, Parkinson's disease, or collagen vascular disorders is suggestive of gastroparesis. Other common symptoms of gastroparesis include early satiety, abdominal pain and bloating.
History and Symptoms
- The hallmarks of gastroparesis are nausea and vomiting. A positive history of diabetes mellitus, Parkinson's disease, or collagen vascular disorders is suggestive of gastroparesis. Other common symptoms of gastroparesis include early satiety, abdominal pain and bloating.[1][2][3]
History
Patients with gastroparesis may have a positive history of:
- Diabetes mellitus
- Surgery on gastrointestinal tract
- Physical and sexual abuse in female patients
- Parkinson's disease
- Collagen vascular disorders
Common symptoms
Common symptoms of gastroparesis include:
- Chronic nausea (more than 90% of patients)
- Vomiting (especially of undigested food of several hours)
- Early satiety and sensation of postprandial fullness (in 60-86% of patients)
- Abdominal pain (in 50% of patients) which is:[4]
- Epigastric or periumbilical
- Constant
- Nocturnal
- Induced by eating
- Bloating
Less common symptoms
Patients might present with following symptoms in severe cases:
- Weight loss
- Malnutrition
- Dehydration
- Lack of appetite
- Heartburn due to gastroesophageal reflux
- Spasms of the stomach wall
References
- ↑ Nguyen, Linda Anh; Snape, William J. (2015). "Clinical Presentation and Pathophysiology of Gastroparesis". Gastroenterology Clinics of North America. 44 (1): 21–30. doi:10.1016/j.gtc.2014.11.003. ISSN 0889-8553.
- ↑ Soykan I, Sivri B, Sarosiek I, Kiernan B, McCallum RW (1998). "Demography, clinical characteristics, psychological and abuse profiles, treatment, and long-term follow-up of patients with gastroparesis". Dig. Dis. Sci. 43 (11): 2398–404. PMID 9824125.
- ↑ Parkman HP (2015). "Idiopathic gastroparesis". Gastroenterol Clin North Am. 44 (1): 59–68. doi:10.1016/j.gtc.2014.11.015. PMC 4324534. PMID 25667023.
- ↑ Cherian D, Sachdeva P, Fisher RS, Parkman HP (2010). "Abdominal pain is a frequent symptom of gastroparesis". Clin Gastroenterol Hepatol. 8 (8): 676–81. doi:10.1016/j.cgh.2010.04.027. PMID 20472097.