Gastroparesis history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
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 === | ||
Latest revision as of 16:00, 20 February 2018
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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.