Gastroparesis history and symptoms

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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.

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]

Patients with gastroparesis may have a positive history of:

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

Patients might present with following symptoms in severe cases:

↑ 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.