Stomach and Duodenum H. Pylori infection: Please see ID - Bacteria - H.pylori Dyspepsia Dyspepsia BMJ 2013 Gastroparesis Causes of Gastroparesis Small Cell Lung Cancer can cause gastroparesis due to autoimmune enteropathy Viral Infection (CMV, EBV, VZV) MS Brainstem Injury Amyloidiosis Medications (CCB, Clonidine, Liraglutide, Amitryptyline, Narcotics, GLP-1 agonists) Constipation causing gastroparesis Cannobinoid Hyperhemesis Syndrome Narcotic causing Nausea: Rameron, and Buspar helps Diagnosis
Gastroparesis Study: Caution prior to Gastroparesis study Stop medications for 48 hr Control Blood Sugar Should be 1, 2, and 4 hr study (note: negative 2 hr study could miss fraction of patients) Prokinetic for treatment of Gastroparesis Metoclopramide, Erythromycin (tachyphylaxis), Domperidone Side Effects: QT prolongation |