Gastroparesis primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Primary Prevention

• No scientific evidence is available to make appropriate recommendations for the primary prevention of gastroparesis.
• Since diabetic gastroparesis is a manifestation of diabetic autonomic neuropathy, measures such as strict glycemic control in patients with diabetes, which is advocated for the primary prevention of neuropathy, probably holds true for the prevention of gastroparesis in patients with diabetes.

Work with a registered dietician (RD) or nutrition support specialist (nurse or doctor) to design a dietary plan to meet your individual needs; understand how to use and maintain dietary and nutritional therapies. Eat frequent, small meals that are low in fat and fiber. Fat, fiber, and large meals can delay stomach emptying and worsen symptoms. Keep hydrated and as nutritionally fit as possible. If you have diabetes, maintain good glucose control. Irregular stomach emptying can negatively affect blood sugar levels. Keeping your blood sugar under control may help stomach emptying. Before having surgery, ask your doctor, surgeon, or health care team about risks involved and weigh these against the benefits. Ask about alternatives. Let your doctor and pharmacist know about all medications you are taking – prescription and over-the-counter, as well as any supplements. Be aware of possible drug interactions and discuss alternatives with your doctor. Understand the possible side effects of your treatments, and know what to do if side effects occur. Avoid or reduce alcohol and smoking tobacco. These can slow gastric emptying. Engage in regular physical activity as you are able.