@ladyspinedoc: Replying to @Joyce🌸 Case Study 243: Gastroparesis Gastroparesis is delayed stomach emptying with no physical blockage. Why it happens:     •    Long-standing high blood sugar damages the vagus nerve     •    The vagus nerve controls stomach muscle contractions     •    Impaired signaling → food and liquid sit in the stomach far longer than normal The key clue:     •    The “sloshing” sound/sensation is a real exam finding called a succussion splash     •    Caused by retained fluid and food in a stomach that isn’t emptying     •    Points toward a motility problem, not a structural one Why the workup looked normal:     •    Gastroparesis is functional, not structural     •    Endoscopy and imaging aren’t expected to show anything     •    The confirming test is a gastric emptying study (meal with tracer, tracked over time) Management:     •    Tighter glucose control (high blood sugar itself slows emptying)     •    Smaller, more frequent low-fat, low-fiber meals     •    Prokinetic medications to stimulate stomach contractions     •    Anti-nausea medication as needed     •    Gastric electrical stimulation for severe, refractory cases #Gastroparesis #SundayCaseStudy #CaseStudy243 #ladyspinedoc

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Sunday 30 August 2026 14:18:46 GMT