All about stomach paralysis, and why diabetics are at a higher risk

Gastroparesis can occur for several reasons. According to Dr Shah, one of the most common causes is damage to the vagus nerve, which controls food movement through the digestive tract. “This damage is often seen in individuals with diabetes, particularly if blood sugar levels have been poorly managed over time. Other potential causes include viral infections, certain medications that affect digestive muscle function, such as opioids or antidepressants, and underlying neurological conditions like Parkinson’s disease or multiple sclerosis. In some cases, however, the cause may be idiopathic, meaning no specific reason can be identified,” said Dr Shah.

Dr Shah elaborated that managing gastroparesis involves a combination of dietary changes, medications, and sometimes more invasive treatments. “From a dietary perspective, patients are often advised to eat smaller, more frequent meals and to avoid high-fat or high-fibre foods, which can slow down digestion further. Liquids are generally easier to digest, so soups and smoothies may be recommended as part of the diet,” said Dr Shah.

Find out more about why the condition happens (Source: Getty Images/Thinkstock)

Dr Shah further said that prokinetic medications like metoclopramide are commonly prescribed to promote gastric emptying, while anti-emetic therapies can help alleviate nausea and vomiting.

“If these approaches do not yield satisfactory results, endoscopic procedures such as gastric peroral endoscopic myotomy may be considered to ensure proper hydration and nutrition. Additionally, innovative treatments like gastric pacing and botulinum toxin injections are being explored to improve symptoms in selected patients. Ongoing research at leading medical centers continues to advance the understanding and management of gastroparesis, offering hope for improved outcomes,” Dr Shah told indianexpress.com.

Patients are encouraged to be more physically active and go for regular follow-ups. “Medications and lifestyle changes are the cornerstone. Early diagnosis and management are vital to improving quality of life, as the condition can significantly impact nutritional health and day-to-day functioning,” said Dr Avinash.

DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.