GASTROPARESIS

1. CHIEF COMPLAINT
•Gastroparesis

2. HPI

3. ROS

4. SYMPTOMS
•Heartburn
•Pain in the upper abdomen
•Nausea
•Vomiting of undigested food
•Early feeling of fullness after only a few bites of food
•Weight loss
•Abdominal bloating
•High and low blood glucose levels
•Lack of appetite
•Gastroesophageal reflux
•Spasms in the stomach area

5. HISTORY
•FAMILY HISTORY
o Diabetes
o Parkinson’s disease
o Hypothyroidism

•SOCIAL HISTORY
•PASTMEDICAL HISTORY
o Anorexia nervosa or bulimia
o Gastroesophageal reflux disease
o Amyloidosis
o Scleroderma
o Abdominal migraine

•SURGICAL HISTORY
o Surgery on the stomach or vagus nerve

•CHRONIC CONDITIONS
o Diabetes
o Parkinson’s disease
 o Hypothyroidism

6. ALLERGIES

7. PHYSICAL EXAMINATION

8. SPECIFIC DATA LIKE GRADING ETC

9. TESTS TO BE ORDERED
•CBP
•Thyroid function tests
•FBS, PLBS
•Upper endoscopy
•Ultrasound
•Barium x ray
•CT scan
•MRI
•Gastric emptying scintigraphy
•Breath test

10.ASSESSMENT /PLAN
•Dietary Changes
•Take six small meals a day instead of three large ones.
•If less food enters the stomach each time you eat, it may not
become overly full.
•Avoid high-fat and high-fiber foods.
•Pureed and liquid foods
•Feeding Tube
•Parenteral Nutrition
•Gastric Electrical Stimulation
•Botulinum Toxin

11.EDUCATION

12.MEDICATION
•Metoclopramide
•Erythromycin
•Domperidone
•Prochlorperazin
•Cisapride

13.FOLLOW-UP