Gastroparesis Delayed gastric emptying

• Facts:
  Partial paralysis of the gastric muscles, leading to delayed gastric emptying
• History / PE:
  Chronic nausea
  Erratic blood sugar levels
  Postprandial bloating
  Early satiety
  Abdominal bloating
• Diagnosis:
  Nuclear medicine scintigraphy (post ingestion of radio-labeled meal)
• Treatment:
  Metoclopramide ( diabetic neuropathy )
  Erythromycin, bethanechol
• Associated With:
  Poorly controlled diabetes mellitus
  Parkinson's disease
  Fibromyalgia
  Gastroesophageal reflux disease
• Differential Diagnosis:
  GERD
  Peptic ulcer disease