A patient with gastroparesis may make changes to diet based on symptoms or as directed by clinicians. The diet should be reviewed to ensure adequate nutrition.
Patient selection: gastroparesis
Patients more likely to have an altered diet:
(1) more severe symptoms
(2) lack of relief from prokinetic agents or other interventions
Because of nausea, vomiting, early satiety or other symptoms that patient may avoid certain foods or restrict the diet to others. This may become an issue if the patient has a history of an eating disorder or if the patient develops psychiatric problems.
If the patient requires nutritional support, then the diet may be mostly or entirely liquid.
Other concerns:
(1) formation of bezoars, which may be worsened by a high fiber diet
(2) gastric retention, which may be worse with large food boli
(3) poor compliance with dietary recommendations and/or drug therapy
