Gastroparesis

In 2022, I graduated from nursing school with dreams of starting my career as a nurse. However, life had other plans. I was diagnosed with gastroparesis, a condition that made it impossible for me to work and pursue my passion. As my condition worsened, I had to put my career on hold to focus on my health.

Initially, my local clinicians recommended jejunal feedings, which I tolerated well at first. However, after my J-tube surgery, my condition began to deteriorate, and eventually I became severely malnourished. I was surviving on a mere 500 calories a day, leaving me too weak to perform even the simplest tasks. My mom had to help me with everything, including bathing. Living in a two-story home became a daily struggle, as I had to crawl up the stairs, feeling my body slowly giving up.

My local registered dietitian recommended Parenteral Nutrition (PN) and sent the order. We were then referred to Option Care Health (OPCH). I was scared to start PN, but my OPCH dietitian reassured me, saying, “Just because you’re on PN doesn’t mean your life is over. The goal is to give you back more of your life than before.” Her words stuck with me, offering hope during a difficult time.

Due to my blood sugar issues, I’m on 23-hour PN feeds and carry a backpack that has become a part of me. Despite these challenges, my OPCH team has been incredible. My registered dietitian and pharmacist have truly been lifesavers. I continue to speak with my OPCH registered dietitian weekly because she genuinely cares about my well-being and supports me through every step of my journey.

Thanks to the unwavering support of my Option Care Health team and my local registered dietitian, I am back to work and feeling so much better. I wholeheartedly recommend Option Care Health to anyone in need. They have played a crucial role in my recovery, and I am forever grateful for their dedication and care.

Gastroparesis

Gastroparesis refers to a delay in emptying stomach contents.  Symptoms often include feeling full after eating a meal, or even a small amount of food, as well as nausea, vomiting, bloating or abdominal pain. The causes of gastroparesis may include diabetes mellitus, complications after surgery, kidney disease, certain medications, thyroid disorders, cancer, among others.

The following tips are intended to reduce symptoms and help maintain adequate nutrition.

Mealtime

  • Eat small, frequent meals (5-6 or more per day is recommended)
  • Start with the most nutritious foods first before consuming snacks or empty calories
  • Chew all foods well
  • Sit upright during meals and for 1-2 hours afterward

Foods

  • Limit dietary fat intake, avoiding high fat, fried or greasy foods. Liquid fat in beverages is likely better tolerated such as cream or half-and-half.
  • Limit dietary fiber intake as this slows stomach emptying and can cause gas and bloating. Look for low fiber foods with < 2 grams fiber/serving.

 


Fluids

  • Stay hydrated. Most adults need 6-10 cups of water per day. Sip slowly throughout the day.
  • Drink fluids with meals, however; be sure not to fill up on liquids
  • Avoid carbonated beverages as they can cause bloating

Otro

  • Avoid alcohol as it can affect stomach emptying
  • Foods that are acidic, spicy, or contain caffeine or mint may increase acid reflux
  • Keep blood sugars under control if you have diabetes
  • Keep a food diary to track your intake and find foods that are best tolerated
  • Exercise may increase stomach emptying and reduce symptoms. Walking after meals is suggested.

See below for help in choosing more optimal foods from each food group:

 

Gastroparesis Sample Menus  

Please visit Restore+ to learn more about the nutrition support services offered by Option Care Health.

*This material is for informational purposes only. It does not replace the advice or counsel of a healthcare professional. Please consult with your Registered Dietitian for more detailed, individualized information.