If you’ve recently been diagnosed with gastroparesis, or you’re still in the process of figuring out your symptoms, you may be feeling overwhelmed or even discouraged. Gastroparesis can affect many areas of your life—from what you eat, to how you feel emotionally, to your long-term health. But you’re not alone, and it’s possible to live well with this condition.
As a primary care provider, I want to walk you through what gastroparesis is, how it’s diagnosed and treated, what makes it different from other digestive issues like GERD, and how to manage it both medically and holistically.
What Is Gastroparesis?
Gastroparesis is a chronic digestive condition where the stomach empties more slowly than normal. This happens because the muscles or nerves that coordinate stomach contractions aren’t working properly. The result is delayed gastric emptying—food stays in the stomach longer than it should, leading to symptoms that can be frustrating and even debilitating.
Common symptoms include:
- Nausea or vomiting (often of undigested food)
- Feeling full quickly (early satiety)
- Bloating and upper abdominal pain
- Poor appetite
- Weight loss—or sometimes weight gain, due to slowed metabolism or high-calorie liquid diets
You may be wondering: Can gastroparesis cause weight gain? In some cases, yes. While many patients lose weight, others may gain weight from reduced activity levels, frequent high-calorie liquid supplements, or the body’s altered metabolic response to slow digestion.
How Common Is Gastroparesis?
Gastroparesis is more common than most people think. Estimates suggest that up to 5 million people in the United States may be affected. It is more frequently diagnosed in women, and many people spend months—or even years—seeking answers before getting a clear diagnosis.
Gastroparesis vs GERD: What’s the Difference?
People often confuse gastroparesis vs GERD (gastroesophageal reflux disease) because the symptoms can overlap—nausea, heartburn, and regurgitation are common in both. But they’re very different conditions:
- GERD is caused by acid reflux from the stomach into the esophagus due to a weak lower esophageal sphincter.
- Gastroparesis is caused by delayed emptying of the stomach contents due to nerve or muscle dysfunction.
That said, it’s entirely possible to have both at the same time, which can complicate diagnosis and treatment.
What Causes Gastroparesis?
There are several known causes, but in many people, the cause remains unknown—this is called idiopathic gastroparesis.
Known causes include:
- Diabetes – especially if blood sugar has been uncontrolled for a long time
- Viral infections – a stomach virus may damage the vagus nerve temporarily or permanently
- Surgery – especially on the stomach or esophagus
- Medications – opioids, antidepressants, and others can slow gastric emptying
- Neurological diseases – like Parkinson’s or MS
Can gastroparesis be caused by anxiety or stress?
Yes—anxiety and stress may contribute to the development or worsening of gastroparesis symptoms. While they may not be the sole cause, chronic stress can disrupt the brain-gut connection and slow down digestion. People often ask, “Can gastroparesis be caused by anxiety?” or “Can gastroparesis be caused by stress?”—and the answer is that while they don’t cause gastroparesis in the traditional sense, they certainly play a role in symptom severity and flares.
Is gastroparesis hereditary?
There is no strong evidence that gastroparesis is strictly hereditary, but some forms—especially those associated with connective tissue disorders or mitochondrial diseases—may run in families. More research is needed in this area.
How Is Gastroparesis Diagnosed?
The diagnostic process often begins with a symptom review and physical exam. We may also order:
- Blood work (to check for diabetes, inflammation, or thyroid issues)
- Imaging studies like abdominal ultrasound or upper endoscopy (to rule out blockages)
- Gastric emptying study (GES) – the most definitive test, measuring how quickly your stomach empties a meal
Treatment: Medical, Holistic, and Lifestyle Approaches
Medical Treatment Options
- Prokinetic agents (like metoclopramide or erythromycin) help stimulate stomach contractions.
- Antiemetics (like ondansetron) can help with nausea.
- Pain modulators may be used if stomach pain is prominent.
If your condition is severe or resistant to treatment, we may refer you to a gastroparesis specialist for advanced therapies such as gastric electrical stimulation, jejunal feeding tubes, or clinical trials.
If you’re searching online for “best gastroparesis doctors in the United States” or “gastroparesis specialist near me”, be sure to look for board-certified gastroenterologists with experience in motility disorders. We’re happy to help coordinate that referral if needed.
Holistic Treatment for Gastroparesis
In addition to medical therapies, many patients benefit from holistic or integrative approaches, including:
- Stress management techniques (meditation, yoga, cognitive behavioral therapy)
- Acupuncture – may improve symptoms for some people
- Gastroparesis probiotics – while evidence is still emerging, certain strains of probiotics may help regulate gut bacteria and improve motility
- Herbal therapies – ginger and peppermint are commonly used, though always talk to your provider before starting supplements
Exercises for Gastroparesis
Physical activity may help stimulate digestion and reduce bloating. While strenuous exercise may worsen symptoms for some, gentle movement can be beneficial.
Recommended exercises:
- Walking after meals – promotes gastric motility
- Gentle yoga or stretching – especially poses that involve torso twisting
- Low-impact cardio – biking, elliptical, or swimming, as tolerated
Even a 10-15 minute walk after eating can make a noticeable difference.
Dietary Management
Diet is often the foundation of gastroparesis management:
- Eat small, frequent meals (4–6 per day)
- Avoid high-fat and high-fiber foods, which slow digestion
- Focus on soft, low-residue foods
- Blend meals if needed—smoothies, soups, and purees are often well-tolerated
- Try liquid nutrition if you’re struggling to keep solid food down
Working with a dietitian who specializes in gastroparesis is ideal. They can help you meet your nutritional needs while minimizing symptoms.
Living With Gastroparesis: Practical Advice
Here are a few ways to manage day-to-day life with gastroparesis:
- Keep a symptom and food diary to identify triggers
- Chew thoroughly and eat slowly
- Avoid lying down right after meals
- Stay hydrated, even if you have to take small sips throughout the day
- Be proactive about mental health—chronic conditions can take a toll emotionally. Talk to a therapist, support group, or your provider if you’re feeling overwhelmed.
In Summary
Gastroparesis is a complex but manageable condition. It may take time to find the right mix of diet, medication, and lifestyle changes, but many people find ways to reduce symptoms and live a full life. Don’t be afraid to advocate for yourself—whether that’s asking about gastroparesis specialists, exploring holistic treatments, or simply finding a care team that listens and supports you.
As your primary care provider, I’m here to help you navigate this condition and coordinate the right care.
