Q. I have gastroparesis and suffering from stomach pain and extreme gas. What to do?

Answered by
Dr. Sunil Sekhri
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 28, 2019

Hello doctor,

I have gastroparesis, and everyday I have stomach pain, and extreme gas. I am tried working with my gastroenterologist but there are no results and no interest by them. I have tried Linzess, and Gabapetin but no result. I need help. It is destroying my quality of life. I can not go anywhere because it is so embarrassing.



Welcome to icliniq.com.

Before I can give my opinion I need to know a few facts. Since how long you have had diabetes and what medications are you taking? Do you have constipation, nausea, and vomiting? What is the site of stomach pain and what is the severity? I would also like to see the clinical notes of your gastroenterologist.

Thank you doctor,

I have been diabetic for nine years, with no nausea, constipation or vomiting. I should say that the pain is between mid to lower stomach. It is pretty painful. My biggest issue is extreme gas. I take Humalog (insulin), Lantus, and Gabapentin. Gabapentin was just started at 100 mg three times a day.



Welcome back to icliniq.com.

I would recommend Gabapentin 300 mg plus Methylcobalamin 50 one tablet three times a day. I suggest taking Metoclopramide one tablet before lunch and one before dinner for 10 days. I would also advise you to stop milk products for a few days. Your symptoms are due to diabetic complications, and it takes a long time to see the effect of medications. You can share my opinion with your doctor and take medications with consent. You can revert back after 15 days and let me know the improvement.

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