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The Question
09/12/09 08:20 AM

"Is there any way to successfully treat neuropathy in my intestines? It is painful, interrupts sleep, and plays havoc with bowel habits"
Asked By: davehults  
Category: Neuropathy

Background Info Hide
I have had Type II for 11 years. I was exposed to Agent Orange in Vietnam

Expert Answers (1)

09/18/09 03:55 PM

Dear DaveHults; As you report, this form of neuropathy has impacted the small and large intestinal areas, frequently referenced as 'delayed gastric emptying- or a form of diabetic diabeticorum, or diabetic enteropathy. These sites of neuropathy are one of the worst disquieting complications of diabetes mellitus. Potentially, other confusing symptoms may be related to the agent orange chemicals.

The symptoms you report are consistent with the diagnosis of gastroparesis, stomach paralysis, gastric stasis, or diabetic gastropathy, the delayed-irregular functions that occur along the gastro-intestinal tract causing irregular behaviors of peristalisis.

Gastric functions are influenced by:

  • volume,
  • composition,
  • consistency,
  • and total calorie content as well as body position. Liquids leave the stomach quicker than solids, as calorie density increase, emptying rates decrease. Fats are the most potent to inhibit gastric emptying, fat requiring the longest to digest,(liquid fats, solid or mixed fats). Nutritional suggestions:
  • have you tried small frequent meals, using appropriate liquid supplements.
  • Walking or remaining upright after meals might be of benefit.

    Limit solids to breakfast and lunch and then switching to liquid nourishment for the remainder of the day. (This may be especially helpful with acute flare-ups).

    Diagnosis is made by your Gastroenterologist, these studies will focus on the causes for abnormal functions. These malfunctions can be mechanical or of functional obstruction origin in the stomach or in the upper/lower intestinal areas. Other studies, using radioactive markers with meals and involve monitoring are also used for diagnostic specifics. The gastric spasms could be linked to an infection or irritant. Treatment may include medications: to slow or enhance digestive functions, exercise, smoking cessation, achieving excellent glucose control, and avoidance to overly fatty foods and fiber. Thanks for asking dLife. Sue

    • Answered By: Susan Throop
    Accreditations: RD, CDE, MA
    Sources Show

    Community Answers (1)

    09/30/09 07:23 PM

    Hi I have to tell you that your one of the first diabetics I have read that shares the same problems that I do. I was dx with the neuropathy in the stomach several years ago. I have to ask do you have a lot of pain, does it ever go away. I think we are experiecnng the same thing. I have gotten to the point that the pain is so bad I cant wear dress pants any longer to much pain. I would love to hear feedback from you on this.
    Answered By: furball64801
    FLAG
    SourcesShow



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    *** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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