Delayed gastric emptying

Signs and symptoms

Gastroparesis has been linked to vomiting, bloating, early satiety, and epigastric pain. Symptoms of delayed gastric emptying tend to be exacerbated by eating, particularly after fatty foods and indigestible solids like salads and leafy vegetables. In general, nausea is the most commonly reported symptom, affecting up to 96% of gastroparesis patients. However, depending on the etiology, the predominant symptom reported can differ. The severity of gastric emptying dysfunction does not correspond to the severity of symptoms. Heartburn and poor glycemic control may be the only symptoms of delayed gastric emptying in diabetic patients. Physical examination in patients with gastroparesis may be completely normal or, in its more severe forms, dehydration and malnutrition, as well as a succussion splash, can be present.