Brief Answer:
Please give details.

Detailed Answer:
Hello.
Thanks for your query.
To recapitulate: Female/75 - undergone Endoscopy - ''and doctor said that she can not see inside my stomach because a lot of food there, but I did eat 21 hours before the test'' -
and diagnosed as Gastroparesis - Doctor wanted to prescribe REGLAN - you refused because of terrible side effects - started to eat small portions and follow special diet - feel OK -
your concern is - ''is it possible what my disease will getting worse after wile because I only suppress the symptoms or it will be stable or even may
improve? ''

I would like to know a few more details for me to assist you better:
- Since when have you got this problem?
- Do you have any other medical problem like diabetes?
- Had you taken REGLAN anytime in life and had any adverse effects or you refused just because of your knowledge that it can cause any problem?
- Have you undergone/offered any other tests like Barium studies or so?

My thoughts:
There has to be a reason for retained food even after 21 hours and we have to find this out. For this I would suggest the following:
Gastric lavage followed by upper GI endoscopy and Barium meal studies of the esophagus, stomach, all the small intestines under fluoroscopic control to find out the reason whether this is gastroparesis or some actual partial obstruction and to find the cause.

Reglan - once the most prescribed medicine all over the world but reduced in writing due to single most problem of dyskinesia which is very very rare and mostly occurs in children (pediatric age group). This is a very good prokinetic medicine and availability of Domperidone replaced Reglan (metoclopramide).

It may not improve at all, may deteriorate or remain stable.
food remaining even after 21 hours of fasting can not be really explained to get improved on its own.

I hope this answers your query and your feedback will help us more to discuss further and try to get to the diagnosis and solution to the problem.
With regards.

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Brief Answer:
To try other medicines like Domperidone or Levosulpiride.

Detailed Answer:
Hi.
Thanks for your feedback.
Noted your history Nissen Fundoplication on 7/11/2015 but did not help. Started to have problems like nausea, throw out food after food and stomach pain. This is one thing that is known to occur.
Nice to know that you do not have diabetes and CT scan is normal for small intestines.
Understood about Reglan and I do agree with you on this point.

I would advise you the following, please discuss with your treating Doctor for clear idea and to get a prescription also.
Since Reglan gives you the problem, other options are for pro-kinetic effects to relieve your symptoms are:
Domperidone or Levosulpiride as these may help to get control of your symptoms
Additional factors that may help are:
Small frequent feeds, I mean to distribute daily requirements into 4 parts and to take as a breakfast, lunch, brunch in the evening and dinner.
Make a list of foods and beverages that instigate or enhance the problems and to strictly avoid them.
Also make a list of the foods and the beverages that perfectly suit you.
Early dinner and have at least 1 to 2 hours gap before your sleep.
Reclining position of the bed in such a way that the head and is elevated by 4 to 8 inches.
Control of stress and anxiety by whichever means possible.

All these factor have an additive effect on getting better.

I hope this answer helps you.

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