Ask A Doctor - having worse issues with nausea and vomiting due to my gastroparesis. I have a peg placed but km nit tolerating the feedings. author I ask about tpn? - DesiMD Healthcare Services

   

I'm 29, female, asthmatic. prior hysterectomy post two c sections. gall bladder removed, bowel repair, appendectomy, adhesion removal.diagnosed with gastroparesis a year ago and have lost over 150lbs. had an nj tube and now I have a peg. still losing weight - Asked by S L on 23-Oct-2014 07:32:18

Answer Count: 2    Disorder Type: Digestive disorders
  • Answered by Dr. on 23-Oct-2014 14:15:15

    Hi,

    You are on percutaneous endoscopic gastrostomy tube and have problems tolerating and want to know about total parenteral nutrition. You had previously uterus, gall bladder and appendix removed. You are asthmatic and had nasojejunal tube feeds. There were intestinal adhesions which were operated on. Now you have nausea or vomiting. I guess you need to check gastric contents 4 hrly to see whether extra feeds are necessary. You also need to take plenty of fluids to maintain electrolyte balance. Also, cause of gastroparesis needs to be diagnosed. Please consult your doctor.


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  • MD
    Internal Medicine

    Answered by Dr. Srividya Venigalla on 24-Oct-2014 10:11:05

    You need discuss with your doctor about gastroparesis and see if this can be addressed. there are motility agents - which could help gastic motility if needed. of course they need to check if you are right person. 

    TPN - might sound appealing but has many side effects starting with line infections of IV line and blood clots of the IV line, electrolyte and volume issues that needs close monitoring , liver problems, lipid and glucose issues, gall stones and pancreatitis.

    So TPN is avoided unless it is absolutely needed.

     

     


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