Hello, this is Dr. David. I have read your question and I'm ready to help.gastroparesis is paralysis or dysfunction of the autonomic nerves which go to the stomach which should automatically contract the stomach to push food through the stomach. a fluoroscopy stomach emptying timed radiology test can see how long it takes the stomach to empty its stomach contents and help diagnosed gastroparesis. gastroparesis would not cause stomach muscle spasms. it sounds like you have neuropathy or damage to nerves and your nerves are not working properly. some nerves to your stomach are not working correctly to contract the stomach. other nerves are firing too often and causing stomach muscle contractions. the vagus nerve is the tenth cranial nerve and runs from your brain, to the back of the throat, down the esophagus, around the stomach, and into the small bowel. this nerve when inflamed or fired give you the sense of nausea. it would not cause spasms. since the spasms could be caused by neuropathy, you can try neuropathy medications like neurontin or lyrica and see if they help. you can also try muscle relaxation medications like flexiril or or baclofen and see if they help. I would see a gastroenterologist about your gastroparesis and see a neurologist about your muscle spams. you might benefit from a muscle or nerve biopsy to get more information about why the nerves are spasming. sometimes bad electrolyte imbalances like low magnesium, low potassium can cause nerves and muscles to spasm as well, so these also need to be checked. let me know if you have questions
Thanks for your response.
I am currently on Ativan, would that be the same as flexiril or or baclofen?
Also, I am a dialysis patient: my potassium levels are always monitored and are ok. Would the dialyisate from the dialysis cause a low magnisum level? or a asymptomatic nodule on the pancreatis, with no increase in pancreatic ensymes cause this?
Please let me know. This is very helpful.
Yes, the nodule in the pancreas was seen on the ct scan. The enzyme test showed levels were normal. The also check the gallbladder with a nuclear medicine scan, and that was normal also.
The spasms have been going on for over 1 week, to the point they are debilitating. The ativan seems to provide some relief, but not stop the spasming.
Is there anything else you could recommend or advise as to look into as a possible cause or way to minimize this condition.