Beth Nelson

August 2002 Spotlight
Idiopathic GP
Ohio

Nominate a Spotlight Patient!


I have been pretty healthy most of my life.  I enjoy various activities which include taking care of my family, home, home schooling my two children, church and community activities. In 2/00, I had a hysterectomy .  After approximately 3 weeks, I started feeling full quickly after eating small amounts.  My stomach ached and the nausea started.

After numerous tests that came back normal. I went to see a surgeon.  He too could not find anything wrong.  I was started on various medications , but nothing helped.

In 4/00, I had an exploratory laparoscopy and nothing was found to explain the pain and nausea.  I started wondering if it was all in my head. 

I could not eat much.  I felt like I had the stomach flu constantly – all day, every day.  I even had difficulty drinking water.  I was losing weight and I had little energy or strength.  I made many trips to the ER. 

In 5/00, I started drooling because I did not have the strength to keep my mouth closed.  I developed mono too due to the low resistance.  I went to the doctor and he put me on Reglan.  

For two weeks, I was able to eat with my family.  Two weeks to the day, I felt like someone threw a blanket over me.  The depression hit hard and the anxiety was horrible.  I stopped taking the Reglan immediately.  The effects lasted 10 days. 

By this time, I had lost 35 pounds.  My GYN convinced the surgeon to admit me.  Again, test after test came back normal.  Finally, I had a GES (gastric emptying study).  My half life came back at 550 minutes (normal is 50-60 minutes).  They inserted an NJ tube for tube feedings directly into my small intestine. 

I was transferred to the Cleveland Clinic and I was diagnosed with idiopathic gastroparesis.  The doctor gave me 3 choices: Reglan, Propulsid, or a permanent feeding tube.  We decided to try the Propulsid and it slowly worked for me.  I took it for 5 months until I could no longer get it (Propulsid was pulled off the market the middle of 2000 due to cardiac related side effects). 

In 12/00, the Propulsid was stopped and I was started on Domperidone.  I developed a rash and itched all over.  In 2/01, I went back to the Cleveland Clinic and was started on a low dose of Erythromycin.  It didn’t work for me.  I was given the choice of a feeding tube or the gastric pacemaker.  I was to be the first idiopathic patient to receive one, and I was the third implant at Cleveland. 

On 6/26/01, I underwent laparoscopic surgery to implant the gastric pacemaker from Medtronics.  I was amazed to wake up and the nausea was gone!!!  I don’t eat big meals, but I am able to eat small multiple meals and I have gained back 15 pounds. 

I have the strength back and I am able to care for my family.  The pacemaker has been a blessing to me.


Questions about the website e-mail: spiderweb@g-pact.org. Click here to read our disclaimer.