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in 2008 i was diagnoseds with diabetic gastroparesis in the years following my diagnosis i have been expereincing lots of naseau and pain after having bowel movements whether the stool is formed or loose...sometimes they go away within an hour or so other times the stomach aches last all day.....i have tried several things to make this better and they have no effect.....if there is someone out there that might have some solutions to this problem it would be greatly appreciated to hear from you.....i am so frustrated with being sick each and every time i have a bowel movement and am unable to find anyone else with this issue....PLEASE HELP

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replied June 20th, 2010
Digestive and Bowel Disorders Answer A13337
Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned by the abdominal pain and nausea after bowel movement for the last 2 years. You have also made a mention of diagnosis of diabetic gastroparesis about 2 years back.
Your symptoms might be due to chronic gastroparesis due to diabetes and treatment includes dietary changes (low-fiber and low-residue diets, and in some cases, restrictions on fat and/or solids), oral medications such as Metoclopramide , Cisapride (Propulsid), Erythromycin (E-Mycin, Erythrocin, Ery-Tab, EES) and Domperidone (Motilium); adjustments in insulin dosage , a jejunostomy tube, parenteral nutrition, implanted gastric neurostimulators ("stomach pacemakers"), or botulinum toxin depending upon the severity of symptoms.
The antidepressant Mirtazapine has also proven effective in the treatment of gastroparesis unresponsive to conventional treatment. This is due to its anti-emetic and appetite stimulant properties. Mirtazapine acts on the same serotonin receptor (5-HT3) as the popular anti-emetic Ondansetron.
You can consult your endocrinologist or diabetologist for definitive management as the same is not possible online.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

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