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Re: [IP] Gastr and propulsid



If some of you don't mind, please tell me what this condition is.  

Thanks,  Janice

Denise Guerin wrote:
> 
> > Date: Tue, 22 Aug 2000 12:56:14 -0700
> > From: Jack Granowski <email @ redacted>
> > Subject: [IP] Gastr and propulsid
> >
> > This is a subject that has been brought up regularly here.  Propulsid
> > has stopped being produced
> > What are the current fads, medicines, for treatment of gastroparesis?
> > - --
> > Jack Granowski
> > email @ redacted
> 
> Jack
> I just had a a gastric emptying test yesterday and am waiting to hear from
> my gastroenterologist.  I had been on Propulsid off and on for years and it
> turned out to be the cause of severe constipation! Once off it The
> constipation resolved.
> 
> I will probably be put on erythromycin for a while as the nighttime vomiting
> is persistent, but I may also opt for Domperidone which my
> gastroenterologist  suggested.  Problem with Domperidone is that it causes
> an increase in Prolactin levels as evidenced by breast milk (at 60 years of
> age it doesn't thrill me.)  Since I have a small prolactinoma (a common
> tumor of the pituitary gland) as shown on an MRI, I hesitate to start the
> Domperidone.  It would be difficult to know if the increase in Prolactin
> levels were caused by a growth of the tumor or the Domperidone.  I have to
> think about that.  By the way Reglan does the same thing and also gives me
> panic reactions so that's out of the question.
> 
> The gastroparesis bothers me mainly at night so that even though I bolus
> using a square wave, I often go hypo two hours after dinner and my bg shoots
> up hours later.  Very unpredictable. I often have to bolus at 3 AM to wake
> up with a decent morning bg.
> 
> If I eat my main meal at lunch and stick to semi liquids for dinner I do
> better but it kills any socialization  on my part.  Sigh...
> 
> There is a pump that is implanted to treat severe gastroparesis.  Check it
> out.
> 
> http://www.medtronic.com/neuro/enterra/patient.html
> 
> Denise Guerin
> Type 1 46 years
> 
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