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GDD and Digestive System Motility Disorders. Chapter 2. Gastroparesis.

This is the second chapter on GDD and digestive system motility disorder: gastroparesis (stomach paralysis) The same causes for paralyzed stomach as written about colon paralysis in Chapter 1. Nerve conduction dysfunction and actin-myosin direct muscle being likely the most important. Hormone effect and multiple additional dysfunctions also probably play a role.

Many individuals describe the nausea and pain of gastroparesis as worse than simple severe pain, like a broken leg. So this can be an enormous problem. Varying levels of gastric hypomotility is very common in GDD sufferers, relatively few have full gastroparesis (fortunately). Gastroparesis generally is considered to represent a severe anticholinergic effect, so stimulating cholinergic effects is a rational approach. Again this is one condition that should be addressed, in addition to the root cause of the problem: Gd removal with chelation. I will describe increasing levels of management. Not all of them will work for everyone, so assess their benefit by starting with small exposures.

Mild Gastric Hypomotility:

Caffeine and nicotine have cholinergic effects.

  1. caffeinated coffee, 1 cup, 3 times per day.

  2. Nicotine. As a formally trained allopathic doctor (MD) I cannot advise starting cigarette smoking. I do not have experience with it. NicNac mints ( may be worth trying. Start with half a 3 mg lozenge.

  3. Dark chocolate.

  4. At rest positioning yourself right side down (the direction of gastric emptying.

  5. A low residue diet. Look up on-line low FodMap foods: vegetables, fruits, nuts.

Moderate Gastric Hypomotility - gastroparesis.

  1. Metoclopramide (Reglan). This requires a prescription. Generally dose should be 10 mg up to 4 times/day (30 minutes before eating) and at bed-time.

It may take 3 months of DTPA chelation at 3 week intervals before significant impact on gastroparesis is observed. Hence the importance of treating gastroparesis concurrently with chelation, and this can be tapered down as chelation treatment advances.

Richard Semelka, MD


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