Skip to main content

Nutritional Management for Patients with Nausea and Vomiting and Gastroparesis or Dumping Syndrome

  • Chapter
  • First Online:
Book cover Nausea and Vomiting

Abstract

Chronic unexplained nausea and vomiting oftentimes result in caloric and vitamin deficiencies with or without weight loss. Patients with gastroparesis and nausea and vomiting have nutritional deficits, but few have had dietary counseling. Nutritional management can help to (1) improve caloric and vitamin intake in patients with gastroparesis or dumping syndrome and (2) reduce the postprandial symptoms of nausea and abdominal fullness and discomfort. In this chapter, we review approaches to nutritional management that allows patients with gastroparesis or dumping syndrome to reduce postprandial nausea by making diet choices each day based on key principles of gastric physiology and nutrition. Innovative ways to supplement diets for patients with nausea and gastric emptying abnormalities who have weight loss, vitamin or mineral deficiencies, or who need enteral or parenteral nutrition support are reviewed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Stern RM, Koch KL, Andrews P. Nausea: mechanisms and management. New York: Madison Ave. Oxford University Press; 2011.

    Google Scholar 

  2. Camilleri M, Parkman HP, Shafi MA, Abell TL, Gerson L. Clinical guideline: management of gastroparesis. J ofGgastroenterol. 2013;108(1):18–38. doi:10.1038/ajg.2012.373.

    CAS  Google Scholar 

  3. Koch KL. Gastric neuromuscular function and neuromuscular disorders. In: Feldman M, Friedman LS, Brandt LJ, editors. Sleisenger and Fordtran’s gastrointestinal and liver disease: pathophysiology/diagnosis/management. Philadelphia: Elsevier, Inc; 2015. p. 811–38.

    Google Scholar 

  4. The NIDDK Gastroparesis Clinical Research Consortium (GpCRC). Dietary intake and nutritional deficiencies in patients with diabetic or idiopathic gastroparesis. Gastroenterology. 2011;141(2):486–98.e7. doi:10.1053/j.gastro.2011.04.045.

  5. Abrahamsson H. Treatment options for patients with severe gastroparesis. Gut. 2007;56(6):877–83. doi:10.1136/gut.2005.078121.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Sadiva A. Nutritional therapy for the management of diabetic gastroparesis: clinical review. Diabetes Metab Syndr Obes. 2012;5:329–35. Published online 7 Sept 2012. doi:10.2147/DMSO.S31962. PMCID: PMC3460636.

  7. Kreymann KG, Berger MM, Deutz NE, et al. ESPEN guidelines on enteral nutrition: intensive care. Clin Nutr. 2006;25(2):210–23.

    Article  CAS  PubMed  Google Scholar 

  8. Koch KL, Calles-Escandón J. Diabetic gastroparesis. Gastroenterol Clin North Am. 2015;44(1):39–57. doi:10.1016/j.gtc.2014.11.005.

    Article  PubMed  Google Scholar 

  9. Olausson EA, Störsrud S, Grundin H, Isaksson M, Attvall S, Simrén M. A small particle size diet reduces upper gastrointestinal symptoms in patients with diabetic gastroparesis: a randomized controlled trial. Am J Gastroenterol. 2014;109(3):375–85. doi:10.1038/ajg.2013.453. Epub 14 Jan 2014. PMID:24419482.

  10. Parrish CR, Pastors JG. Nutritional management of gastroparesis in people with diabetes. Diab Spectr. 2007;209(4):231–4.

    Article  Google Scholar 

  11. Institute of Medicine. Dietary reference intakes for energy, carbohydrate, fiber, Fat, fatty acids, cholesterol, protein, and amino acids. Washington, DC: National Academy Press/Food and Nutrition Board, Institute of Medicine, National Academies; 2005.

    Google Scholar 

  12. Koch KL. Review article: clinical approaches to unexplained nausea and vomiting. Adv Gastroenterol Hepatol Clin Nutr. 1998;3(4):163–78.

    Google Scholar 

  13. Mozaffarian D, Micha R, Wallace S. Effects on coronary heart disease of increasing polyunsaturated fat in place of saturated fat: a systematic review and meta-analysis of randomized controlled trials. PLoS Med. 2010;7(3):e1000252.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Duyff RL. Fat facts. In: American Dietetic Association complete food and nutrition guide. 4th ed. Hoboken: Wiley; 2012.

    Google Scholar 

  15. National Research Council (NRC). Recommended dietary allowances. 7th ed. Washington, DC: National Academy of Sciences; 1968.

    Google Scholar 

  16. Food and Drug Administration (FDA). Food labeling; mandatory status of nutrition labeling and nutrient content revision; format of nutrition label. Final rule. Fed Regist. 1993;58:2079–205.

    Google Scholar 

  17. National Research Council (NRC). Recommended dietary allowances. 10th ed. Washington, DC: National Academy Press; 1989.

    Google Scholar 

  18. Food and Drug Administration (FDA). Food labeling: reference daily intakes, Part II; final rule. Fed Regist. 1995;60:67164–75.

    Google Scholar 

  19. National Institute of Health Office of Dietary Supplements. Strengthening knowledge and understanding dietary supplements. https://ods.od.nih.gov/Health_Information/ODS_Frequently_Asked_Questions.aspx.

  20. U.S. Environmental Protection Agency: Disposal of Medicines, Vitamins and Other Supplements. Website: nepis.epa.gov.

  21. NIH Office of Dietary Supplements. dietary supplement fact sheets.

    Google Scholar 

  22. Johnson LE. “Overview of minerals”. The Merck manual. Professional version. Website: https://www.merckmanuals.com/professional/nutritional-disorders/mineral-deficiency-and-toxicity/overview-of-minerals.

  23. Johnson LE. “Overview of vitamins”. The Merck manual. Professional version. Website: http://www.merckmanuals.com/professional/nutritional-disorders/vitamin-deficiency,-dependency,-and-toxicity/overview-of-vitamins.

  24. Parrish CR, Yoshida CM. Nutrition intervention for the patient with gastroparesis: an update. nutritional issues in gastroenterology, series #30. Pract Gastroenterol. 2005;29(8):29–66.

    Google Scholar 

  25. Parrish CR, Lin HC, Parkman, H. Dietary and nutritional recommendations for patients with dumping syndrome (rapid gastric emptying). International Foundation for Functional Gastrointestinal Disorders. 2007.

    Google Scholar 

  26. Parrish CR, Ukleja A. Dumping syndrome. Nutrition issues in gastroenterology. Prac Gastroenterol. 2006;35:32–46.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Paula S. Stuart MMS, RD, LDN, PA-C or Debbie C. Hicks MEd, RD, LDN .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Stuart, P.S., Hicks, D.C. (2017). Nutritional Management for Patients with Nausea and Vomiting and Gastroparesis or Dumping Syndrome. In: Koch, K., Hasler, W. (eds) Nausea and Vomiting. Springer, Cham. https://doi.org/10.1007/978-3-319-34076-0_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-34076-0_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34074-6

  • Online ISBN: 978-3-319-34076-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics