A 62-year-old woman with a history of type 2 diabetes complains of nausea and bloating for the last three months. Gastric emptying studies confirm the diagnosis of diabetic gastroparesis.
What is the first line therapy for this patient?
A-Clindamycin
B-Metoclopramide
C-Omeprazole
D-Ondansetron
E-Sodium bicarbonate
Answer
Diabetic gastroparesis is characterized by delayed stomach emptying which leads to nausea and bloating following meals. A prokinetic (promotility) drug such as metoclopramide helps in emptying of the stomach and improving her symptoms. Other choices have no role in esophageal or gastric motility.
The correct answer is B
metoclopramide
Thank you Dr Solomon
Metochloropromide
B