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?
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