Gastroparesis

Gastroparesis is where food passes through the stomach slower than it should. It's a long-term condition that can be managed with diet changes, medicines and other treatments.

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Discuss your symptoms and possible next steps with a doctor online.

Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Book a video appointment
€66
This page provides general information and does not replace a doctor’s consultation. If symptoms are severe, persistent or worsening, seek medical advice promptly.

Gastroparesis is where food passes through the stomach slower than it should. It's a long-term condition that can be managed with diet changes, medicines and other treatments.

Symptoms of gastroparesis

Symptoms of gastroparesis start after eating and may include:

  • feeling full sooner than usual – you may be unable to finish meals
  • feeling sick and being sick
  • tummy pain
  • heartburn
  • bloating

If you've had these symptoms for a while, you may also be losing weight.

See a GP if:

  • you often feel full quickly when eating
  • you often feel sick or vomit after eating
  • you have tummy pain that will not go away or keeps coming back
  • you have heartburn most days for 3 weeks or more
  • you've been feeling bloated for 3 weeks or more
  • you feel bloated regularly (more than 12 times a month)
  • you have a swelling or lump in your tummy

These may be symptoms of gastroparesis or another condition with similar symptoms, so it's important to get it checked.

Call 112 or go to A&E if:

  • you have sudden and severe tummy pain
  • your sick has blood in it
  • your sick is dark brown or black and looks like coffee grounds or soil
  • your sick looks and smells like poo

Do not drive to A&E. Ask someone to drive you or call 112 and ask for an ambulance.

Bring any medicines you take with you.

Tests for gastroparesis

If you have symptoms of gastroparesis, you'll usually have blood tests and an X-ray or ultrasound scan of your stomach to rule out other conditions first.

If these tests do not show other causes for your symptoms, you may need:

  • a gastroscopy (where a thin, flexible tube with a camera inside is passed through your mouth and into your stomach)
  • tests to find our how long it takes for food to pass through your stomach

Treatment for gastroparesis

Diet changes

If you have gastroparesis, you may be recommended to make changes to your diet such as:

  • eating 4 to 6 small meals a day, rather than 3 large meals
  • reducing the amount of insoluble fibre you eat – this is a type of fibre that cannot be digested (for example, wholegrain bread, beans, and some vegetables and fruits)
  • having a liquid diet (for example, foods like soups or meals blended in a food processor)

You may be referred to a healthy eating specialist (a dietitian) to help you make sure you're getting enough nutrients.

Consult with a doctor about Gastroparesis

Consult with a doctor about Gastroparesis

Discuss your symptoms and possible next steps with a doctor online.

Medicines

You may be given medicines for gastroparesis that can:

  • help food move through your stomach faster, such as metoclopramide or domperidone
  • stop you feeling sick and being sick
  • help with pain

If your gastroparesis is linked to diabetes, you may also be offered ways to help you manage your blood sugar levels, such as using an insulin pump.

Other treatments

Depending on your symptoms, you may be offered other treatments including:

  • a feeding tube if you have malnutrition (a feeding tube can help you get nutrients)
  • botulinum toxin injections to help relax the valve between your stomach and small intestine
  • surgery where your stomach may be reshaped to help food pass through it more easily

Causes of gastroparesis

Gastroparesis is thought to be a problem with the nerves and muscles in the stomach. It's not always known what causes it.

It can be a complication of long-term conditions such as diabetes.

Gastroparesis can also be a complication after some types of surgery.

Online doctors for Gastroparesis

Discuss your symptoms and possible next steps for Gastroparesis with a doctor online.

Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Book a video appointment
€66
Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

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