Gastroparesis

Small frequent meals (5-6 per day rather than 3 large), low-fat diet (fat slows emptying further), low-fiber diet during flares (fiber delays emptying), well-cooked soft foods, puree or blend foods if needed, liquid nutrition supplements if solids not tolerated, avoid foods that delay emptying (high-fat, high-fiber, carbonated beverages, alcohol), adequate protein from easy-to-digest sources (eggs, fish, poultry, protein shakes), avoid lying down for 2-3 hours after eating, ginger tea before meals, some benefit from liquid meal replacements or homemade smoothies, if diabetic: blood sugar control critical.

Tight blood sugar control if diabetic (prevents further nerve damage), eat slowly and chew thoroughly, stay upright after meals, gentle walking after eating (stimulates motility), vagus nerve exercises (gargling, humming, singing, cold exposure to neck), acupuncture regularly, stress management (stress slows digestion), adequate hydration between meals (not with meals), avoid tight clothing around abdomen, smoking cessation (delays emptying), review medications (avoid those that slow motility), severe cases may need feeding tube or TPN.