Temporary gastroparesis from not eating much for two weeks/starting ppi med?

[pg600rr]

Hello, over the past 6 months I had days here and there when I wasnt feally that great, seemed like it was getting progressivley worse. Then about a month ago starting feeling bad a lot...just kind naseaus, then it hit about 3 weeks ago, felt aweful! tired, dizzy, naseaus, no appetite, bloated, etc. had an emergency scope done which revealed esophagitis and (4) linear, i.e. small non bleeding esophageal ulcers., immediatley I was put on prilosec twice a day and carafate twice a day until the recheck in 4 weeks.

During this time I lost 14 lbs. (I am a 28 y/o male, weighed 175lbs. very good shape, gym/sports everyday). and didnt really eat much for about 13 days, just crackers here and there, etc. I noticed I felt full, bloated and was burping constantly and assumed it was from not having much food in my stomach and the gases/acids building.

In the past week I have tried to start eating how I was prior to this happening, but have noticed that I am burping constantly immediatley after eating, feel full longer, and get very bloated... for instance yesterday I ate a 4 egg white omlete w/ american cheese and a 1/2 cup of spinach @ 9:30 for breakfast, then @ 11:00 am had a 16 oz. protien shake with 3/4 banana, 1/2 cup kefir and 8 cherries, then @ 2:00 p.m. had a roughly 1/4 cheeseburger sub... at which time I felt stuffed and the bloating/burping, etc. began horribly.  Even @ 7pm roughly 5 hours later it was still going on!! every now and then it would feel like I'd burp up a little of the burger! didnt really eat the rest of the night..

My question is this, can not eating much at all, suddenly, for about 2 weeks, and starting ppi's/carafate (which I've heard can slow your digestion), cause temporary gastroparesis/delayed stomach emptying?

[patient915]

Yes, for some people their gastric emptying scan is good on that day, but bad on another day so a GES isn't a perfect test for gastroparesis.  However, your times seem great to me.

[pg600rr]

thanks much, I had the GES and my times were as follows, only 55% left after 45 mins, down to 15% left after 1 hr. 45 mins., and under 5% left after 2 hr. 45 mins....

Doc said it looks pretty much perfect, but also that the test is only about 80% accurate and even those with GP can have a good day? now I am wondering if I got a false negative...

[patient915]

Welcome to the gastroenterology community!  PPI's can cause absorption problems but they don't cause delayed gastric emptying.  If you didn't eat much for a while and now you are eating normally again, it can take a while for your digestive system to kick back in again.  This should resolve soon and I don't think you have gastroparesis.