Hi Aly,
I don't have gastroparesis, but I do have really similar attacks and symptoms to yours. I also get nauseous and vomit, and I get very bloated and constipated (and have lots of pain...tho not always).
Anyway, I don't know what the differences are when you have gastroparesis, but I have the most luck with a combination of Acacia and Citrucel. I have to take a LOT for it to work, but if I'm faithful I'm able to go pretty regularly (and normal stools, too! Yea!!). I take the Citrucel first thing in the morning, pretending it's my orange juice so I won't mind having to take it (and it helps me remember it). I do the regular dose, which is a heaping tablespoon in 8 oz water. Then I make sure I have between 4-5 teaspoons of Acacia fiber throughout the day. I found that if I dissolve it in my hot tea (fennel, pepp, chamomile...), it does 2 really good things: I drink more, and I get my sol. fiber! Follow Heather's advice for getting it to dissolve. Finally, I end my day with a second dose of the Citrucel. It's pretty easy to remember to do all these, and that's half the battle for me. If I'm not really CONSISTENT, then the constipation is hard to control. This routine is the most successful I've used in all my years of trying.
By the way- I know you didn't mention having any issues with methane production, but I also know that for most of us this long road to complete and proper diagnosis and help is a very long and frustrating one, and it helps to have ideas to bounce off of from others. Check out my post today about methane and see if it's something you might want to test for. People who have it have the same symptoms as we do: gas, bloating, constipation (diarrhea for those who produce hydrogen, constipation for those who produce methane), cramps and pain. Some articles mentioned that some people also have the nausea and vomiting, but that's not a common thing (tho I do). It's interesting, too, because when I read about what gastroparesis is, I realized that it seems to be very similar to my problem- Small Intestinal Bacterial Overgrowth, or SIBO. SIBO is not well studied yet, but they theorize that it occurs in people who have a "subtle abnormality" in the muscles of their sm. intestines that keeps them from moving things thru the intestines like they should. Isn't that the same as your issue, only with the stomach muscles? Interesting! Since the muscles don't operate like they should, they don't continually flush the bacteria thru. It can stay there and multiply. It then reacts with certain things that we eat and a chemical reaction occurs, creating a gas - either hydrogen, methane, or both. This causes the symptoms of SIBO. It also appears to be that the methane gas causes constipation!! Wow. What a mess!
Well, I don't know if any of this will apply to you or help you at all. I hope you are able to fight your way out of this awful time you're having...been there too many times, and I feel terrible for you. 
KellyJean
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Re: constipation and gastroparesis
