Managing gastroparesis when you have an ostomy can be quite a challenge, especially when it comes to finding the right medications and diet. Gastroparesis is a condition where the stomach takes longer than usual to empty its contents, and this can be particularly tricky for those with an ostomy. Here are some insights and advice shared by others who are navigating this situation:

- Medication
- Reglan (metoclopramide) is often prescribed for gastroparesis, but not everyone can tolerate it. Unfortunately, there are limited alternative medications available.

- Diet & Nutrition
- Opt for foods that are easy to digest and avoid those that can form a "ball" or are stringy, like green beans, as well as gummies and marshmallows.
- When making mashed potatoes, use fat-free milk or water to make them very thin, as water is the least binding.
- Some people with an ileostomy avoid bananas and oatmeal because they can thicken the output and may not pass through the stoma easily.
- Consider using oral nutrition supplements like Ensure to get necessary vitamins and calories when solid food intake is limited.
- Apple juice can be helpful in maintaining potassium levels.
- Be prepared for a lot of trial and error with your diet. If you don't have access to a dietitian, online resources about gastroparesis diets can be useful.

- General Insights
- The symptoms of gastroparesis can be similar to colonic inertia, but they specifically involve issues with stomach motility.
- Managing gastroparesis and an ostomy often requires lifestyle adjustments in addition to medication.