Middle age man with Gastroparesis

Dyspepsia and complaints related to upper gastro intestinal disorders are very common in primary care. Different disorders can present with similar symptoms with only subtle differences. Full evaluation of such patients is essential for the optimal management of disease. This case is about a middle aged man with delayed gastric emptying or gastroparesis with a chief complaint of nausea and bloating. Although the incidence of gastroparesis is small, many patients could be misdiagnosed due to lack of awareness amongst physicians and due to limited investigations. Gastroparesis should be kept in mind in patients presenting with upper gastrointestinal symptoms and disease specific management should be given. Key words Gastroparesis, delayed gastric emptying, vomiting, nausea, bloating, fullness, early satiety, Scintigraphic gastric emptying study