Suspect erythromycin-induced gastroparesis? Begin by carefully reviewing the patient’s medication history, paying close attention to erythromycin dosage and duration of use. Gastroparesis symptoms often manifest as nausea, vomiting, early satiety, and abdominal bloating. Document these symptoms thoroughly.
If gastroparesis is suspected, consider discontinuing erythromycin if clinically feasible. Alternative antibiotics, such as clarithromycin or azithromycin, might be suitable replacements, depending on the infection. Always prioritize the underlying infection treatment while mitigating gastroparesis risk.
Prokinetic agents, such as metoclopramide or domperidone, can help accelerate gastric emptying. However, monitor patients closely for potential side effects like extrapyramidal symptoms with metoclopramide. Dietary modifications, including frequent small meals and avoiding high-fat foods, often provide significant symptom relief.
Regular follow-up appointments are key. Monitor for symptom improvement and adjust treatment as needed. A multidisciplinary approach, involving gastroenterologists and infectious disease specialists, ensures comprehensive patient care. Remember to document all interventions and their effects.
