Your symptoms are suggestive of Gastroparesis, which is a slow emptying stomach.
A stomach emptying time is the investigation which will confirm the diagnosis.
Gastroparesis or slow emptying stomach needs a very comprehensive management regime. Judicious and persistent intervention by various measures should be able to control the symptoms quite nicely. Following is the management plan. If the initial conservative plan does not help, surgical intervention should be considered.
1) nutritional modifications,
a) multiple small meals,
b) favor liquids over solids,
c) avoiding indigestible solids,
d) consuming low-fat meals
2) medications to stimulate gastric emptying,
d) phenothiazines (prochlorperazine, thiethylperazine),
g) Nitrates, buspirone, sumatriptan
3) endoscopic and surgical approaches,
a) Injection of botulinum toxin
b) gastric electrical stimulator implantation
c) surgical pyloroplasty
4) psychological interventions
a) treatment of anxiety and depression
b) biofeedback and/or hypnosis
So a comprehensive approach is essential for controlling the symptoms and various specialists like a gastroenterologist, primary care physician, psychologist, etc would be needed to work in cohesiveness to get the optimal outcome.
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