Is It Safe to Exercise on an Empty Stomach with Gastroparesis? - Gastroenterology and Hepatology

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Is it advisable to avoid exercising on an empty stomach if you have gastric ptosis?


Hello doctor, I have been diagnosed with gastroparesis for several weeks.
When I visited the doctor, they only advised me not to exercise immediately after eating and to rest for a while.
Therefore, I started exercising before meals, but sometimes I experience nausea and gastric discomfort.
Should I also avoid exercising on an empty stomach? Thank you.

Mei Mei, 20~29 year old female. Ask Date: 2005/04/16

Dr. Chen Zhiping reply Gastroenterology and Hepatology


Hello, because the blood in our body cannot keep all our blood vessels in a state of congestion, it is best to exercise one hour before meals and two hours after meals to avoid insufficient blood flow to the gastrointestinal tract, which could affect digestion.
This message is conveyed on behalf of Dr.
Tsai Tsung-Long, Internal Medicine.

Reply Date: 2005/04/16

More Info


Exercising with gastroparesis, or delayed gastric emptying, can be a delicate balance. Gastroparesis can lead to symptoms such as nausea, vomiting, bloating, and abdominal pain, particularly after eating. When considering exercise, especially on an empty stomach, it’s essential to understand how this condition affects your body and what precautions you should take.

Firstly, exercising on an empty stomach can be challenging for individuals with gastroparesis. When you have this condition, your stomach does not empty as quickly as it should, which can lead to feelings of fullness, nausea, and discomfort. Engaging in physical activity without having eaten may exacerbate these symptoms. The body requires energy to perform exercises, and if your stomach is already struggling to process food, adding physical exertion can lead to increased nausea or even vomiting.

Moreover, exercising after eating is generally advised against for individuals with gastroparesis. This is because physical activity can divert blood flow away from the digestive system, further slowing gastric emptying and potentially worsening symptoms. Therefore, it is typically recommended to wait at least 1-2 hours after a meal before engaging in any vigorous exercise. This allows your body some time to digest the food and can help mitigate discomfort during your workout.

If you are considering exercising before meals, it’s crucial to listen to your body. Some individuals with gastroparesis may find that light to moderate exercise, such as walking or gentle stretching, can be beneficial and may even help stimulate gastric motility. However, if you experience nausea or vomiting when exercising on an empty stomach, it may be wise to adjust your routine. You might consider having a small, easily digestible snack before your workout, such as a piece of toast or a few crackers, to provide some energy without overwhelming your stomach.

Hydration is also a vital aspect to consider. Dehydration can worsen symptoms of gastroparesis, so ensure you are drinking enough fluids throughout the day, especially before and after exercise. However, be cautious with the timing of your fluid intake; drinking large amounts of water immediately before or during exercise can lead to discomfort.

In summary, while light exercise can be beneficial for those with gastroparesis, it is essential to approach it with caution. Exercising on an empty stomach may not be advisable if it leads to nausea or vomiting. Instead, consider light activities that do not exacerbate your symptoms and allow adequate time for digestion after meals. Always consult with your healthcare provider for personalized advice tailored to your specific condition and symptoms. They can help you develop a safe and effective exercise plan that accommodates your needs while managing gastroparesis.

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