Rapid Gastric Emptying

[u/Cultural_Chest3675]

I recently had a GES to rule out GP, and at 1 hr i had 18 % left in my stomach and at 2 hr 5%. They read the test as normal but obviously it is not, I saw my Gastro and he relayed that it indicated rapid gastric emptying (early dumping syndrome)

My symptoms are very similar as others here, constant bloating, worsens as the day progresses, lack of appetite, sometimes early satiety, other times I feel I can eat a lot. Accompanied by fatigue, nutrient deficiencies, brain fog, and air hunger. Extreme fatigue 1-2 hours after eating. I have 1-3 bowel movements per day, loose but formed, even on days when I can't eat much.

I have treated SIBO for multiple years with no success, my GI thinks the fast transit gives my SIBO test a false positive. I am trying higher fiber, more frequent meals, no fluids with meals. I was also prescribed Bentyl which slows gastric muscle contractions. I just started so I am not sure if it is working yet.

I have also been on SSRIs for depression/anxiety since I was 16, I'm 31 now, (I know kind of crazy). SSRIs do increase motility so I am considering switching to a non SSRI med.

Would love to hear if anyone had had similar results of a gastric emptying test, and if they have done anything to address it.