TPN = Total Parenteral Nutrition, basically, all nutrition through a vein/none through the mouth.
Motility tests are notoriously inaccurate and do not often correlate with symptoms. I have only 1 abnormal gastric emptying study; the rest have been normal. But my symptoms are severe. Manometry and EGG of the stomach are other tests that may reveal abnormalities the emptying test can miss. Also, you may have motility issues further down in the small intestine that won't show up in a gastric emptying test because the gastric emptying test only looks at the time it takes a certain amount of food to exit from the stomach, and does not look at the time it takes for that food to move through the small intestine.
Domperidone has two reasons to be prescribed - to promote gastrointestinal motility, and to promote breast milk formation in new Moms who don't seem to have enough. The second reason is the more widely known reason and may be why your doctor is questioning the med. It is safe to take, especially in low doses prescribed for motility issues. I took it for about
a year without any hormone-related side-effects.
Well, they could do vaginal swab & culture, blood culture, antibody assay (looking for IgG antibodies to candida/yeast), gut biopsy stains for yeast, stool studies for yeast or antibodies to yeast, etc. Or you can go with your gut feeling on whether you think yeast is still the issue or whether you think it is from something else (such as metal toxicity, Lyme, etc.). A hair analysis may be helpful as well.
I hope you start feeling better soon...take care,
Chronic Lyme Disease, Gluten & Sulfite Sensitivity, Many Food/Inhalant/Medication Allergies & Intolerances, Asthma, Gut issues (dysmotility, non-specific inflammation), UCTD ("Secondary Lupus-Like Syndrome"), Osteoporosis, Anemia, Lymphopenia, intermittant Pancytopenia, chronic malabsorption/malnutrition, etc.; G-J Tube; Currently TPN-dependent.
Meds: Zofran, Pulmicort, Vitamin B12 Shots, Heparin (to flush PICC line).