### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, my adult son is a type 1 diabetic, also a dialysis patient. He ALSO has gastroparesis, and his body is nothing but skin and bone. The endochrinologist remarked last week that we may have to consider a feeding tube for him! Are there different stages or categories of gastroparesis? If so, what are they? THANK YOU SO MUCH for any insights you can share! I m sorry, I ve only just realized I must pay for your answer. I don t have my card with me today. SORRY to have wasted your time.

### output:

Hello have gone through your question and understood your concern. Gastroparesis is a condition that affects the normal spontaneous movement of the muscles in your stomach. If you have Gastroparesis, your stomachs' motility is slowed down or doesn't work at all, preventing your stomach from emptying properly. Diabetes is a major RISC factor that increase the RISC of Gastroparesis. Many people with Gastroparesis don't have any noticeable signs and symptoms. But depending on the cause, the situation can aggravate and Gastroparesis can produce lots of symptoms like nausea, vomiting,a feeling of fullness after eating just a few bites, acid reflux, lack of appetite, changes in blood sugar levels, weight loss and malnutrition. My answer for you is:Yes, there are two grades of Gastroparesis. Grade 1, or mild Gastroparesis, is characterized by symptoms that come and go and can easily be controlled by dietary modification and by avoiding medications that slow gastric emptying. Grade 2, is characterized by moderately severe symptoms. Hope I have clarified all your doubts. If you have other questions, feel free and ask. Regards.