In reply: Gastroparesis
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* Ahmad Muneer Sharayah
* Noor Hajjaj
* Ramy Osman
* Douglas Livornese

**In Reply:** We thank the readers for their letter. Our patient’s laboratory values at the time of presentation were as follows:

*   Corrected sodium 142 mmol/L

*   Potassium 5.5 mmol/L

*   Phosphorus 6.6 mmol/L.

The rest of the electrolyte levels were within normal limits.

These reported electrolyte levels were unlikely to cause such gastroparesis. The patient’s hemoglobin A1c was 8.7% at the time of presentation, with no previous values available. However, since abdominal computed tomography done 1 year before this presentation did not show stomach dilation and the patient was asymptomatic, his gastro-paresis was presumed to be acute.

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