What is Dumping Syndrome?

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What is Dumping Syndrome?
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• This is a set of symptoms that can develop after
  gastric (stomach) surgery due to rapid delivery
  of nutrients to the small bowel. It can happen
  after many gastric operations such as
  fundoplication, sleeve gastrectomy, gastric
  bypass or SADI/SIPS procedure. The incidence
  varies based on type of operation and how
  accurately the symptoms are looked into.

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What are the symptoms?

• Symptoms can appear either within minutes of a
  meal (early dumping) or a few hours later (late
  dumping). The symptoms vary for both early
  (usually within 20 minutes of a meal) and late
  dumping (1 to 4 hours after a meal).

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• Early dumping is mainly manifest by symptoms of
  blushing, abdominal pain/cramping, nausea,
  palpitation, need to lie down and diarrhea. Late
  dumping syndrome is mainly manifest with
  sweating, restlessness, irritability, tremors,
  feeling sleepy, tiredness and sometimes
  unconsciousness.

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When do you get dumping syndrome?

• Dumping syndrome usually occurs when one
  consumes food or drinks that are high in sugar
  especially refined sugar, fatty food and fried
  food.

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How do you prevent it?

• Avoiding food that brings it on is the primary
  step. By keeping a food diary and of symptoms in
  a detailed manner one can usually get an idea
  what type of food brings it on. Eating a
  protein-based diet is a good way to prevent it. 
  Never eat food that is rich in sugar or fats
  alone.  Chew your food thoroughly and eat slowly.
  Avoid eating and drinking at the same time. Give
  yourself at least 20 min either way. Avoid
  alcohol.

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How do you treat dumping syndrome?

• It is best to discuss with your surgeon or your
  dietitian as there are various treatment options
  depending on what exactly is causing it. This
  ranges from simple diet modifications to
  different types of medication. Most of the times
  these measures are effective. Occasionally
  reversal of surgery such as gastric bypass maybe
  required.

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