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Dumping Syndrome

10 Sep 2015
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 Dumping syndrome or rapid gastric emptying is a constellation of symptoms which include weakness, abdominal discomfort, and sometimes abnormally rapid bowel evacuation, occurring after meals in patients who have undergone gastric surgery. Gastric surgery or resection reduces the fundic reservoir, thereby reducing the receptiveness of the stomach to a meal. When a meal is consumed the food moves very quickly through the length of the stomach, especially the sugar and gets dumped into the small intestine. The body faces a tough time handling this rapid "dumping" and reacts by adding a large amount of fluid to the small intestine.

CAUSES & SYMPTOMS OF GASTRIC DUMPING SYNDROME

The Causes and Symptoms of Dumping syndrome are pided into 2 different phases -

EARLY PHASE

The early dumping syndrome phase occurs 30-60mins after ingestion of a meal.   

Causes of the Early Phase:

  • The small intestine stretches.

  • Water pulled out of the bloodstream moves into the small intestine.

  • Hormones are released from the small intestine into the bloodstream and eventually affect blood pressure.

  Symptoms of the early phase:

  • Feeling of fullness, right after intake of a small amount of food

  • Abdominal cramps or pain

  • Nausea or vomiting

  • Severe diarrhoea

  • Headache

  • Sweating

  • Flushing,

  • Rapid heartbeat

--

LATE  PHASE

The late dumping syndrome phase occurs 1-3hrs after ingestion of a meal.   

Causes of the Late Phase:

  • There is a rapid rise and fall in the blood sugars.

 Symptoms of the late phase:

  • Weakness

  • Sweating

  • Dizziness, fainting

  • Loss of concentration

  • Hunger pangs

  • Increased heart rate.

- -

Dietary management of dumping syndrome:

  • Daily energy intake has to be pided or segregated into 6 meals.

  • Fluid intake with and during meals needs to be restricted

  • Avoiding liquids for at least ½ an hour after a meal is helpful

  • Simple sugars need to be avoided

  • Milk and milk products are not well tolerated and hence should be avoided.

  • Supplementation with dietary fibre has proven to have beneficial effects in people who suffer from hypoglycemic episodes.

 

HERE ARE THE FIVE GOLDEN RULES WHICH ONE NEEDS TO FOLLOW:

  • Eat well stay healthy

  • Let protein come first

  • Keep the blood sugar levels in check.

  • Drink the right amount of water and at the right times

  • Say no to snacks.

 
DUMPING SYNDROME DIET

EAT WELL AND STAY HEALTHY

Healthy eating depends on what you eat And how you eat Eat foods that have been grown on the farm i.e Chicken, eggs and foods such as fish, vegetables, fruits and nuts.

  • While cooking make sure you poach, boil, grill and bake avoid frying

  • Consume skimmed milk rather than whole milk.

  • Utilise the leftover chicken or vegetable broth rather than oil.

  • Add spices such as black pepper, red chilli powder or lemon juice to add flavour instead of drizzling olive oil or butter.

Looks boring right? Give it a shot and soon you would become accustomed to it.-

LET PROTEINS COME FIRST

Protein is one of the most essential nutrients which is required by the body in optimal amounts. Our body requires at least 80gms of proteins per day. While with the previous Digestive system digesting 80gms of proteins was not a big deal but after resection of certain parts of the stomach, the body would have to work hard. In every food that you eat the body would be searching for proteins and if the body does not get enough proteins there would be muscle breakdown. - -

KEEP THE BLOOD SUGAR LEVELS IN CHECK

Try and restrict the consumption of simple sugars in the diet. Foods such as white bread, potatoes, white rice, corn, peas and anything full of sugar like candy, ice cream or doughnuts. Eat more good carbs such as those found in fruits, vegetables and sources like multigrain bread and brown rice. These foods are also high in fibre which makes you feel full faster and help in regulating bowel movement. - -

DRINK THE RIGHT AMOUNT OF WATER AT THE RIGHT TIME 
It is important to drink a lot of fluids throughout the day. It may sound difficult considering the present size of the stomach. But you need to include at least 8 cups of water every day. Make sure that you don't drink water in between the meals and immediately after your meals. Have water after a gap of ½-1 hr. If you don't do so the water will flush the food through the stomach. This may make you feel hungry and will lead to weight gain post-surgery. - -

SAY NO TO SNACKS

Don't snack in between meals. Snacking in between meals could be the simplest way of putting on weight post-surgery.

So eat right and stay healthy.


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