Dumping syndrome is a set of a syndrome that can develop after gastric surgery due to rapid delivery of nutrients. Its symptoms can appear either within minutes of a meal or a few hours later. To get a detailed information on this, have a look at the attachment provided.

1. What is Dumping Syndrome?

2. 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.

3. 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).

4. 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.

5. 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.

6. 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.

7. 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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