| As pre-op gastric bypass weight loss surgery | | | | excessive amounts of insulin into the bloodstream |
| patients we are taught to fear the mysterious | | | | and the body experiences the symptoms of |
| dumping syndrome and in most cases we are told | | | | hypoglycemia. Symptoms may begin immediately |
| that avoiding sugar will prevent the occurrence of | | | | or anytime within 3 hours of eating and may |
| dumping syndrome. So it comes as a surprise | | | | include nausea, vomiting, bloating, cramping, |
| when after having a malabsorptive gastric surgery | | | | diarrhea, dizziness and fatigue. Symptoms do |
| we experience symptoms that we think are | | | | subside as insulin levels return to normal. Many |
| dumping syndrome, yet sugar has not crossed | | | | patients experiencing dumping find comfort in lying |
| our lips. Most information discussing dumping | | | | down or sipping on fortified water or energy |
| syndrome following weight loss surgery focuses | | | | drinks served at room temperature. |
| on avoiding sugar and suggests that some | | | | The medical community generally agrees the |
| patients "get" dumping syndrome while others do | | | | treatment of dumping syndrome is through the |
| not get it, almost like it were an optional feature | | | | avoidance of certain foods that cause it. People |
| of the surgery. Other misinformation suggests | | | | who have gastric dumping need to eat small |
| that dumping syndrome goes away after time | | | | meals that are high in lean protein, low in |
| when patients adjust to surgery and eventually | | | | carbohydrates, avoid simple sugars, and should |
| they are able to eat sweets. | | | | drink liquids between meals, not with meals. The |
| Very little clinical research is published to help us | | | | following are three food groups that should be |
| understand dumping syndrome beyond personal | | | | avoided in the treatment and prevention of |
| experience. Combine the lack of reputable | | | | dumping syndrome in gastric bypass patients: |
| information with a plethora of urban legend about | | | | Simple Sugars: cookies, cakes, candies, bakery |
| dumping syndrome and it is easy to understand | | | | items, ice cream, sweet dairy. |
| the confusion. | | | | Simple Carbohydrates: chips, crackers, processed |
| Dumping syndrome, also called rapid gastric | | | | cereals, pasta with creamy milk sauces. |
| emptying, is defined by the National Digestive | | | | High-Fat Cabohydrates: French fries, deep fried |
| Diseases Information Clearinghouse (NDDIC) as, "a | | | | food, fast food, grilled food with sweet barbecue |
| condition where ingested foods bypass the | | | | sauce, cream based soups and sauces. |
| stomach too rapidly and enter the small intestine | | | | A diet of carefully chosen lean protein with low |
| largely undigested. It happens when the upper end | | | | glycemic fresh fruits and vegetables is effective in |
| of the small intestine, the duodenum, expands too | | | | avoiding dumping syndrome. Ongoing research is |
| quickly due to the presence of hyperosmolar | | | | beginning to implicate hyperinsulinemic |
| (substances with increased osmolarity) food from | | | | hypoglycemia as the cause of rapid gastric |
| the stomach. "Early" dumping begins concurrently | | | | emptying after weight loss surgery but for you |
| or immediately succeeding a meal." What that | | | | and me on the front lines suffering from sweats |
| means to gastric bypass patients is that food | | | | and chills called dumping, what does that really |
| particles are too quickly absorbed by the small | | | | mean right now? I suggest we become our own |
| intestine because they have gone directly there | | | | personal research scientists and develop a prudent |
| without the digestive benefits of an intact | | | | dietary strategy based on current information and |
| intestine. The food is literally "dumped" into the | | | | personal data that allows us to avoid dumping |
| small intestine. | | | | syndrome and lead a nutritionally balanced life. |
| To manage this food the pancreas' releases | | | | |