Dumping Syndrome
Since we are all about 7 months post-op I was wondering if any of you have experienced a severe case of Dumping syndrome? It has started for me in about the last week or so. Sometimes I can't even make it through a meal and I have to run to the bathroom. A friend of mine told me about an OTC drug called Digestive Advantage. Any thoughts?????
I have started having it a lot now too. It's mostly been on allowed foods and stuff that I never dumped on before. I had one horrendous dump at 6 or 7 weeks out that was extremely painful and lasted 5 hours...it was enough to have my surgeon paged at home on a friday night! I have mostly had mild dumps, but a couple weeks ago, I ate something I shouldnt have (thanks to my oh so cute little 3 year old nephew) and I dumped for 13 hours...it wasnt horrible, but enough to keep me from going into work on time the next day.
Heather
My advice would be if it makes you dump avoid it , there has to be a reason your body is rejecting it. Don't try to mask it with pills or other things it will still happen.
Late dumping...
....has to do with the blood sugar level. The small bowel is very
effective in absorbing sugar, so that the rapid absorption of a
relatively small amount of sugar can cause the glucose level in the
blood to "spike" upward. The pancreas responds to this glucose
challenge by "cranking up" its output of insulin. Unfortunately, the
sugar that started the whole cycle was such a small amount that it
does not sustain the increase in blood glucose, which tends to fall
back down at about the time the insulin surge really gets going.
These factors combine to produce hypoglycemia (low blood sugar)
which causes the individual to feel weak, sleepy, and profoundly
fatigued.
Late dumping is the mechanism by which sugar intake can create low
blood sugar, and it is also a way for gastric bypass patients to get
into a vicious cycle of eating. If the patient takes in sugar or a
food that is closely related to sugar (simple carbohydrates like
rice, pasta, potatoes) they will experience some degree of
hypoglycemia in the hour or two after eating. The hypoglycemia
stimulates appetite, and it's easy to see where that is going....
The reason that sugar does not cause dumping in non-operated people
is that the stomach, pancreas, and liver work together to prepare
nutrients (or sugar) before they reach the small intestine for
absorption. The stomach serves as a reservoir that releases food
downstream only at a controlled rate, avoiding sudden large influxes
of sugar that can occur after a Roux-en-Y. The released food is also
mixed with stomach acid, bile, and pancreatic juice to control the
chemical makeup of the stuff that goes downstream and avoid all the
effects outlined above