Dumping Syndrome

Rebecca (Becky) A.
on 4/13/07 2:54 am - Tucson, AZ
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?????
(deactivated member)
on 4/19/07 5:37 am
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
shelt
on 4/29/07 1:02 am - Neer Lake Erie, PA
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
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