question on dumping
honey you are doing super so don't worry after meals ok just go and enjoy your meals and your like me we pray everything will be just fine lol.i worry sometimes too but then i got to thinking will silly if your gonna worry about it each time before and after you eat your gonna cause a ucler from worrying lol. so how are you doing on your proteins and your fluid intake? take care sweetie your friend bonnie
Hi,
About dumping, i'm like you, I can handle pretty much of everything. There are times I dump and thats my fault, At the beginning of this journey I dump right after I ate the wrong thing or ate too fast. Now I get a real bad tummy asche is it eat one bite more than my belly can handle and I make my self throw up. So yucky but it beets suffering the pain in the tummy. hope this helps and good luck! I'm 19 mths out and waiting on clearance form bc/bs foe A Tummy tuck..
Beth
Ellen,
You are doing an excellent job, do not worry about what is not happening. Looks like you are one of the fortunate ones ... enjoy the ride! FYI - For me, early out, dumping did not happen very often, but it did happen once in a while (still gets me once in a great while) ... but usually when I least expected it. At any rate, I got through it, and so will you should it ever happen. Not something fun to do, but it is not the worst thing ever BTW.
If you are interested in reading an excellent post on dumping, I found this one very helpful and squirreled it away. 
Take notice in the title is states AVOIDABLE ... which it looks like you are doing a great job of doing just that!!!
Hugs,
Tammy
**********************************************
For Dumping-
Here's a Big Ole Definition/discussion I had e-mailed to me back about 15 months ago.
DUMPING SYNDROME DEFINED, EXPLAINED, AND AVOIDABLE!
The weight loss that is achieved through the RNY appears to be primarily
dependent upon the removal of the pyloric valve, leaving the individual without a regulator of food movement into the small intestine. This results in the well-known phenomena called "dumping syndrome" which can cause an individual to feel sick or even faint. Rapid gastric emptying, or dumping syndrome, happens when the lower end of the small intestine (jejunum) fills too quickly with undigested food from the stomach. "Early" dumping begins during or right after a meal. Symptoms of early dumping include nausea, vomiting, bloating, diarrhea, and shortness of breath.
"Late" dumping happens 1 to 3 hours after eating. Symptoms of late dumping include weakness, sweating, and dizziness. Many people have both types. Stomach surgery is the main cause of dumping syndrome because surgery may damage the system that controls digestion. Treatment includes changes in eating habits and medication. People who have dumping syndrome need to eat several small meals a day that are low in carbohydrates and should drink liquids between meals,
not with them. It is imperative to the Roux En Y or other procedural gastric bypass patient that they follow their diet plan to reduce the risk factor of Dumping Syndrome. Many people equate the term solely to be spasmodic fits of diarrhea, when that is merely one of the symptoms of a more intensified unpleasant experience. Dumping syndrome is usually divided into "early" and "late" phases - the two phases have separate physiologic causes and shall be described separately. In practical fact, a patient usually experiences a combination of these events and there is no clear-cut division between them. Early dumping is caused by the high osmolarity of simple carbohydrates in the bowel. The various types of sugar all have small molecules, so that a gram of (for example) sucrose has MANY more molecules than a gram of protein, creating a higher concentration (number of molecules per cc) from simple sugars than from other foods.
This matters because, inside the body, fluid shifts will generally go toward the higher concentration of molecules So, if a patient consumes a bite of milk chocolate (lots of sugar), when it gets to the Roux limb it will quickly "suck" a significant amount of fluid into the bowel. This rapid filling of the small bowel causes it to be stretched (which causes cramping pain). This also causes the activation of hormonal and nerve responses that cause the heart to race (palpitations) and cause the individual to become clammy and sweaty. Vomiting or diarrhea may follow as the intestine tries to quickly rid itself of this "irritant. "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. Obviously, surgeons consider dumping syndrome to be a beneficial effect of gastric bypass - it seems to be important to provide quick and reliable negative feedback for intake of the "wrong" foods. In practice, most patients do NOT experience full-blown dumping more than once or twice. Most simply say that they have "lost their
taste" for sweets. Of course, this is always a great topic to ask patients
about directly, so you may want to ask about it at our support group in person, or in a support group online. It is an unpleasant side effect of this surgical procedure, experiencing it means one simple thing; you are not following your prescribed diet, and unless you do, dumping syndrome is going to become a major part of your life. Do yourself, and your body a favor and follow doctors orders, to the letter.
Take notice in the title is states AVOIDABLE ... which it looks like you are doing a great job of doing just that!!!
Hugs,
Tammy
**********************************************
For Dumping-
Here's a Big Ole Definition/discussion I had e-mailed to me back about 15 months ago.
DUMPING SYNDROME DEFINED, EXPLAINED, AND AVOIDABLE!
The weight loss that is achieved through the RNY appears to be primarily
dependent upon the removal of the pyloric valve, leaving the individual without a regulator of food movement into the small intestine. This results in the well-known phenomena called "dumping syndrome" which can cause an individual to feel sick or even faint. Rapid gastric emptying, or dumping syndrome, happens when the lower end of the small intestine (jejunum) fills too quickly with undigested food from the stomach. "Early" dumping begins during or right after a meal. Symptoms of early dumping include nausea, vomiting, bloating, diarrhea, and shortness of breath.
"Late" dumping happens 1 to 3 hours after eating. Symptoms of late dumping include weakness, sweating, and dizziness. Many people have both types. Stomach surgery is the main cause of dumping syndrome because surgery may damage the system that controls digestion. Treatment includes changes in eating habits and medication. People who have dumping syndrome need to eat several small meals a day that are low in carbohydrates and should drink liquids between meals,
not with them. It is imperative to the Roux En Y or other procedural gastric bypass patient that they follow their diet plan to reduce the risk factor of Dumping Syndrome. Many people equate the term solely to be spasmodic fits of diarrhea, when that is merely one of the symptoms of a more intensified unpleasant experience. Dumping syndrome is usually divided into "early" and "late" phases - the two phases have separate physiologic causes and shall be described separately. In practical fact, a patient usually experiences a combination of these events and there is no clear-cut division between them. Early dumping is caused by the high osmolarity of simple carbohydrates in the bowel. The various types of sugar all have small molecules, so that a gram of (for example) sucrose has MANY more molecules than a gram of protein, creating a higher concentration (number of molecules per cc) from simple sugars than from other foods.
This matters because, inside the body, fluid shifts will generally go toward the higher concentration of molecules So, if a patient consumes a bite of milk chocolate (lots of sugar), when it gets to the Roux limb it will quickly "suck" a significant amount of fluid into the bowel. This rapid filling of the small bowel causes it to be stretched (which causes cramping pain). This also causes the activation of hormonal and nerve responses that cause the heart to race (palpitations) and cause the individual to become clammy and sweaty. Vomiting or diarrhea may follow as the intestine tries to quickly rid itself of this "irritant. "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. Obviously, surgeons consider dumping syndrome to be a beneficial effect of gastric bypass - it seems to be important to provide quick and reliable negative feedback for intake of the "wrong" foods. In practice, most patients do NOT experience full-blown dumping more than once or twice. Most simply say that they have "lost their
taste" for sweets. Of course, this is always a great topic to ask patients
about directly, so you may want to ask about it at our support group in person, or in a support group online. It is an unpleasant side effect of this surgical procedure, experiencing it means one simple thing; you are not following your prescribed diet, and unless you do, dumping syndrome is going to become a major part of your life. Do yourself, and your body a favor and follow doctors orders, to the letter. 
Ellen,
You are very welcome. I found it very helpful, so glad it helped you as well. BTW - so good to hear you are doing so well.
Well, I would love to be able to go further down the list of message board posts and read some more, but alas duty calls ... gotta get back to work for now. Sure do wish I had unlimited internet time!
Take care and enjoy each and every moment of success you are having. Don't waste another moment waiting for "the" ball to drop ... truly, this is real deal sweetie, and you my friend are doing a spectacular job with it!!! I am so happy for you!!!
Hugs,
Tammy
You are very welcome. I found it very helpful, so glad it helped you as well. BTW - so good to hear you are doing so well.
Well, I would love to be able to go further down the list of message board posts and read some more, but alas duty calls ... gotta get back to work for now. Sure do wish I had unlimited internet time!
Take care and enjoy each and every moment of success you are having. Don't waste another moment waiting for "the" ball to drop ... truly, this is real deal sweetie, and you my friend are doing a spectacular job with it!!! I am so happy for you!!!
Hugs,
Tammy 
Ellen, Glad to see that you are so focused on your health. By the way are you feeling okay? How's the exercise, protein & water intake? That is your main job for right now. If you form the right habits now, not only will you get healthy faster, but you will loose loads of weight. What a deal. 2 for the price of 1. Dumping is a strange thing. Eat too fast or 1 bite too much it could happen. Usually happens pretty quickly after eating or drinkink. Tammy's article was great. In fact Tammy is a beautiful person. She always has great input. I still get what we posties call "foaming". It is a general feeling of such discomfort that we kinda barf or foam and we immediatley feel better. We call it foam cause it is mostly gastric juices mixed in with some flem and a little food. It is little food cause we don't eat that much. It is a phenomenum (sp) that is less intense than barfing like when you were sick as a kid with the flu. It happened alot at first for me, it still happens but is much less frequent now. I am 17 mo out. For me it could happen if I ate too fast, 1 tsp too much or if the food was too dry. Certain foods might cause it 1 time, but not the next. If you keep a diary you can track just what you put in and I also tracked what might set me off and come out. Leftovers, eggs, chicken & hamburger were the leading culprits in the 1st 6 months. I was always safe with soups. Thus when I go out I always got soup. You will find what works best for you early on. We are all pretty similar, but yet so different. Kinda makes & keeps this journey interesting. So don't worry you will find a happy place. Concentrate on the known not the unknown. I don't know if I can tolerate sugar because quite honestly I have never tried it. I am not willing to succumb to it & find out that I can tolerate it. God forbid. I don't want to go there ever.
TT you soon. Elissa
Most Active
Recent Topics
The moment you've all been waiting for . . . OH2015 Location Announcement!
Kathy S. · 0 replies · 5371 views
Kathy S. · 0 replies · 5371 views
