Dumping or ????

I have been really sick yesterday and this morning and not sure why.  We went on a 3 day trip to Gatlinburg, TN(in the mtns.) as a friend was getting married there.  Even though we ate at several restaurants on the trip, I was very careful and ate nothing I hadn't tried before. The wedding was Sat. followed by a dinner reception at a very nice restaurant.  I had a small amount of grilled chicken and shrimp.  This was followed by wedding cake, and I had 2 tiny bites of the cake, though I wanted more!  I didn't have any of the champagne either. I felt fine afterwards until yesterday about 6am.  I woke early, had "the trots"  and have had them ever since.  I felt ok at first even though I kept having to make a dash for the bathroom. Then I started have pain in my stomach(like cramps) and nauseus.  Eventually threw up on our way home through the mtns. I still have the "trots" this morning but don't feel like I'm going to throw up again. It was about 10 hours between dinner and when I first started feeling bad.  So do you think this is some kind of delayed dumping(I've never dumped before) or have I gotten some kind of bug??    Thanks for the help!                                Bonnie

this is just my opinion --i am going to say that all of the excitement of travelling and different bathrrom habits as well as change in water and maybe a delayed reaction to the sugar and flour of the cake-- hopefully it subsides soon for you! be careful to get in plenty of water to replace the liquid you are losing!! maybe others will chime in... we all "dump" differently as well....

From my profile... What is dumping? on December 28, 2007 9:26 am Published 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.

I don't trust the shrimp, you poor baby!!

How could anyone say much more to Darlene's response!!  For me, given your cir****tances, I probably would be not just trotting but jogging too!  Who knows about the shrimp and the rich, concentration of sugar in a wedding cake along with being someplace different, etc., would have effected me. I've had reactions to eating shrimp in restaurants.  I don't know if there are additives, sautee something or other, or what but I don't do shrimp anymore at restaurants. I hope you feel better and can walk, not trot anymore!! Cathy

Thanks everybody, for your responses!  I called the nurse at the bariatric center today and she thinks it's a "bug".  I guess I'll never know for sure.  I'm still "trotting" off to the bathroom but at least haven't thrown up again.  I'm drinking alot of water, so hopefully the whole thing will resolve it self soon.   Thanks again!                    Bonnie