Fat does NOT cause dumping and not all digestive upset is dumping

Lora, I don't dump but I have twice.  Once eating fajita meat and cheese with ONE chip at a Mexican restaurant and the other time on a wine cooler.  The first time WAS on FAT.  It's not the most common cause of dumping but it can cause dumping.  Here is an article on webMD.  http://www.webmd.com/digestive-disorders/dumping-syndrome-ca uses-foods-treatments

While I've found a lot of good info on webmd, this article makes me wonder where the heck they get their info from?

Seriously, an article that states to keep your meals small, and states 1 oz of meat makes me question the validity of the rest of the article. I mean good lord how would you get your protein in if your meals are THAT small?

How many small meals is that article recommending a day?  If you ate, say, five small meals a day with one ounce of meat per meal, that would be about 35 grams of protein just from the meat.  That wouldn't be enough protein for RNY folks, but it may end up being enough for those without RNY.

I get what you are saying and I will read all of Lora's links. The ASMBS site also states that dumping can be caused by fat. I'm not trying to argue my point I know times change and more information is being learned. I know I dumped on fat it was the exact symptoms of dumping. Heart palpitations, sweating, diarrhea, and the need to sleep. I felt like I was dying and glad it only happened twice in 8 years it was miserable. 

It is certainly possible that now they are finding that somehow fat causes it. I did a search of the typical surgical and bariatric related journals and didn't find anything on it, but my search was far from exhaustive!

Lora

I don't dispute that people become ill after too much fat... just that, technically, it isn't dumping.  While WebMD may be a fine source for general information, the current scholarly studies that I have seen all indicate that sugar alone is responsible for dumping (the original theory was that it was simply the volume of food dumped into that portion of the intestine and that abnormal intestinal distention by unprocessed (and therefore bulkier) food was the trigger for the reaction... something it didn't take them long to disprove):

http://www.medicine.virginia.edu/clinical/departments/medici ne/divisions/digestive-health/nutrition-support-team/pdfs/Uk lejaArticle.pdf

http://www.ncbi.nlm.nih.gov/pubmed/22722436

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1434447/?page=1

The Mayo Clinic provided information on this web site indicates sugar only (and their own website used to indicate such);

https://www.ohiohealth.com/Diseases-and-conditions/Digestive -system/Dumping-syndrome/

I am not sure why they apparently added fat to their own website. If there is new evidence of fat causing dumping, I was unable to find any literature on it.

On the contrary, a specific study on fat consumption showed that negative reactions, which were dependent on the amount and type of fat consumed (different ones caused different levels of early gastric emptying (in patients with an intact digestive system), only included the digestive portion of the dumping syndrome symptoms, but not the elevated heartrate, flushing, dizziness, etc.

http://link.springer.com/article/10.1023%2FA%3A1026606601767

 

Clearly you had a dumping type reaction to the fat in the cheese, but I still cannot find anything scientific that indicates that fat causes the same physical "dumping" reaction as sugar.

Lora

THANK YOU Lora.

I'm not here nearly as consistently as you are and even I get tired of seeing the misinformation spread.  Excessive FATS make me sick.  Excessive SUGAR causing dumping syndrome.

I'm a little leery of the WebMD article since it not only says fat can cause true dumping, it also lists vomiting as a symptom of dumping and it is definitely NOT.  Vomiting is a symptom of an upset stomach.  Most cases of true dumping do not include even diarrhea.  What the article defines as "late dumping" sound a lot like an episode of RH to me.

Everybody experiences different results in different ways.  But when something has a real, true definition we really need to educate those with inaccurate information.  If we don't, no one will know what anyone really means anymore.

PS:  I'm so sorry you are dealing with kidney stones.  Yuk.

 

I am surprised that some sites (and even a couple of scholarly articles) mention vomiting as a potential result of dumping, but the same articles make it clear that the food has already passed through whatever is serving as the stomach and into the intestines and I don't know anyone who can throw up something from their intestines.

The argument of whether fat causes dumping (the symptoms are similar enough) doesn't bother me as much as people referring to any kind of upset stomach or intestinal issue as dumping.

I did read somewhere that late dumping and RH are, indeed, one and the same.  I don't remember where I read it, though.

Lora

p.s.  the kidney stones seem to be calm... for now (which is good because Gus just got neutered today and he isn't feeling very well)

The problem I have with is post is the fact it is needed in the first place, my surgeon went over the exact cause of dumping exactly as you explained it in his informational seminar.  That was back in 2004, so with all these passing years and so much more experience by surgeons how is it not clearly spelled out to new patients what does and does not cause dumping, and also how it can result in RH.  It scares me how wls has just become a money maker without regard to the patients having surgery.