vsg dumping???
I am just curious, have any of you vsgers experiened dumping? I know after surgery if I ate anything that was sweet or fatty I would get real bad cramps and end up real gasy and diahrea is this dumping? Has anyone else experienced this. I mean it definitely detered me from having that crappy food. I still have my moments where i eat stuff that I shouldn't but I'm getting better and the physical experiene I get makes these little cheats happen A LOT less. Even sweet drinks cause it. Like I have tried sweet tea a few different times just because there was nothing else to drink and same effects. It's kind of frustrating some times because a lot of times the artificial sugar upsets my stomach and sometimes I get a sweet tooth. The protein shakes are good for that. They have enough sweet taste to then to help with the craving.
I had RNY but I am a support group leader and yes...some VSG patients do experience a form of dumping syndrome. I am sure it is not as severe as the RNY have but yes you can be experiencing a touch of that.
Hugs and blessings ~~ Vivian
GOD GRANT ME THE SERENITY TO ACCEPT THE THINGS I CAN NOT CHANGE; COURAGE TO CHANGE THE THINGS THAT I CAN; AND THE WISDOM TO KNOW THE DIFFERENCE !!!! THIS IS MY DAILY PRAYER.
Vivian Prouty Obesity Help Support Group Coach "LOSE IT 4 LIFE"
Anyone can dump even people who haven't had WLS. Dumping is just went the food in your stomach empties too rapidly into your intestines. It's rarer if you have a pylorus valve but not impossible. In particular, immediately after surgery, our stomachs are sensitive and sometimes they spasm and this can cause the pylorus valve to open up prematurely.
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I found this in an old post, it says the same I have heard from vets on here and from my surgeon. Dumping is associated with RNY (low stomach acid and no pyloric valve) and sugar/simple carbs. I agree to disagree :)
Dumping Syndrome and Gastric Bypass Surgery
What is dumping?
dlife via OAC -
Dumping syndrome is a group of symptoms caused by rapid passage of undigested food into the small intestine. The stomach has a valve at the top and bottom, and serves as an acid-filled storage tank, breaking food intake down into small, component parts and passing it to the small bowel in small increments.
After gastric bypass, ingested food passes directly into the small bowel, mixed only with saliva, but not the stomach acid. The component parts of the undigested food remain fairly intact and therefore large.
The small intestine responds by diluting the ingested food through a process of “water recruitment.” The “richer” the food, in terms of sugar content, the more water will rush into the small intestine to dilute it. This is referred to as “early dumping.”
Early Dumping and Late Dumping
Early dumping occurs a few minutes to 45 minutes after eating. Symptoms are not life-threatening, but can be frightening to the unsuspecting patient. Symptoms of early dumping are:
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Weakness and fainting
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Sweating
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Irregular and rapid heartbeat
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Low blood pressure
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Flushing of the skin
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Dizziness
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Shortness of breath
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Vomiting
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Diarrhea and cramps
Late dumping occurs two to three hours after eating. It is caused by excess insulin produced in response to rapid entry of food and fluids into the small intestine. The high insulin levels lower low blood glucose level and cause symptoms including:
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Perspiration
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Hunger
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Shakiness
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Anxiety
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Difficulty to concentrate
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Exhaustion
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Faintness
The diagnosis of late dumping syndrome can often be confirmed through frequent blood sampling to measure blood glucose.
You can prevent early and late dumping by avoiding the foods that cause dumping. In other words – sugars, starches, and fried foods. Eat at least five to six small, evenly spaced meals a day. Take meals dry (i.e. withou****er or beverages, and drink fluids only between meals). Because carbohydrate intake is restricted, protein and fat intake should be increased to fulfill energy needs. Examples include meats, cheeses, eggs, nuts, toast, potatoes, and rice crackers. Milk and milk products are generally not tolerated and should be avoided.
Each person has a different tolerance, and you will discover what your personal safe foods might be throughout your post surgery life. Person “A” might have no problem with strawberries and person “B” might experience dumping every time a few strawberries are eaten and person “C” might be able to eat strawberries only if they are a little unripe. You will learn what your own trigger foods might be. Be aware that these may change over time as your bypass matures.
General Measures to Treat Dumping
For early dumping, lie down for 45 minutes until symptoms pass to minimize the chances of fainting. For late dumping, eat small amounts of sugar candy or drink sweetened juice until the symptoms of low blood sugar resolve. Additionally you can supplement food with dietary fibers such as fruit, vegetables, and grain products. Many medical therapies have been tested, including pectin, guar gum, and glucomannan. These dietary fibers form gels with carbohydrates, resulting in delayed glucose absorption and therefore avoiding a sharp increase in insulin. However in 3 to 5 percent of instances, severe symptoms of dumping can continue despite dietary changes. This results in marked weight-loss, fear of eating and outdoor activities, or even an inability to maintain full-time employment.
Medical management of dumping includes acarbose or octreotide. Acarbose delays absorption of food and maintains an even blood glucose level. Octreotide is an analog of a hormone in the digestive system that can alleviate dumping by inhibiting insulin release and by slowing transit of food in the small intestine.
Dumping is Common
Dumping syndrome is a common post-surgical complication after gastric surgery. The symptoms of dumping may cause considerable morbidity. If medical management fails to provide adequate symptom relief, remedial surgery should be offered with the understanding that even surgical intervention may not be successful. Normally most patients have a spontaneous recovery as the digestive system adapts after surgery. Early dumping syndrome usually occurs for three to four months after surgery. Late dumping syndrome can occur for an entire year, but may persist for many years. If you experience any of these symptoms, contact your health provider to review your food diary and implement changes to help you.Adapted and excerpted from Obesity Action Coalition.
URL: http://www.obesityaction.org/magazine/oacnews3/What is Dumping.pdf
Reviewed by Susan Weiner, R.D., M.S., C.D.E., C.D.N. 3/08
RNY 9/12 TT 9/13 HT 5' 4" HW 250 SW 242 CW 125
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The Mayo Clinic and WebMD agree with me.
http://www.mayoclinic.com/health/dumping-syndrome/DS00715
http://www.webmd.com/digestive-disorders/dumping-syndrome-ca uses-foods-treatments
So does your article which says:
"Dumping syndrome is a common post-surgical complication after gastric surgery."
There are many, many people in the VSG forum who have experienced dumping in the first 6-12 months after surgery. Luckily, we tend to outgrow it as our stomach heals.
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It's probably not an exact form of "dumping" such as RNY but I have experienced what you described as well. I've had it especially when I eat red meat that might not be the best cut. The worst I ever had it was when I ate steak kebab from a greek restaurant. Obviously not the best cut of meat and it was pretty greasy. I was also NOT AT HOME so experiencing the severe cramps and diarrhea was not fun!!
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