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Monday, October 01, 2007

Gastric Bypass Dumping Syndrome

Hello Everyone - Welcome to Monday!

Lately I've received several letters from people who are suffering from dumping syndrome or constant feelings of a low-grade dump. It's hard to pinpoint the symptoms but can be described as simply feeling "off". A return to the high protein diet that worked for weight loss will often diminsh the symptoms of dumping. Several people have successfully returned back to basics of WLS eating by following our 5 Day Pouch Test. It concentrates on the elimination of processed carb snacking, focuses on high protein and quickly advances through the post-op eating stages to help one feel a tightening of the stomach pouch.

Below is a previously published article the describes the feelings and causes of weigth loss surgery dumping syndrome:

By Kaye Bailey

Weight loss surgery patients who have gastric bypass can suffer from what is called dumping syndrome. Dumping syndrome is described as a shock-like state when small, easily absorbed food particles rapidly dump into the digestive system. This results in a very unpleasant feeling with symptoms such as a cold clammy sweat, pallor, butterflies in the stomach and a pounding pulse. These symptoms may be followed by cramps and diarrhea. This state can last for 30-60 minutes and is quite uncomfortable.

A small percentage of long-term post-operative patients build a tolerance and do not dump on foods that would normally cause dumping syndrome with the malabsorptive gastrointestinal system. However, most patients learn to avoid the foods that cause dumping because it is so unpleasant.

Foods that typically cause dumping are sweets, fats and processed carbohydrates. If a person is dehydrated the symptoms of dumping will be exaggerated.

The most efficient way to avoid dumping is to maintain the strict regimen practiced during bariatric infancy: follow the four rules. Eat protein first making sure it comprises one-half of every meal. Avoid snacking. Avoid all sources of simple sugar; and yes, this includes cookies, cakes, candy, sodas, ice cream and sorbet. Sip water throughout the day. When you practice this eating behavior your blood sugar will not fluctuate and you will not dump. Most patients, who crave a taste of something sweet, have learned they can tolerate a bite of fruit at the end of the meal. Each person must proceed with caution and discover what works for their body.

It is important to note that the dumping experience is different for every person. Some will always have extreme dumps and others more mild episodes. Individuals will notice dumping episodes will vary by incident. No two people experience dumping syndrome the and no two dumping episodes are the same.

Dumping is a bittersweet result of the malabsorptive gastric bypass surgery. Because patients are challenged daily to retrain their eating habits an occasional dumping episode is likely to occur. Adherence to the four rules will prevent dumping in most cases. However, every now and again we will be blindsided by a dump caused by a food never suspected. Keeping a list of poorly tolerated foods will help you avoid them. The acutely dramatic event of dumping is a convincing motivator to follow the rules and avoid the foods that have trigged a dumping episode.

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