The Dumping Syndrome, also called rapid gastric evacuation syndrome, occurs due to rapid passage of food from the stomach to the small intestine before the food is completely digested or when digestion is taking place, which can take place after 20 minutes or 1 hour after eating.
This syndrome may be a complication in the postoperative period of a bariatric surgery, such as gastric bypass or gastric sleeve, but it can also occur in diabetic people or with Zollinger-Ellison Syndrome, for example.
To alleviate the symptoms of the dumping syndrome, it is essential to avoid the consumption of fast-absorbing carbohydrates, such as: sugar, processed foods rich in sugar and grease, soft drinks, caramels, pan blanco, pasta, among others. In some situations, the doctor may consider the ingestion of medications that delay the gastric emptying or the performance of a surgery to solve the problem.
The symptoms that may arise in the dumping syndrome can be immediately after eating or can be late, these are:
1. Immediate symptoms
The most common symptoms of Dumping Syndrome appear immediately after food intake or 10 to 20 minutes afterward, including: feeling of heaviness in the abdomen, nausea and vomiting. Continuing, other symptoms could appear such as swelling and abdominal pain, gas, cramps and diarrhea.
Generally, foods rich in sugar, such as sweets or the ingestion of high amounts of food, cause the symptoms to develop more quickly.
2. Late symptoms
Late symptoms of Dumping Syndrome that can appear 1 to 3 hours after eating:
These late symptoms occur because the small intestine does not tolerate the presence of sugar, causing the release of large amounts of insulin, causing hypoglycemia.
In these cases, the patient must stop the activity he is performing, sit or lie down and immediately treat hypoglycemia to prevent fainting. Know what to do and how to treat hypoglycemia.
Treatment for Dumping Syndrome
The treatment for Dumping Syndrome begins with the adjustment of the patient’s diet by a nutritionist to reduce the discomfort caused, because it is important to reduce the consumption of simple sugars, sweets, refreshments and foods that contain it, ya that, although it is easily absorbed, its intake could cause the emergence of this syndrome.
However, it could also be necessary to use medication that delays the passage of food from the stomach to the intestine, reducing the spikes in glucose and insulin after food, this will prevent the signs and symptoms associated with this from appearing. condition.
In more severe cases, when the symptoms are not controlled with diet or medication, an esophageal surgery may be necessary to strengthen the heart, which is the muscle between the esophagus and the first part of the intestine. In these cases, in the postoperative period of the surgery the person could need to be fed by a tube inserted in the abdomen until the intestine called yeyunostomia. Find out more about this type of nutrition.
When to go to the doctor
It is important that the person goes to the doctor when:
There are signs and symptoms of Dumping Syndrome and no bariatric surgery has been performed;
Presents permanent symptoms even following the indications of both the gastroenterologist and the nutritionist;
Presents rapid weight loss.
Know more about what is bariatric surgery and what are the types.
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