Why does dumping syndrome occur




















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Cholangitis is inflammation swelling in the bile duct. Treatment depends on your symptoms and whether you have chronic or acute cholangitis. Gastroparesis is a condition in which your stomach empties into your small intestine too slowly. Learn about the best diet for gastroparesis and what…. Pancreatitis is inflammation of the pancreas and causes abdominal tenderness and pain. Learn more. What does a gastroenterologist do, and when should you see one?

Here's what you should know before making an appointment. Intussusception is the most common cause of intestinal obstruction in children. It can also affect adults. Learn about this condition, symptoms, and…. Health Conditions Discover Plan Connect. Dumping Syndrome. Medically reviewed by Judith Marcin, M. Your body reacts by shifting fluid circulating in your bloodstream to the inside of your intestine. As a result, your intestines become fuller and bloated.

Diarrhea often occurs 30 to 60 minutes later. In addition, certain substances are released by your intestine that affect heart rate and often blood pressure, causing many of the symptoms of early dumping.

This can lead to lightheadedness or even fainting. Symptoms of late dumping happen because of a decrease in blood sugar level reactive hypoglycemia. Reactive hypoglycemia is low blood sugar caused 1 to 3 hours after a large surge of insulin.

You are more likely to have dumping syndrome if you eat a meal heavy in starches or sugars. The sugars can be either fructose or table sugar sucrose.

Insulin levels can increase to high levels, and then lower your blood sugar too much. Dumping syndrome occurs in up to half of people who have had a part of their stomach removed for any reason.

Most people have early dumping symptoms. Typical early dumping symptoms can include:. About 1 in 4 people have late dumping symptoms. If you are struggling to maintain your weight ask your doctor to refer you to a dietitian who can advise a more suitable option for you. Eat more complex carbohydrates such as whole grains, pasta, potato, rice, wholemeal breads and unsweetened cereals.

Eat more foods high in soluble fibre which slow the emptying of the stomach and prevent sugars from being absorbed too quickly. The following foods are high in soluble fibre: broccoli, brussel sprouts, carrots, nuts, oats, okra, peas, pears, prunes, pulses and soya beans.

Eat a protein containing food with each meal. High protein foods include eggs, meat, poultry, fish, milk, yogurt, cheese, pulses and nuts. Avoid alcoholic drinks.

Medications Acarbose delays carbohydrate absorption and has been shown to help patients with late dumping symptoms. Octreotide is a synthetic form of somatostatin a naturally occurring hormone in the body and can have a beneficial effect by delaying stomach emptying and reducing the release of insulin and several gut hormones.

Octreotide is a therapy used sparingly since this treatment can impair digestion. There are several newer medicines that are also beginning to be used to slow gastric emptying many of these are also used to treat patients with diabetes ; however, there is not enough evidence to make any recommendations yet. Does dumping syndrome need to be monitored and, if so, how?

How can dumping syndrome affect you over time? What to ask your doctor about your dumping syndrome? Do I need any tests to confirm the diagnosis of dumping syndrome? If dietary modification does not help my symptoms, which medication would you recommend? What research needs to be done on dumping syndrome? Stomach and pyloric valve Your stomach is a muscular sac about the size of a small melon that expands when you eat or drink to hold as much as a gallon about 4 liters of food or liquid.

Gastric bypass surgery Open pop-up dialog box Close. Gastric bypass surgery Before gastric bypass, food see arrows enters your stomach and passes into the small intestine.

Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Dumping syndrome. Accessed May 1, Ellsmere JC. Late complications of bariatric surgical operations. Dietary guidelines for managing dumping syndrome. Rochester, Minn. Savas JF, et al. Postgastrectomy syndromes.



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