What is Dumping Syndrome?

What is Dumping Syndrome?
This is a set of symptoms that can develop after gastric (stomach) surgery due to
rapid delivery of nutrients to the small bowel. It can happen after many gastric
operations such as fundoplication, sleeve gastrectomy, gastric bypass or
SADI/SIPS procedure. The incidence varies based on type of operation and how
accurately the symptoms are looked into.
What are the symptoms?
Symptoms can appear either within minutes of a meal (early dumping) or a few
hours later (late dumping). The symptoms vary for both early (usually within 20
minutes of a meal) and late dumping (1 to 4 hours after a meal).
Early dumping is mainly manifest by symptoms of blushing, abdominal
pain/cramping, nausea, palpitation, need to lie down and diarrhea. Late dumping
syndrome is mainly manifest with sweating, restlessness, irritability, tremors,
feeling sleepy, tiredness and sometimes unconsciousness.
When do you get dumping syndrome?
Dumping syndrome usually occurs when one consumes food or drinks that are
high in sugar especially refined sugar, fatty food and fried food.
How do you prevent it?
Avoiding food that brings it on is the primary step. By keeping a food diary and of
symptoms in a detailed manner one can usually get an idea what type of food
brings it on. Eating a protein-based diet is a good way to prevent it. Never eat
food that is rich in sugar or fats alone. Chew your food thoroughly and eat slowly.
Avoid eating and drinking at the same time. Give yourself at least 20 min either
way. Avoid alcohol.
How do you treat dumping syndrome?
It is best to discuss with your surgeon or your dietitian as there are various
treatment options depending on what exactly is causing it. This ranges from
simple diet modifications to different types of medication. Most of the times

these measures are effective. Occasionally reversal of surgery such as gastric
bypass maybe required.
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