| Coping with Dumping Syndrome after a Gastric Bypass
One of the most common side effects of a gastric bypass surgery is rapid stomach emptying, medically known as dumping syndrome. When it strikes, it is physically debilitating and uncomfortable, so much so that is disrupts daily activities. Dietary adjustments (restriction of calories, more protein, more fluids and vitamin and mineral supplements) are made way before the surgery is performed in order to make the postoperative transition smoother, but even patients who comply meticulously with post-operative nutritional guidelines may unexpectedly experience episodes of dumping syndrome. The question is what to do about it when an episode strikes.
Gastric dumping syndrome happens when swallowed food gets partially digested and goes from the stomach to the small intestines too quickly. Because of the sudden "dump", the pancreas releases insulin into the system, which is why symptoms of hypoglycemia come apparent within three hours after consuming food. The general symptoms of gastric dumping syndrome include nausea, vomiting, abdominal cramps, diarrhea, sweating, chills, fatigue, and dizziness. These symptoms are caused by the rising insulin levels and when they stabilize, the symptoms disappear.
The first sign that an episode is about to occur is when a person begins to feel confused or disoriented. At this point, it is crucial that he or she prioritize physical comfort and not panic. A cool, restful room with a comfortable place to lie down is a good choice, but it needs to be close to a bathroom.
The next thing that could happen is a brief period of sweating and chills, which can be remedied by a warm blanket. There may be extreme sensitivity to light, touch and sound, so it is important that the person doesn't become too stimulated.
A person can become dehydrated from a dumping episode, so fluid replacement is also a priority. The best way to keep hydrated is by sipping water or electrolyte-rich sports drinks at room temperature. However, sugary drinks are not advisable because the insulin levels may become more imbalance.
Finally, if the symptoms of dumping syndrome are severe, the patient must be brought over to the emergency room, especially when he or she becomes unconscious due to insulin imbalance. Frequent episodes may indicate a need for gastric surgery revision.
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