What triggers dumping syndrome?
Dumping syndrome is a condition in which food, especially food high in sugar, moves from your stomach into your small bowel too quickly after you eat. Sometimes called rapid gastric emptying, dumping syndrome most often occurs as a result of surgery on your stomach or esophagus. Dumping syndrome is a group of symptoms that develops when undigested food moves too fast (or is dumped) from the stomach into the small intestine. It may also be called rapid gastric emptying.Rapid gastric emptying in diabetes may be associated with early ‘dumping syndrome’ manifested by post-prandial nausea, bloating, light-headedness, flushing, palpitations, and abdominal pain, often with cramps, borborygmi, and diarrhea.When food moves too quickly from your stomach to your duodenum, your digestive tract releases more hormones than normal. Fluid also moves from your blood stream into your small intestine. Experts think that the excess hormones and movement of fluid into your small intestine cause the symptoms of early dumping syndrome.Late dumping syndrome occurs 2 to 3 hours after a meal. It results from excessive movement of sugar into the intestine, which raises the body’s blood glucose level and causes the pancreas to increase its release of the hormone insulin.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.
What are the signs of a patient being in the last stage of dumping syndrome?
Early dumping syndrome symptoms: these include nausea, vomiting, palpitations, sweating, bloating, cramping, diarrhoea, dizziness and fatigue. Late dumping syndrome symptoms: these include hypoglycemia (low blood sugar), weakness, confusion, hunger, sweating and dizziness. This is most often related to changes in your stomach associated with surgery, including any stomach surgery or major esophageal surgery, such as removal of the esophagus (esophagectomy). But in rare cases, dumping syndrome can develop without a history of surgery or other obvious causes.The dumping syndrome is complication arising from obesity surgeries, but also can be a result of vagus nerve damage.Changing your eating habits The first step in treating dumping syndrome is changing how and what you eat. Many people with dumping syndrome have mild symptoms that improve over time with simple changes in eating and diet.Dumping syndrome may result in either weight loss or weight gain. In severe cases, dumping syndrome is associated with a substantial reduction in quality of life and significant weight loss as a result of avoidance of food intake 15.
How long does a dumping syndrome episode last?
It is also hard to determine how long dumping syndrome lasts as sometimes it may last 30 minutes and the other time lasts throughout a day and gets intensified after each meal. Usually, for bariatric patients, a dumping syndrome disappears once the stomach recovers and adapts after the weight loss surgery. Gastroparesis and dumping syndrome both evolve from a disturbed gastric emptying mechanism. While gastroparesis results from significantly delayed gastric emptying, dumping syndrome is a consequence of increased flux of food into the small bowel [1,2].It is also hard to determine how long dumping syndrome lasts as sometimes it may last 30 minutes and the other time lasts throughout a day and gets intensified after each meal. Usually, for bariatric patients, a dumping syndrome disappears once the stomach recovers and adapts after the weight loss surgery.General Measures to Treat Dumping For early dumping, lie down for 45 minutes until symptoms pass to minimize the chances of fainting. For late dumping, eat small amounts of sugar candy or drink sweetened juice until the symptoms of low blood sugar resolve.Try adding a serving of fat to meals and snacks. A modest amount of fat will slow stomach emptying and may help prevent dumping syndrome. Too much fat at one time, however, can have the opposite effect. Butter, margarine, gravy, vegetable oils, salad dressings, cheese, and cream cheese are good choices.
What medication is used to stop dumping syndrome?
Doctors may prescribe acarbose (Prandase, Precose) link to help reduce the symptoms of late dumping syndrome. Side effects of acarbose may include bloating, diarrhea, and flatulence. Lean proteins, high-fiber grains, and probiotic-rich foods support healthy digestion and may reduce dumping syndrome symptoms.Dumping syndrome is caused by different contributing factor, including: changing how food empties the stomach, how the nerves are distributed to the stomach, and the stimulation of gastrointestinal hormones. The condition also may decrease how well your body is able to absorb nutrients from the foods you eat.Early dumping syndrome symptoms: these include nausea, vomiting, palpitations, sweating, bloating, cramping, diarrhoea, dizziness and fatigue. Late dumping syndrome symptoms: these include hypoglycemia (low blood sugar), weakness, confusion, hunger, sweating and dizziness.Sometimes called rapid gastric emptying, dumping syndrome most often occurs as a result of surgery on your stomach or esophagus. Most people with dumping syndrome develop signs and symptoms, such as abdominal cramps and diarrhea, 10 to 30 minutes after eating. Other people have symptoms 1 to 3 hours after eating.
How does octreotide help with dumping syndrome?
In patients with dumping syndrome, octreotide likely decreases gastric emptying by resetting the migrating motor complex to the fasting level. The effectiveness of octreotide in controlling the symptoms of both early and late dumping has been demonstrated in several randomized control trials. Dumping syndrome is a group of symptoms, such as diarrhea, nausea, and feeling light-headed or tired after a meal, that are caused by rapid gastric emptying. Rapid gastric emptying is a condition in which food moves too quickly from your stomach to your duodenum.Therefore, with significant abdominal symptoms with nausea and vomiting, especially if they have vasomotor symptoms, dumping syndrome should be suspected, although the symptoms may be identical to Gastroparesis and a gastric emptying study will differentiate the two.Gastroparesis and dumping syndrome both evolve from a disturbed gastric emptying mechanism. While gastroparesis results from significantly delayed gastric emptying, dumping syndrome is a consequence of increased flux of food into the small bowel [1,2].Lean proteins, high-fiber grains, and probiotic-rich foods support healthy digestion and may reduce dumping syndrome symptoms.In patients with dumping syndrome, octreotide likely decreases gastric emptying by resetting the migrating motor complex to the fasting level. The effectiveness of octreotide in controlling the symptoms of both early and late dumping has been demonstrated in several randomized control trials.