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Medical Forum / Diseases and Disorders / Lupus / April 2004

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Janers / Zinn (and/or others)  BP, palpitations, dizzy (meals)

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J - 19 Apr 2004 11:21 GMT
Hey ladies,
Perhaps this is of interest? Is to me.
<http://www.cancerbacup.org.uk/Resourcessupport/Copingwithcancer/Dietafterstomach
surgery
>

Dumping Syndrome

Dumping syndrome is divided into two types: early dumping syndrome and
late dumping syndrome. Each of these has different processes and
symptoms.

Early dumping syndrome often involves dizziness, a feeling of faintness,
and palpitations (a sensation of the heart beating faster) very soon
after meal times. It can last for approximately 10–15 minutes. Sometimes
the person experiences a drop in their blood pressure.

Early dumping syndrome is caused when a meal rapidly enters the bowel
from the stomach. The sudden high concentration of food in the bowel
draws fluid from the surrounding organs and tissues and causes a drop in
blood pressure.

Treatment
Early dumping syndrome often subsides on its own over a few months, but
it can be reduced by eating slowly and choosing small, frequent, dry
meals. It is helpful to drink fluids between meals rather than at
mealtimes. It may also help to avoid high levels of refined sugars
(foods that contain lots of sugar) in your diet. It is important to eat
some sugars as these are a good source of energy (calories), so try not
to cut them out of your diet completely.

Some people find that sitting or lying down for 15 to 30 minutes
immediately after mealtimes can reduce the effects of early dumping
syndrome.

Late dumping syndrome usually occurs a couple of hours after meal times
or when a meal has been missed, and often involves a sudden attack of
faintness that can be severe and may even lead to a loss of
consciousness. The person may also have nausea and tremors (shaking).

Late dumping syndrome is caused by stomach contents that are high in
carbohydrate being released into the small bowel. This causes a rise in
the level of glucose in the blood as the carbohydrate is absorbed. Large
amounts of insulin are released into the blood stream as a response to
this. The insulin levels continue to rise after the blood glucose levels
have begun to fall. It is the high insulin level which causes the above
symptoms.

Treatment
Follow the advice as for early dumping syndrome – taking small regular
meals that are low in processed carbohydrate, eg. sugar. Glucose tablets
can also be helpful to take at the first onset of the symptoms. Eating
food and drinking fluid separately may also be useful in preventing late
onset dumping syndrome.
janers - 19 Apr 2004 18:06 GMT
Thanks "J".  I have known about this.  When we did tube feeding with
patients, they sometimes experienced this.  Threw some nurses and docs for
a loop.  LOL

I appreciate ALL you have and are doing for the group.  Saves me from
typing a lot tee hee.   Giving advice is a God send and believe me woman,
you are IT

thanks again

janers
J - 20 Apr 2004 01:53 GMT
Sorry Janers, I thought earlier you mentioned palpitations just before or near
mealtimes so I thought it might be helpful to you.
That's why I posted it with your name in the subject.
Hugs
J

> Thanks "J".  I have known about this.  When we did tube feeding with
> patients, they sometimes experienced this.  Threw some nurses and docs for
[quoted text clipped - 7 lines]
>
> janers
Zinn - 20 Apr 2004 00:32 GMT
J, I don't have stomach cancer, nor did I have surgery there, mine was
breast surgery.

but, yeah, I have had the 'dumping' symptoms since the mid 1970's, strange
isn't it.

Zinn

> Hey ladies,
> Perhaps this is of interest? Is to me.

<http://www.cancerbacup.org.uk/Resourcessupport/Copingwithcancer/Dietafterst
omachsurgery>

> Dumping Syndrome
>
[quoted text clipped - 44 lines]
> food and drinking fluid separately may also be useful in preventing late
> onset dumping syndrome.
J - 20 Apr 2004 01:52 GMT
It is from a cancer website but the point is how various foods or eating habits
affect the body.
Hugs
J

> J, I don't have stomach cancer, nor did I have surgery there, mine was
> breast surgery.
[quoted text clipped - 58 lines]
> > food and drinking fluid separately may also be useful in preventing late
> > onset dumping syndrome.
 
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