Understanding Dumping Syndrome: Causes, Symptoms, & Management

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Gastric sleeve surgery is a popular choice for people looking to manage obesity. While the results can be life-changing and has the longest evidence regarding safety and durability. Having said that there are some side effects to be mindful of, like dumping syndrome. This condition, often linked to gastric bypass, can also rarely happen after a gastric sleeve procedure.

Dumping syndrome can be uncomfortable, even distressing, but with the right approach, it can be managed effectively.

Let’s explore the symptoms and how you can handle them effectively, patients can continue their weight loss journey with more confidence and fewer interruptions.

What is Dumping Syndrome?

When food, especially sugar and carbohydrates, moves from the stomach into the small intestine too quickly, it can result in some symptoms, collectively known as “dumping syndrome.”

There are two variations, early or late dumping syndrome. While late dumping syndrome can develop 1-3 hours after a meal, early dumping syndrome typically happens within 10–30 minutes of eating. Patients may have varying degrees of severity and frequency of symptoms.

Symptoms of Dumping Syndrome

The symptoms of dumping syndrome can be quite diverse and may include both gastrointestinal issues as well as vasomotor symptoms. Most of these are mild, transient and can be easily managed with dietary modifications

Early dumping syndrome symptoms:

  • Nausea and vomiting
  • Abdominal pain and cramping
  • Diarrhoea
  • Bloating
  • Dizziness
  • Rapid heartbeat
  • Sweating
  • Flushing

Late dumping syndrome symptoms:

  • Weakness
  • Confusion
  • Hunger
  • Shakiness
  • Rapid heartbeat
  • Sweating
  • Fainting (in severe cases)

Changes in Stomach Function Post-Surgery is the main cause behind dumping syndrome

After a sleeve gastrectomy, the stomach is reduced in size to approximately 150 mL, which allows food to pass into the intestines more quickly even if the pylorus valve, which helps control the flow of food, is still there. This rapid emptying may cause dumping syndrome symptoms.

In gastric bypass, the size of the stomach pouch is reduced to 50-80 mls which is then connected directly to the small intestine.

Comparing Dumping Syndrome: Gastric Sleeve vs. Gastric Bypass Surgery

While both gastric bypass and gastric sleeve surgeries are effective weight loss procedures, they differ in their approach and potential side effects.

Aspect Gastric Sleeve Gastric Bypass
Risk of Dumping Syndrome Lower risk Higher risk
Stomach Modification About 75-80% of stomach removed Stomach reduced to small pouch, bypassing part of small intestine
Pylorus Valve Retained Bypassed
Stomach Size Post-Surgery Reduced to approximately 150 mL Reduced to small pouch
Food Transit Faster than normal Rapid
Severity of Symptoms Generally milder Can be more severe
Long-term Management Seldom lasts longer Managable with dietary modifications

For a more detailed comparison of these procedures, you can refer to this helpful resource: How Do Gastric Bypass and Gastric Sleeve Surgeries Differ?

Tips to Avoid Dumping Syndrome

While dumping syndrome can be uncomfortable, there are several strategies that can help manage or prevent symptoms:

  1. Eat smaller meals more frequently throughout the day.
  2. Chew food thoroughly and eat slowly.
  3. Avoid drinking fluids with meals. Wait at least 30 minutes after eating before drinking.
  4. Include lean protein in every meal or snack.
  5. Limit high-sugar and high-carbohydrate foods.
  6. Choose low glycaemic index (GI) carbohydrates when possible.
  7. Include high-fibre vegetables in your meals.
  8. Consider adding small amounts of healthy fats to your diet.

Common FAQs

How do you get rid of dumping syndrome?

Dumping syndrome is typically managed through dietary changes and lifestyle modifications. In most cases, symptoms improve over time as patients learn to identify and avoid trigger foods. If dietary changes aren’t sufficient, medical treatments may be considered.

What food causes dumping syndrome?

Foods that commonly trigger dumping syndrome include:

  • Refined sugars and sweets
  • High-carbohydrate foods
  • Dairy products (for some people)
  • Fatty or greasy foods
  • Alcohol

It’s important to work with a dietitian to identify your specific trigger foods and develop a suitable eating plan.

Overcoming Dumping Syndrome with the Support of Healthy Weight Australia

Dumping syndrome, while more common after gastric bypass, can also occur following gastric sleeve surgery. By following appropriate dietary guidelines and working closely with healthcare providers, most patients can effectively manage or prevent dumping syndrome symptoms.

Healthy Weight Australia offers comprehensive support for individuals considering or recovering from bariatric surgery.

With a team of experienced surgeons and dietitians, we provide personalised care to help patients navigate potential complications like dumping syndrome.

Our patient-centered approach ensures that individuals receive the guidance and support needed to achieve sustainable weight loss and improved health outcomes.

Get in touch with us today and book a free assessment with us today so we can support you through your health journey.

Contact us today to book a free assessment so we can help you on your path to better health.

Healthy Weight Australia

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We are a medical group made up of the finest Physicians, Surgeons and Allied Health professionals across Australia. Our team of experts will help you discover a program that aligns perfectly with your personal goals.

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