Question:
What does the phrase dump mean and also how will you know if you have stretched your
— buckwheat1 (posted on January 11, 2008)
January 11, 2008
Your surgeon should have explained this very well prior to surgery. Dumping
normaly refers to several symptoms: sweating, rapid heart beat, faint
feeling, nausea, and/or diarrhea. This normally occurs when you eat a
sugary food, like ice cream. The sugar enters your blood stream quickly, as
it's not fully digested by your smaller stomach, and you body is reacting
to in instant "rush of sugar". Some other foods may cause you to
react the same way also. Not everyone reacts to every food in the same way.
Sugars may not bother some people, yet others can have on Life Saver, and
have to rush to the bathroom in a few minutes. TO prevent dumping in
public are, it's suggested you try one new food daily in your home. BUT,
you may prepare this food differently than a restuarant, so there still is
a chance you may react with a dumping symptom from the same restuarant
food. You know what goes into a food dish at your home, as you make it.
BUT, you do not have any idea of ingredients that may cause you problems
are in the restuarant version of the same food. I would suggest you attend
a bariatric support group meeting to ask patients in person this type of
question, so you fully understand they symtoms.
— Dave Chambers
January 11, 2008
Hi Cheryl. I haven't had my surgery (date is for next Monday).
The dumping syndrome is when you try to eat something that is too high in
fat or sugar and your stomach rejects it...you may throw up, feel nausea
and other just plan sick feelings.
However, from what I've heard, not everyone experiences dumping. Some say
that if you do have dumping it is a blessing in disguise becasue you will
have yet another deterrent to eating things that are going to sabatoge the
surgery.
Regarding your second question, knowing if you have stretched your
pouch....I'm not sure how you "KNOW" but if you are eating more
and more without feeling full then this is probably an indication. The
point is to stay on the program and only eat what you're supposed to and
don't push the limits. This way you do not have to worry about stretching
it.
HOpe this helps.
CJ
— cjjordan
January 11, 2008
Dave gave you the same answer I would have. Follow his advise, stay away
from Fat and Sugar. Once you have had Dumping you will not forget it. It
is a bad feeling that will last for hours some times. There is nothing
that you can do to reverse it or stop it. Just asked anyone at your
support group in person about it as someone there will have experenced it.
Not everyone gets it, but the majority can and many do. I had it once and
that cured me.
— William (Bill) wmil
January 11, 2008
I had severe dumping after my WLS. I might eat one thing one day just
fine, and find that I couldn't eat it the following day...so, GET TO KNOW
YOUR BODY.
Your pouch is supposed to stretch... and I have actually met people who
have allowed their pouch to stretch to the size they had it before WLS... I
know, I just will never get that! But, you can avoid stretching yours
more then the normal 5-6oz it's supposed to be, by maintaining your
diet/food plan. Forever! Good Luck.
— 502Laxi
January 11, 2008
Dave gave you a great answer. I found that a lot of people have
misconceptions about what exactly dumping is. Most assume it's diarrhea,
which it can be, but it is different for everyone. I found that I have my
worst dumping with milk and cereal. And I found that dumping occurs most
often for me if I eat this in the later hours of the day. I have only had
it happen twice, thinking even if I drank lactose free milk, it wouldn't
happen, and it happens with milk no matter what. I've moved to soy milk,
and avoid cereal all together too. It was just rice krispies, (malt-o-meal
version, my husband works there and we get free cereal every day!) I
learned quickly that this is a feeling I never want to experience again.
It lasted a couple of hours, and it washed over me like a wave. Hot
flashes, nausea, chills, flu like symptoms. I felt like I needed to take
to my bed instantly. It passes, but it's such a weird feeling that you
certainly learn what NOT to eat. So please heed the advice given. Watch
your fats and sugars and just know that the consequences are not worth the
food you think you want so badly. Best wishes. Hugs....Cheryl
— Cheryl K.
January 11, 2008
As far as dumping everyone has already explained that. About the
stretching, your pouch is going to stretch a LITTLE bit as you get further
away from when you had surgery. This is NORMAL. Unless you abuse food
once again and over eat, your pouch will be fine and won't stretch back to
it's pre-surgery size. It is supposed to stretch to accept about 5 ounces
of food at each meal. If you have any questions please ask your surgeon
and or nutritionist although they should have already explained this to you
prior to surgery. You could also be on here researching which I hope
everyone has helped answer your questions. I've heard dumping is NOT fun
and it's like instant flu like symptoms! ick! Good luck and God bless!
— crystalsno
January 11, 2008
My body's personal definition of dumping is the pouch and intestines
getting rid of any sugar or other food I may have eaten that my body didn't
like. And I do vomit and have intense cramping, sweating, bowel movements
that go beyond explanation. It's my body's way to say Hello! shouldn't have
eatten that.
— EmtEeyore
January 12, 2008
This is my understanding of "Dumping". It is not vomiting;
vomiting (and those other symptoms -- sweating, etc.) are caused by
dumping, when the contents of your pouch are prematurely dumped into your
small intestine. With me, that content does not have to be (and rarely is)
sugar and/or fat. It often happens with me when I eat any kind of food too
fast and do not chew sufficiently before swallowing. Food improperly
processed in the mouth (the first step in the process of digestion) is not
ready for the next stage of digestion in your now greatly diminished (in
capability as well as capacity) stomach (pouch). That, in turn gets
prematurely "dumped" into the small intestine at a new, lower
down entry point where "raw" food causes your body to react with
what is called the "dumping syndrome". Abnormally large
quantities of sugar or fat can not be suitably processed by the small pouch
before being passed through (dumped) to the smaoo intestine; that too is a
common cause of the syndrome.(Note: All this does not normally apply to
those with the Lap Band.)
— [Deactivated Member]
January 13, 2008
Lots of interesting answers here...some with some truth to them others are
not so much. Ok I am an RN, and this is the medical explanation of dumping
syndrome: 1. Dumping Syndrome (Also called rapid gastric emptying.) -
condition that occurs when food moves too fast from the stomach into the
small intestine. Typical symptoms can include a sudden drop in blood
pressure, cramps, nausea, diarrhea, and dizziness. 2. a physiologic
response related to the rapid emptying of the stomach contents into the
small intestine. Water is drawn into the intestines resulting in nausea,
cramping, and diarrhea. The concommitant drop in blood volume causes a
sympathetic nervous system response.
***Sugars can draw water/fluids rapidly into the small intestine and thus
cause dumping syndrome*** The amount of sugar is not constant for all
people, but individual and can change from time to time. Usually eating
less than 6g per serving or no more than 20g per day will likely lessen
your risk of experiencing dumping syndrome. Other foods can cause similar
symptoms and a "rush" of fluid or too much food into the small
intestine also causing dumping. Hope that helps some...ALSO...Weight loss
surgery patients who have gastric bypass can suffer from what is called
dumping syndrome. Dumping syndrome is described as a shock-like state when
small, easily absorbed food particles rapidly dump into the digestive
system. This results in a very unpleasant feeling with symptoms such as a
cold clammy sweat, pallor, butterflies in the stomach and a pounding pulse.
These symptoms may be followed by cramps and diarrhea. This state can last
for 30-60 minutes and is quite uncomfortable.
A small percentage of long-term post-operative patients build a tolerance
and do not dump on foods that would normally cause dumping syndrome with
the malabsorptive gastrointestinal system. However, most patients learn to
avoid the foods that cause dumping because it is so unpleasant.
Foods that typically cause dumping are sweets, fats and processed
carbohydrates. If a person is dehydrated the symptoms of dumping will be
exaggerated.
The most efficient way to avoid dumping is to maintain the strict regimen
practiced during bariatric infancy: follow the four rules. Eat protein
first making sure it comprises one-half of every meal. Avoid snacking.
Avoid all sources of simple sugar; and yes, this includes cookies, cakes,
candy, sodas, ice cream and sorbet. Sip water throughout the day. When you
practice this eating behavior your blood sugar will not fluctuate and you
will not dump. Most patients, who crave a taste of something sweet, have
learned they can tolerate a bite of fruit at the end of the meal. Each
person must proceed with caution and discover what works for their body.
It is important to note that the dumping experience is different for every
person. Some will always have extreme dumps and others more mild episodes.
Individuals will notice dumping episodes will vary by incident. No two
people experience dumping syndrome the and no two dumping episodes are the
same.
Dumping is a bittersweet result of the malabsorptive gastric bypass
surgery. Because patients are challenged daily to retrain their eating
habits an occasional dumping episode is likely to occur. Adherence to the
four rules will prevent dumping in most cases. However, every now and again
we will be blindsided by a dump caused by a food never suspected. Keeping a
list of poorly tolerated foods will help you avoid them. The acutely
dramatic event of dumping is a convincing motivator to follow the rules and
avoid the foods that have trigged a dumping episode.
To learn more about the four rules of living well after weight loss surgery
visit LivingAfterWLS Four Rules.
— Tomi D.
January 19, 2008
Not everyone dumps. I have never dumped. To use dumping as a deterent not
to eat certain foods is a little backward. No dumping with the lapband or
the duodenal switch. I am going to have a reversal from the RnY to a DS and
get it done right this time. It was a big mistake for me to get the RnY and
now I have learned my lesson. I was going to tell you to go to your state
forum, but you don't have a state listed on your profile. Nevertheless, go
to your individual state and ask this question of people who live in your
area. You can find out a lot things from those closer to you.
— KRWaters
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