what is Dumping syndrome after sleeve surgery?



Diarrhea can be a part of Dumping Syndrome. But diarrhea can be seen at every age and because of many reasons. Diarrhea can be the result of food intoxication, infection or surgical procedures. Can also be seen as a part of Dumping syndrome after bariatric surgery. Dumping syndrome mostly seen after gastric bypasses. But Dumping syndrome can also be seen after sleeve gastrectomy.

What is Dumping Syndrome?

When sugar rich food travels fast to your small intestine, it causes rapid insulin rush in your blood stream. When insulin elevates fast, confusion, cold sweats and diarrhea can be seen. These symptoms are called Dumping syndrome. It may kick patients unconscious.

How to Prevent Dumping Syndrome?

Keep on your mind that bariatric surgery patients should not be staying hungry for long. Do not forget to have protein rich snacks to prevent Dumping syndrome. Also in fasting periods better to avoid carbohydrate rich food. Best is to start your meal with easy to digest protein rich food; such as yoghurt.

How to eat when you have diarrhea?

When you have diarrhea, there are some foods to try to solve this problem. Now, BRAT term is coming. BRAT is abbreviation of banana, rice, apple, toast. These foods provides fiber to your digestive system which will give consistency to stool. Cooked cereals, apple and apple juice are also in BRAT diet. When you have diarrhea, you lose electrolytes and fluids. That is why it is important to drink more fluids to recuperate. Also you can recover your electrolytes minerals water, chicken/ red meat/ turkey/ vegetables broths, herbal tea or non caffeine tea or coffee. When the diarrhea gets better, you can start to consume egg. BRAT diet has foods which helps the diarrhea get better. These food are also easy to digest and you can consume them after bariatric surgery by consulting to your bariatric dietitian and bariatric surgeon.

There are also some foods which are trigger diarrhea, it is better to avoid them. Milk and dairy products, fried and spicy foods, corn, processed foods, raw vegetables (because they are good source of fiber), citrus fruits like orange, mandarin, grapefruits, pineapple, dried fruits like dried apricot/ dried fig, raisins etc., alcohol, coffee and fizzy drinks and sweeteners. These are hard to tolerate after sleeve surgery. Consult your bariatric dietitian and bariatric surgeon for when you can eat them.

How can you follow BRAT diet? When you have diarrhea, you need to rest and drink more fluids. After 1-2 hours, you can start to consume BRAT foods slowly. First one or two days you can have soft foods, then you can continue to follow your diet, cooking chicken but without oil, then scrambled eggs.

Medication against diarrhea should not be taken without consulting your doctor. Any diarrhea persists more than a day should be consulted to your doctor also.

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