Dumping syndrome and diet
Dear Donovan,
I have dumping syndrome and would like some advice on how to eat my meals. Is it better to sip rather than gulp drinks, and how big should my bite sizes be? Also, what are some foods that can reduce the effects of my condition?
Dumping syndrome, also called rapid gastric emptying, occurs when food — especially sugar — moves from the stomach into the small intestine too quickly. This condition usually happens after surgery is done to remove all or a part of the stomach. It may also occur after bypass surgery for weight loss.
Most people with dumping syndrome usually develop abdominal cramps and diarrhoea 10 minutes to half an hour after eating, or one to three hours after eating. These situations are referred to as early or late symptoms of dumping syndrome Early dumping occurs when food and gastric juices move into the intestine in a very fast and uncontrolled way. When the signs and symptoms occur one to three hours after eating (late dumping), the body produces large amounts of insulin to reduce excessive sugar in the small intestine.
Signs and symptoms of dumping syndrome may include nausea, vomiting, abdominal cramps, rapid heart rate and diarrhoea. These can be reduced or prevented by the following diet changes: (a) eat smaller meals more frequently instead of having three large meals per day; (b) avoid having fluids with meals. Fluids are best taken in between meals, and sweet juices are not recommended. Candy, soda and pastries should be avoided. High-fibre foods including fruits, vegetables and vegetable juices should be increased.
In addition, chewing food properly might also be helpful in controlling the dumping syndrome.
To answer your specific question, it is better to sip the liquid than to gulp it down rapidly. Remember to avoid sweet juices, and limit your liquid intake between meals. Chew food properly to reduce particle size, and eat several small meals per day instead of large ones. Additional vitamins and minerals might be necessary. Good luck!
We will answer your weight-related questions.
Are you struggling to lose weight, or just need some advice on living a healthier life? Tell us about your health issues and we’ll have nutritionist and wellness coach Donovan Grant answer them for you. Grant has over 12 years’ experience in the fitness industry and is the owner of DG’s Nutrition and Wellness Centre, 39 Lady Musgrave Road. Call him at 876-286-1363. E-mail questions to clarkep@jamaicaobserver.com.