Gastric Bypass Dumping Syndrome - Three Foods That Cause It
As pre-op weight loss surgery patients we are taught to fear the mysterious dumping syndrome and in most cases we are told that avoiding sugar will prevent the occurrence of dumping syndrome. So it comes as a surprise when after having a malabsorptive gastric surgery we experience symptoms that we think are dumping syndrome, yet sugar has not crossed our lips. In this article we take a look at dumping syndrome so that we can understand the full picture - beyond the sugar - and avoid the foods that may cause it.
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By Kaye Bailey

As pre-op gastric bypass weight loss surgery patients we are taught to fear the mysterious dumping syndrome and in most cases we are told that avoiding sugar will prevent the occurrence of dumping syndrome. So it comes as a surprise when after having a malabsorptive gastric surgery we experience symptoms that we think are dumping syndrome, yet sugar has not crossed our lips. Most information discussing dumping syndrome following weight loss surgery focuses on avoiding sugar and suggests that some patients "get" dumping syndrome while others do not get it, almost like it were an optional feature of the surgery. Other misinformation suggests that dumping syndrome goes away after time when patients adjust to surgery and eventually they are able to eat sweets.

Very little clinical research is published to help us understand dumping syndrome beyond personal experience. Combine the lack of reputable information with a plethora of urban legend about dumping syndrome and it is easy to understand the confusion.

Rapid Gastric Emptying
Dumping syndrome, also called rapid gastric emptying, is defined by the National Digestive Diseases Information Clearinghouse (NDDIC) as, "a condition where ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested. It happens when the upper end of the small intestine, the duodenum, expands too quickly due to the presence of hyperosmolar (substances with increased osmolarity) food from the stomach. "Early" dumping begins concurrently or immediately succeeding a meal." What that means to gastric bypass patients is that food particles are too quickly absorbed by the small intestine because they have gone directly there without the digestive benefits of an intact intestine. The food is literally "dumped" into the small intestine.

To manage this food the pancreas' releases excessive amounts of insulin into the bloodstream and the body experiences the symptoms of hypoglycemia. Symptoms may begin immediately or anytime within 3 hours of eating and may include nausea, vomiting, bloating, cramping, diarrhea, dizziness and fatigue. Symptoms do subside as insulin levels return to normal. Many patients experiencing dumping find comfort in lying down or sipping on fortified water or energy drinks served at room temperature.

The medical community generally agrees the treatment of dumping syndrome is through the avoidance of certain foods that cause it. People who have gastric dumping need to eat small meals that are high in lean protein, low in carbohydrates, avoid simple sugars, and should drink liquids between meals, not with meals. The following are three food groups that should be avoided in the treatment and prevention of dumping syndrome in gastric bypass patients:

Simple Sugars: cookies, cakes, candies, bakery items, ice cream, sweet dairy.

Simple Carbohydrates: chips, crackers, processed cereals, pasta with creamy milk sauces.

Learn about slider foods and Weight Gain

High-Fat Cabohydrates: French fries, deep fried food, fast food, grilled food with sweet barbecue sauce, cream based soups and sauces.

A diet of carefully chosen lean protein with low glycemic fresh fruits and vegetables is effective in avoiding dumping syndrome. Ongoing research is beginning to implicate hyperinsulinemic hypoglycemia as the cause of rapid gastric emptying after weight loss surgery but for you and me on the front lines suffering from sweats and chills called dumping, what does that really mean right now? I suggest we become our own personal research scientists and develop a prudent dietary strategy based on current information and personal data that allows us to avoid dumping syndrome and lead a nutritionally balanced life.

Kaye Bailey 2010 - All Rights Reserved

Kaye Bailey is an internationally recognized writer, speaker and weight loss surgery advocate. She is the author of the highly successful weight loss surgery back to basics plan: 5 Day Pouch Test and the 5 Day Pouch Test Owner's Manual. Her follow-up book, Day 6: Beyond the 5 Day Pouch Test, was published in December 2009. It provides guidance for long-term weight and health management with all bariatric surgical procedures. Ms. Bailey is known for her powerful "you can do this" manner and her belief in the power of personal responsibility. She is the founder of LivingAfterWLS, LLC parent company to the LivingAfterWLS.com and 5daypouchtest.com websites. Supporting both websites is the LivingAfterWLS Neighborhood, an online compassion-driven community for weight loss surgery, gastric bypass and gastric banding patients.

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Gastric Bypass Dumping Syndrome - Three Foods that Cause It
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Day 6: Beyond the 5 Day Pouch TestDay 6: Beyond the 5 Day Pouch Test
by Kaye Bailey
Kaye Bailey's follow-up to her powerful 5 Day Pouch Test Owner's Manual, which has helped countelss thousands get back on track with their weight loss surgery. In Ms. Bailey's generous spirit of compassion and belief in others she shares her secrets for working with the surgical weight loss tool, not against it, to achieve optimum success and long-term weight maintenance. No gimmicks. No quick fixes. Just simple common sense delivered in the powerful "you can do this" style we have come to expect from Ms. Bailey.

In Day 6: Beyond the 5 Day Pouch Test Ms. Bailey invites readers to consider their relationship with the word diet as she introduces a revolutionary new concept for nurturing a strong and reasonable respect for food.

Day 6 is the way-of-life weight loss surgery patients will follow if they want to control their weight for the rest of their lives.


"This is the book I wish I had read before having surgery in the first place - it would have made all the difference in my success or failure."
-- Alyce Pittaway, Laparoscopic GastricBypass 2002

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