How Can I Speed Up Weight Loss After Gastric Sleeve Emergency First Aid For Gastric Bypass Dumping Syndrome

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Emergency First Aid For Gastric Bypass Dumping Syndrome

For patients undergoing gastric bypass weight loss surgery, episodes of regurgitation syndrome, or rapid gastric emptying, are physically dramatic and disruptive to lifestyle. Before surgery, patients are instructed to avoid sugary processed carbohydrates, greasy fried foods and all easily processed carbohydrates to avoid dumping syndrome. Some patients who become lactose intolerant with weight loss surgery (WLS) experience bloating after eating foods that contain lactose: dairy sugar. Although most patients adhere to dietary guidelines, it is inevitable that at some point they will experience an episode of dumping syndrome.

Gastric Regurgitation Syndrome occurs when chewed and partially digested food leaves the stomach too quickly and enters the small intestine. This causes the pancreas to release excessive amounts of insulin into the bloodstream and symptoms of hypoglycemia occur. Dumping syndrome is most often associated with malabsorptive gastric surgery, particularly gastric bypass surgery. Symptoms of dumping syndrome will appear immediately after eating or within three hours after eating. Each person is unique in their response to gastric emptying, however, common symptoms may include nausea, vomiting, bloating, cramps, diarrhea, profuse sweating followed by chills, dizziness and fatigue. When insulin levels return to normal symptoms decrease.

  • Providing Physical Comfort: At the onset of a dumping episode the patient may first notice a sense of disorientation or disorientation. This indicates the body is starting to panic with excess insulin flooding the bloodstream. Someone who has experienced dumping in the past may feel hopeless when they realize the onset of dumping syndrome. Providing physical comfort during this time is the first response to a dumping episode. Efforts to interrupt or stop the dumping episode are futile. Many gastric bypass patients who are familiar with dumping prefer to isolate themselves from others looking for a cool place to lie down. Symptoms may include vomiting or diarrhea so patients should find a quiet place near the bathroom. Many will experience short periods of heavy sweating followed by longer periods of shivering: providing a blanket is useful to relieve the cold. A patient will reach for a blanket when it is needed, the caregiver should not attempt to cover the patient unless asked to do so. Patients may experience symptoms of sensory disturbances including extreme and abnormal sensitivity to light, sound and touch. These are temporary symptoms and many patients find relief when the lights are dimmed and they relax in a reduced noise environment. Many patients say they prefer not to be comforted by touch from their caregivers because of acute sensitivity to touch during dumping events.
  • Hydration and Electrolyte Drinks: Gastric bypass patients with dumping syndrome may be mildly dehydrated before the dumping episode. It is important to rehydrate the body by sipping room temperature water or electrolyte-enriched sports drinks. Patients should be discouraged from consuming sugar-sweetened beverages or juices in an effort to correct insulin imbalances. The body is already in a reactionary and corrective state to insulin spikes and efforts to speed up the corrective process are rarely successful.
  • Get Emergency Care: Patients should seek emergency medical attention when symptoms of dumping syndrome persist for a long period of time. If the patient is unconscious immediately seek emergency medical attention and provide details for the patient including bariatric procedures, history of diabetes or hypoglycemia, and an account of food intake prior to the dumping episode.

Not all weight loss surgery patients experience dumping syndrome. It most commonly occurs in patients undergoing malabsorptive procedures, particularly gastric bypass. Adjustable gastric band (lap-band) and gastric sleeve patients are not known to have dumping syndrome. Following episodes of dumping patients should consult their bariatric center to identify the cause of the event and make a plan to prevent future episodes.

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