Dumping Syndrome

[@Gort1175]

I had a duodenum stricture bypass surgery... Couple of months later I started to have rapid heart rate, dizziness, fainting feeling etc and all the other IBS symptoms. Damn thought the old ticker was playing up. Wasn't until I went back to the surgical team and informed what was going on. Damn this really is a life changer.

[@VitalXtreme]

I cant tell if I have dumping syndrome or IBS. I just notice that every once in a while I eat something I shouldn't have and my body completely rejects it. I start getting shakes, chills, profusely sweating and shortly after explosive diarreah that comes in waves. It's gotten so bad in the past I've even passed out on the toilet. Then ill go lay down shaking and sweating for another hour or two. This happens probably once every few months. Happened about a weak ago 10 min after finishing a meal at Robertos.

[@Rocknrolla25133]

This sounds like exactly what happened to me recently. Mine was definitely dumping syndrome.

[@MostlyHarmless68]

Thanks for this explanation, it's the best I've found. Dumping has been an educational experience for sure, though its inconsistency means it takes me longer to learn 😄

[@DoctorJP]

Agree that dumping can be variable, and frustrating. I wish you the best of luck on your journey!

[@christinal.suarez1838]

I don't have glucose issues with dumping syndrome, nor have I had gastric bypass surgery. I have however had serious Gerd before symptoms started. There's really not that much info on this issue. Any new research findings are desperately needed.

[@rebeccaalexander6591]

Thank you Dr Pilcher for this video! your videos helps so much.

[@DoctorJP]

Thanks for watching Rebecca! Glad this is helpful!

[@parismadrid8586]

@@DoctorJP Does dumping syndrome always happen immediately after eating? I ate a few bites of pasta last night with my kids, during the night I got terrible stomach cramping and have been feeling weak and sick this morning. I don’t remember experiencing any dumping so far in the year since surgery, but was wondering if this could be it. Thanks for your help!

[@DoctorJP]

@@parismadrid8586 Usually, dumping is in the first hour or two but significant carb loads can irritate the intestines in a way that lasts for days. Hope you're feeling better!

[@parismadrid8586]

@@DoctorJP thanks for the info Dr. pilcher! Can’t believe it’s a year ago this month that you changed my life forever. I will always be truly grateful 😊

[@TheGreennblue]

What mechanism causes dumping syndrome in people that never had gastric bypass surgery? Can you be born with a tendency to it or do we develop it by our food choices?

[@Rocknrolla25133]

I recently had my first dumping syndrome 3 months post gastric bypass. I had a Rice Krispies square and ended up passing out on the toilet and breaking my front teeth on the bathtub. I would highly recommend avoiding it as it was some of the most painful moments of my life - the cramping was out of this world.

[@DoctorJP]

so sorry to hear that! Hope things smooth out for your journey going forward!

[@tigerbunny6778]

Wow. Thats awful. Thanks for sharing. ❤

[@INEJUDI]

Thank you so much doctor for sharing your knowledge with us, it's a great relief for me to be informed about my condition. Despite doing everything rigth, I'm suffering from reactive postprandial hypoglycemia, I'm trying to work it out with my medical team. But this condition is rare, sometimes I'm the first case for my doctos. I hope to find a solution, it's really exhausting to live with these simptoms everytime I eat, even the right amount and macronutrients. I feel dizzy, my heart rate accelerates, it's difficult to breathe, i feel like I'm going to pass out, my hands shake, I feel the urge to eat something, I feel nauseated, sometimes I have to throw up, it's really debilitating and exhausting to feel like this all the time. It interferes with my daily activities, my personal life, my work, my workouts, everything, I really pray this ends, or at least gets better, I hope I do not have to go under surgery to reverse the process, but it's an option if nothing else works. Since my bypass surgery in 2020, I have been experiencing dumping syndrome, nausea, diarrhea, and I always try to eat clean and workout at the gym. I really thank you doctor for your videos, they have helped me to understand what my body is going through, and ask the right questions to my doctors, I also feel like I'm not alone, it's important for me to read the comments section and get to know other people experiences, I'm forever greatful, please know your work is much appreciated and relevant for those like me who suffer this condition. Sorry if any mistake was made in grammar or writing, english is not my native language.

[@DoctorJP]

I'm glad this has let you know that you are not alone with this challenging condition. I hope that you and your doctors are able to mitigate this in someway. Best of luck.

[@laurieswain3832]

Did you find a solution I’m having same problem. I’m basically keto at this time

[@Dweller415]

I’m seven months post Roux en Y and have done fine until yesterday when I experienced dumping syndrome following a catered lunch. I had consumed half a Panera vegetarian sandwich but I knew that there would be trouble because I could taste the sugar in the wheat bread. Within minutes, I felt like I needed to throw up and felt like I was close to losing control of my bowels. Neither happened, but I felt absolutely horrible and was sweating so bad. After getting home I slept.

[@DoctorJP]

Yes, that can feel pretty bad. Watch out for that bread!

[@nonacee5065]

I was given vanilla yoghurt, ice cream, jelly and custard, a tasty creamy soup, and apple juice (which i had to dliute greatly)on my first meal allowed after the leakage test. I was very surprised to see it was free fluids rather than clear fluids. Everything had a sugar content, but the food went down easily with no repercussions or restrictions. This was day 3 in hospital. I'm home on soups and any fluids.

[@DoctorJP]

The plan you describe doesn't fit with my understanding, but I do not dismiss it. Every program develops a system that works for that program and its patients. Best of luck on your journey!

[@nonacee5065]

@DoctorJP It didn't fit with anything I'd learned on the internet either. I see the surgeon tomorrow and see what his next step is. I feel pretty good, and my calories are about 900 calories with plenty of soups, pumpkin, vegetable, gazpacho and potato and leek, all fairly diluted and blended, of course. I'm doing sugar free jelly and regular yogurt, also lots of fluids, tea, Chai, decaf coffee, protein water and sugar free hot chocolate. I'm day 10 post op, 6 days home. I've lost the 4kg of fluid I put on in the hospital. My kidneys struggled a bit at that time. Hopefully, this all works out. I'm keeping track, and that certainly helps.

[@kristinachrzanowski2960]

My sister is having a total gastrectomy after testing positive for the CDH1 gene mutation. They performed 38 biopsies, found cancer in 1. Do you recommend preserving the lower esophageal sphincter? I've read studies on NIH, concluding it's better to preserve the LES to decrease instances of esophagitis and other issues.

[@DoctorJP]

I appreciate your question, but this is not my area of expertise, so I do not have advice for you. Still, I wish your sister the best.

[@MyName-cp7qc]

Ive never had bypass surgery and still deal with this. I noticed after dealing with anxiety disorder and agoraphobia. My sugar drops after a meal on average once a week. I eat constantly snack on peanuts and sugar protein bars all day long amd this seems to help. DR Pilcher, what would you suggest? Ive tried a dietician, ive tried doctors and nobody knows anything.

[@DoctorJP]

I'm sorry, because this can definitely interfere with life. Since it's not bariatric, I think your best bet will be to connect with an endocrine doctor.

[@MyName-cp7qc]

@@DoctorJP thank you sir

[@Sovreign87]

Can you get dumping syndrome without having had a bypass? Been having the same exact symptoms sporadically.

[@DoctorJP]

Dumping syndrome can happen with no surgical alterations to the anatomy, though it's much less common.

[@issacespinoza5498]

I just experiment my first dumping syndrome experience its really painful after eating excessive watermelon in a short time,literally i was about to call 911 because i though i was going to die

[@DoctorJP]

So sorry you experienced that, but yes, I think most gastric bypass patients do "test it out" at some point.

[@issacespinoza5498]

@DoctorJP actually I ended up going to the ER after 6 hours of abdominal pain to the point I couldn't walk,had to stay all night at hospital with IV fluids to get hydrated since I was really dehydrated and too much acid on my stomach due to lot of coffee consumption and no water. Worst experience and pain I ever had in my life.

[@rovinakali]

So to avoid this no sugar or carbs like bread or rice ever again?

[@DoctorJP]

Different people have different levels of tolerance to carbs and sugars. It is important for overall metabolic health and best weight control to keep the carbs to a minimum for everyone. Having said that, I don't want patients to feel as if they are in "food jail." Most people can have a little bit of carbs as long as the majority of a given meal is healthy food.

[@susandonaldson7437]

Thanking you for the information on what it is.

[@DoctorJP]

Glad this was helpful!

[@SAVKA284]

I have dumping syndrome but have never had any type of surgery gastric or otherwise. Please can you give me any advice as I have to get up in the middle of the night to have something to eat as I'm starving all the time. It's exhausting.

[@DoctorJP]

I wish I could help you, but I'm most familiar with bariatric surgery issues. My best suggestion would be for you to see an endocrinologist.

[@SAVKA284]

Thank you for your reply. Fortunately I have finally managed to get a referral so I'm hoping I can get some help.

[@vossaucce]

@@SAVKA284hey I'm in the same situation as you, could you let me know if you find anything out? I've had early dumping syndrome for two years now but it showed up randomly when I was 19 and I'm 21 now with no history of surgery or anything just a normal guy who always hit the gym and ate good. I was told I could have gotten it from covid but no evidence of this and I'm going to go to mayo clinic sometime after I'm done trialing this last medication so if you want I could give you updates on what I find out aswell.

[@Elizabethselby]

I’m not eating any sugar and staying under 5 to 10 g of fat. I’m nauseated every time I eat. No other dumping symptoms other sometimes I need to lie down for a bit. I’m 10 weeks out. I’m also band to bypass conversion. I did have a leak 2 day after surgery and needed to be reoperated on and developed sepsis. Will this nausea go away? This is no quality of life.

[@DoctorJP]

I'm sorry to learn of your trouble Ms. Muir. Your bariatric surgeon and their team have the best chance of helping you work through this and feel better.

[@Elizabethselby]

@@DoctorJP I have discussed this with my surgeon. I’m American but live in the UK. They are still placing bands here. He said this is how I will lose weight. He’s not kidding I’m struggling to get in 400-600 calories. I’m not dumping I’m not vomiting, I’m just constantly nauseated. I’ll try again. Thank you.

[@Elizabethselby]

Turned out sepsis left my liver covered with abscesses largest was 7.5. I spent a month in hospital with a liver drain and came home with it, antibiotics and on morphine. I've just weaned off 80mgs a day for pain after 2 years. Liver seems clear. When I said I was nauseated. I was nauseated.

[@INEJUDI]

I have postprandial hypoglycemia 😢

[@robin-sk2cc]

Stay strong 💪, I do too after an injury surgery of the intestine. I do feel lil better now mostly I do have milk often if I think I feel bad. Just let your body learn

[@ronservice9261]

I guess this also applies to those of us who have undergone a Whipple procedure.

[@DoctorJP]

very likely yes

[@leorodz9587]

Hello , can you give your opinion on my question , I was diagnosed pre diabetic last year and high blood pressure after they gave me meds for diabetes and high blood pressure I been feeling headaches, dizziness, weak and when I’m setting down or when I stand up I feel dizzy and out of balanced like fainting.. even when I go out and go to stores or any place I feel unbalanced while standing or dizzy while walking or movement .. any info would be helpful.thank you .

[@DoctorJP]

This question should go to your treating doctor. I wish you the best of health.

[@itsweathersworld]

I’m 10 years out and i every time i eat i experience heart racing, confusion etc. how can we avoid postprandial hypoglycemia? I don’t eat as many meals. But once i break a fast an eat it starts racing. So for example today I had some green juice this morning (chard, collards, grapefruit, celery) i was fine. I broke my actual eating fast around 7pm with a tablespoon of sunflower butter and some strawberries. My heart went crazy. 145bpm. This is so scary. It’s like i don’t even know what to eat or like I’m scared to eat. Is this possibly hypoglycemia? How would i know?

[@DoctorJP]

Very sorry to see your struggles. I put together this video for people who have postprandial hypoglycemia. kzbin.info/www/bejne/fpbYXoh9ZciNl68 More importantly, I think you should visit back with a local experienced bariatric team as soon as practical.

[@itsweathersworld]

Does a revision correct this?

[@tracycabrera1950]

I get this confused dumping syndrome confused with postprandial hypoglycemia symptoms. I have all symptoms when eat certain foods. Feel like I'm going to pass out lightheaded and dizziness fatigue irritable and cognitive behavior issues too What test do I need?

[@DoctorJP]

It would be helpful to visit with your bariatric team, although your question does not make it clear if you are a bariatric patient. If not, then an endocrinology doctor can probably help you.

[@tracycabrera1950]

@John Pilcher, Bariatric Surgeon yes I had gastric bypass 16 Years ago RnY

[@axeems]

Thank you Dr for the explaination, just a question, i never had the surgery but still facing dumping syndrome, so what could be the possible reason.

[@DoctorJP]

Thanks for your question. You are experiencing an unusual situation. Perhaps an endocrine cause can be found. I recommend you seek consultation with a gastroenterology doctor, and perhaps also with an endocrinology doctor. Best of luck!

[@darmy713]

I wonder if it can also be caused by vitamin deficiencies like a number of the B vitamins.

[@DoctorJP]

You making an interesting point. It does seem that patients are more sensitive to sugars if they are not taking vitamins regularly.

[@Princess-lo8lu]

So this wont happen always after time?

[@DoctorJP]

It's a good question. There is a LOT of variation from patient to patient. Generally, the dumping syndrome becomes a bit less active over time.

[@mediwise2474]

Pl sir help Can we get dumping without any gastric surgery ? How to test and diagnose dumping without Any surgery

[@DoctorJP]

It is possible to have dumping without bariatric surgery, though it's uncommon. The best way to figure this out is to visit with a gastroenterology specialist in your area.

[@mediwise2474]

@@DoctorJP pl sir help me here doctors are not so competent I am from Pakistan Here doctors are so much incompetent

[@mediwise2474]

@@DoctorJP for God sake help me

[@GurpreetSingh-wq5rx]

we can talk bro i have same symptoms

[@hudsonvie]

These vids should scare the s*hit out of you. No pun intended.