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Dumping syndrome

Gastric dumping syndrome, or rapid gastric emptying is a condition where ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested. It happens when the small intestine expands too quickly due to the presence of hyperosmolar (having increased osmolarity) food from the stomach. "Early" dumping begins concurrently with or immediately succeeding ingestion of a meal. Symptoms of early dumping include nausea, vomiting, bloating, cramping, diarrhea, dizziness, and fatigue. "Late" dumping happens one to three hours after eating. Symptoms of late dumping include weakness, sweating, and dizziness. Many people have both types. The syndrome is most often associated with gastric bypass (Roux-en-Y) surgery.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with dumping syndrome, 84% report having nausea, 68% report having weight gain, and 68% report having upper abdominal pain. The symptoms that are highly suggestive of dumping syndrome are nausea, fatigue, upper abdominal pain, weight gain, vulvar sore, excessive growth, knee lump or mass, and itchy eyelid, although you may still have dumping syndrome without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with dumping syndrome often receive radiographic imaging procedure, cardiac enzymes measurement, x-ray computed tomography, kidney function tests, glucose measurement, urinalysis, plain x-ray and biopsy .

Common Medications

The most commonly prescribed drugs for patients with dumping syndrome include sodium chloride (deep sea), bifidobacterium infantis (align), pancreatin, nortriptyline, rabeprazole (aciphex), prochlorperazine (compro), midazolam (versed), fentanyl, acetaminophen / codeine, sertraline (zoloft), warfarin, cyclobenzaprine and naproxen .

Who is at risk?

Groups of people at highest risk for dumping syndrome include age 60-74 years, age 45-59 years and race/ethnicity = white. On the other hand, race/ethnicity = black and age 15-29 years almost never get dumping syndrome.

Age

< 1 years
0.3x
1-4 years
0.1x
5-14 years
0.1x
15-29 years
0.0x
30-44 years
0.9x
45-59 years
2.4x
60-74 years
2.3x
75+ years
0.1x

Sex

Male
0.8x
Female
1.2x

Race/Ethnicity

Black
0.0x
Hispanic
0.1x
White
1.6x
Other
0.2x
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