{"id":17131,"date":"2021-02-17T11:14:22","date_gmt":"2021-02-17T11:14:22","guid":{"rendered":"http:\/\/opa.org.uk\/sample-page\/opa-dumping-syndrome-after-upper-gi-surgery\/"},"modified":"2021-03-18T16:35:52","modified_gmt":"2021-03-18T16:35:52","slug":"opa-dumping-syndrome-after-upper-gi-surgery","status":"publish","type":"page","link":"https:\/\/opa-old.voidappsdev.uk\/?page_id=17131","title":{"rendered":"OPA Dumping Syndrome after Upper GI Surgery"},"content":{"rendered":"<h1>Dumping Syndrome after Upper GI Surgery<\/h1>\n<p>Some patients suffer from &lsquo;dumping syndrome&rsquo; after their surgery. It is one of the effects of having a shorter digestive tract. The food rushes through the system more quickly than it should. The Vagus nerve, that normally controls the speed of the digestion, will often have been cut because of the surgery, and for some patients it takes months for the body to re-train itself to cope with the new system.<\/p>\n<p><strong>Dumping Issues<\/strong><\/p>\n<p>a) Early dumping is within 30 minutes of eating. Carbohydrates enter the digestive tract quickly and disturb the osmotic balance (concentrations) causing dizziness, faintness, palpitations, low blood pressure, cramping and diarrhoea. Resting immediately after eating may help.<\/p>\n<p>b) Late dumping normally occurs 2-3 hours after eating or if a meal is missed. It is primarily caused by poorly timed insulin release for the amount of food entering the digestive system and results in feeling faint or sick and shaky. Consuming sugary food may help.<strong><\/strong><\/p>\n<p><strong>Recommendations for dumping<\/strong><\/p>\n<ul>\n<li>Avoid refined carbohydrates, chose lower glycaemic index foods<\/li>\n<li>Include starchy foods as part of meals<\/li>\n<li>Small, frequent &amp; regular meals and snacks<\/li>\n<li>Chew well: eat slowly<\/li>\n<li>Keep liquids separate for meals<\/li>\n<li>Dry foods may help<\/li>\n<li>Loperamide (Imodium) and Creon may help&nbsp;<strong><\/strong><\/li>\n<\/ul>\n<p><strong>Should we be eating Low Glycaemic Index Foods to minimise dumping?<\/strong><\/p>\n<p>Not all carbohydrate foods behave the same way in our bodies, and the Glycaemic Index rates of foods according to how much they affect our blood-glucose levels. So this can become very relevant if you suffer from dumping syndrome or diabetes. Ask your specialist dietician for advice about whether concentrating on low glycaemic index goods might be better for you.<\/p>\n<p>The following table summarises the Glycaemic Index for some common groups of food.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Drinks<\/td>\n<td>Sugar-free drinks<\/td>\n<td>Sports drinks<br \/>Fanta<br \/>Cola<\/td>\n<td>Lucozade<br \/>Glucose drinks<\/td>\n<\/tr>\n<tr>\n<td>Cereals<\/td>\n<td>All Bran<br \/>Muesli<br \/>Porridge<br \/>Special K<br \/>Sultana Bran<br \/>Fruit &amp; Fibre &#8211; type<br \/>Oat and Wheat Flakes<\/td>\n<td>Shreddies<br \/>Sustain<br \/>Grapenuts<br \/>Cheerios<br \/>Branbuds<\/td>\n<td>Cornflakes<br \/>Cocopops<br \/>Rice Krispies<br \/>Weetabix<br \/>Puffed Rice<br \/>Puffed Wheat<br \/>Shredded Wheat<\/td>\n<\/tr>\n<tr>\n<td>Bread, Biscuits<br \/>&amp; Cake<\/td>\n<td>Heavy grain bread<br \/>e.g. Granary\/multigrain<br \/>Pitta Bread<br \/>Rye Bread<br \/>Chapatis<br \/>Fruit loaf<br \/>Sponge cake*<br \/>Banana cake*<\/td>\n<td>Fibre enriched white bread<br \/>Ryvita<br \/>Oat meal biscuits<br \/>Shortbread*<br \/>Muesli bar*\/flapjack*<br \/>Croissant*<br \/>Muffin<br \/>Digestive biscuits<\/td>\n<td>Brown<br \/>Wholemeal\/White<br \/>French stick<br \/>Bagels<br \/>Crumpets<br \/>Morning coffee biscuits<br \/>Water biscuits<br \/>Puffed crispbreads<br \/>Rice cakes<\/td>\n<\/tr>\n<tr>\n<td>Potatoes, Rice<br \/>&amp; Pasta<\/td>\n<td>Yam<br \/>Sweet Potatoes<br \/>Basmati Rice<br \/>Noodles<br \/>Pasta &#8211; most types<\/td>\n<td>New potatoes<br \/>Boiled potatoes<br \/>Macaroni<\/td>\n<td>Instant potato<br \/>Mashed potato<br \/>Jacket potato<br \/>Chips*<br \/>Instant rice<br \/>Brown rice<br \/>White rice<\/td>\n<\/tr>\n<tr>\n<td>Fruit &amp;<br \/>Vegetables<\/td>\n<td>Apple, dried apricots, banana,<br \/>cherries, Cantaloupe melon,&nbsp;<br \/>grapefruit, grapes, kiwi, mango,<br \/>orange, peach (canned and fresh),<br \/>pear, plum, fruit cocktail.<br \/>Apple Juice, grapefruit juice,&nbsp;<br \/>pineapple juice (small glass).<br \/>Carrots, peas, sweetcorn<\/td>\n<td>Apricots (canned)<br \/>Pineapple<br \/>Papaya<br \/>Squash<br \/>Sultanas and raisins<\/td>\n<td>Parsnips<br \/>Pumpkin<br \/>Swede<br \/>Broad Beans<br \/>Watermelon<\/td>\n<\/tr>\n<tr>\n<td>Legumes\/Grains<\/td>\n<td>Baked beans, butter beans, black<br \/>eyed beans, chick peas, haricot<br \/>beans, kidney beans, lentils, soya<br \/>beans.<br \/>Pearl barley, buckwheat, bulgar<br \/>wheat.<\/td>\n<td>Couscous<br \/>Cornmeal<br \/>Millet<\/td>\n<td>Tapioca<\/td>\n<\/tr>\n<tr>\n<td>Snacks<\/td>\n<td>Most chocolate*<br \/>Popcorn*<br \/>Crisps*<br \/>Peanuts*<\/td>\n<td>Some chocolate bars*<br \/>e.g. Mars bars<br \/>Taco Shells<\/td>\n<td>Jelly babies<br \/>Jelly beans<br \/>Corn chips<\/td>\n<\/tr>\n<tr>\n<td>Sugars<\/td>\n<td>Fructose<br \/>Lactose<\/td>\n<td>Honey<br \/>Sucrose<\/td>\n<td>Glucose<\/td>\n<\/tr>\n<tr>\n<td>Dairy<\/td>\n<td>Low fat ice-cream<br \/>Milk<br \/>Yoghurt<\/td>\n<td>Full-fat ice-cream*<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>*&nbsp;<em>Foods containing relatively high amounts of fat &#8211; keep these to a minimum&nbsp;<\/em><\/p>\n<p><em><\/em><\/p>\n<p><em>&copy; The Oesophageal Patients Association&nbsp;<\/em><em><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dumping Syndrome after Upper GI Surgery Some patients suffer from &lsquo;dumping syndrome&rsquo; after their surgery. It is one of the effects of having a shorter digestive tract. The food rushes through the system more quickly than it should. The Vagus nerve, that normally controls the speed of the digestion, will often have been cut because of the surgery, and for some patients it takes months for the body to re-train itself to cope with the new system. Dumping Issues a) Early dumping is within 30 minutes of eating. Carbohydrates enter the digestive tract quickly and disturb the osmotic balance (concentrations) causing dizziness, faintness, palpitations, low blood pressure, cramping and diarrhoea. Resting immediately after eating may help. b) Late dumping normally occurs 2-3 hours after eating or if a meal is missed. It is primarily caused by poorly timed insulin release for the amount of food entering the digestive system and results in feeling faint or sick and shaky. Consuming sugary food may help. Recommendations for dumping Avoid refined carbohydrates, chose lower glycaemic index foods Include starchy foods as part of meals Small, frequent &amp; regular meals and snacks Chew well: eat slowly Keep liquids separate for meals Dry foods may [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":226,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-17131","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>OPA Dumping Syndrome after Upper GI Surgery - The OPA<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"OPA Dumping Syndrome after Upper GI Surgery - The OPA\" \/>\n<meta property=\"og:description\" content=\"Dumping Syndrome after Upper GI Surgery Some patients suffer from &lsquo;dumping syndrome&rsquo; after their surgery. It is one of the effects of having a shorter digestive tract. The food rushes through the system more quickly than it should. The Vagus nerve, that normally controls the speed of the digestion, will often have been cut because of the surgery, and for some patients it takes months for the body to re-train itself to cope with the new system. Dumping Issues a) Early dumping is within 30 minutes of eating. Carbohydrates enter the digestive tract quickly and disturb the osmotic balance (concentrations) causing dizziness, faintness, palpitations, low blood pressure, cramping and diarrhoea. Resting immediately after eating may help. b) Late dumping normally occurs 2-3 hours after eating or if a meal is missed. It is primarily caused by poorly timed insulin release for the amount of food entering the digestive system and results in feeling faint or sick and shaky. Consuming sugary food may help. Recommendations for dumping Avoid refined carbohydrates, chose lower glycaemic index foods Include starchy foods as part of meals Small, frequent &amp; regular meals and snacks Chew well: eat slowly Keep liquids separate for meals Dry foods may [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/opa-old.voidappsdev.uk\/?page_id=17131\" \/>\n<meta property=\"og:site_name\" content=\"The OPA\" \/>\n<meta property=\"article:modified_time\" content=\"2021-03-18T16:35:52+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/?page_id=17131\",\"url\":\"https:\/\/opa-old.voidappsdev.uk\/?page_id=17131\",\"name\":\"OPA Dumping Syndrome after Upper GI Surgery - The OPA\",\"isPartOf\":{\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#website\"},\"datePublished\":\"2021-02-17T11:14:22+00:00\",\"dateModified\":\"2021-03-18T16:35:52+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/?page_id=17131#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/opa-old.voidappsdev.uk\/?page_id=17131\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/?page_id=17131#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/opa-old.voidappsdev.uk\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"OPA Dumping Syndrome after Upper GI Surgery\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#website\",\"url\":\"https:\/\/opa-old.voidappsdev.uk\/\",\"name\":\"The OPA\",\"description\":\"Caring for the cancer patient &amp; their family\",\"publisher\":{\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/opa-old.voidappsdev.uk\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#organization\",\"name\":\"The Oesophageal Patients Association\",\"url\":\"https:\/\/opa-old.voidappsdev.uk\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/opa.org.uk\/wp-content\/uploads\/2020\/12\/opa-logo-2020-site-icon.png\",\"contentUrl\":\"https:\/\/opa.org.uk\/wp-content\/uploads\/2020\/12\/opa-logo-2020-site-icon.png\",\"width\":512,\"height\":512,\"caption\":\"The Oesophageal Patients Association\"},\"image\":{\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"OPA Dumping Syndrome after Upper GI Surgery - The OPA","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_GB","og_type":"article","og_title":"OPA Dumping Syndrome after Upper GI Surgery - The OPA","og_description":"Dumping Syndrome after Upper GI Surgery Some patients suffer from &lsquo;dumping syndrome&rsquo; after their surgery. It is one of the effects of having a shorter digestive tract. The food rushes through the system more quickly than it should. The Vagus nerve, that normally controls the speed of the digestion, will often have been cut because of the surgery, and for some patients it takes months for the body to re-train itself to cope with the new system. Dumping Issues a) Early dumping is within 30 minutes of eating. Carbohydrates enter the digestive tract quickly and disturb the osmotic balance (concentrations) causing dizziness, faintness, palpitations, low blood pressure, cramping and diarrhoea. Resting immediately after eating may help. b) Late dumping normally occurs 2-3 hours after eating or if a meal is missed. It is primarily caused by poorly timed insulin release for the amount of food entering the digestive system and results in feeling faint or sick and shaky. Consuming sugary food may help. 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