ivor lewis op

[rasor]

hi can someone please explain to me in laymens terms the meaning of ( dumping ) as the last few weeks after food i have to rush to the loo , and i actually have diorrhea and completely empty all my tummies contents , thanks guys

[Mauser1905]

Have left quite a lot posts in this forum suggest using a search for more posts related to dumping.

Dumping syndrome is a collective of a variety of symptoms such as diarrhoea, out of breathe, increased heart rate, giddiness, weak in the knees, sweating. Black outs etc. Which can happen on it's own individually or as a combination of thereof.

All patients are unique and not everybody gets same dumping syndrome, this is due to a lot of variables.

Essentially your body is adjusting to your new plumbing and the food intake. Lactose, gluten, sugar etc intolerances will be observed and possibly be temporary as well.

Try to record the foods, drinks erc you had prior to diarrhoea and try to eliminate next time one by one to find out what is triggering it.

Remember keep your hydrated.

[rasor in reply to Mauser1905]

Mauser1905

Thank you for a fast response , i will record my food ,

[liz_crisp]

Hi it’s basically due to the new plumbing and the fact that your body is having to get to grips with digesting food again. The system works on gravity for a while and the messages from gut to brain are totally out of sync. It takes time and we are all different, like Mauser says see what you have eaten before hand, or did you move around straight after eating, was it a big portion, all sorts can have an effect. I found moving around or too much food caused me dumping. Some foods were guaranteed to bring on feeling faint, sweats, palpitations but once you recognise this a few dextrose tablets and sitting quietly will help lots. If you search for dumping on here you will find many posts. Over time what causes it will change as your digestion changes and learns to cope. just carry sugar around with you and be kind to your body as it’s learning again A bit like a toddler learning to cope with different foods, spices etc

[rasor in reply to liz_crisp]

Thanks Liz for your reply it helps a lot

[Mauser1905 in reply to liz_crisp]

Yes I forgot to mention excessive strain on the stomach internals immediately after food by walking, lifting or even talking too much.

I cant walk after the food or drinks as it aches severely in the diaphragm. This is in addition to the dumping I get. If I were to try and push hard then diarrhoea triggers even with proven foods.

Same things I noticed even with not walking or moving, lifting after meals but excessive talking upon breakfast. I take watery golden syrup cereal for breakfast as that gives me opportunity to move about quickly without getting too much dumping time out. I sometimes chant for an hour or in the morning and even this proven breakfast has ince or twice triggered diarrhoea dumping but due to strain I put in the stomach internals.

I normally get weak in knees (hypoglycaemia, low blood glucose) when I go hungry for longer than normal. And every single time high palpitations, short of breath and increased blood glucose(hyperglycemia).

Typos and hypers also part of the dumping syndrome for majority of the oesophagectomy patients. However given time post surgery, due diligence in self management and positivity the symptoms can be managed to greater extent. Initial days and months post surgery will always be more challenging due to drastic changes to the gastrointestinal system. However our bodies are way smarter than we treat them and body tries to adapt, just give it some time as well be diligent in how you go about adapting yourself too. You will get there eventually.

Excessive diarrhoea in the dumping will put you on the risk of losing the stable weight, so please do keep an eye on the weight especially more frequent diarrhoea DS.

And please do keep hydrated irrespective.

Good luck.

[Fizzy35 in reply to liz_crisp]

Well said

[Copyap]

I had my ivor lewis surgery about 20 months ago,i normally get dumping when climate gets hot,or eat hot food or eat spicy food or hot tea.My sugar drops and goes up to 3.00 it takes about 2 glasses of fresh lemon juice with lots of sugar,peanuts and some chocolates to become normal again.I normally perspire,bit of shivering and lots of sweat and weakness but no diarrhea.I am stilll learning what not to eat at certain times so this can be avoided.Just sharing my experience with you..

[Mauser1905 in reply to Copyap]

Copyap,

Your symptoms are consistent with hypoglycemia dumping syndrome. As many people have tried and the dextrose tablets works fast and its handy to carry anywhere and everywhere on yourself. Like flights etc.

If you havent tried those, then please do give a try and see if it helps you better.

For me excessive chocolates, sugar can trigger diarrhoea DS.

On empty stomach for too long I will go hypo that's weak in knees generally. Else after meals its hyper for me after that and associated DS symptoms.

Forgot to mention the hot curries dont do anything untoward to me.

[jeffw663]

What you have is dumping, try eating a little less and cut out some sugar, you have exactly the same as I had in the first few months, I am now very careful on quantity, I was told by the surgeon to eat 6 small meals a day, this helped and I now eat 3 a day but am very very careful on quantity, I can eat everything from curry to steak, but NOT a large portion, (I even have my own smaller plate). 16 months post I.L.

[Tanktank]

Dumping also known as intestinal hurry. In the absence of a stomach and certain enzymes your body can reject some foods lower down (sugar, spice, quantity) by flooding your pipes and causing a dump.

Some things trigger dumping more severely but we’re all different. You’ll get to know what to avoid and how best to pace yourself. I now start the day with a very small bowl of bran, nuts and prunes. This has helped regulate my system.

Good luck

Tanktank

[VBCardinal]

Yes, all who have replied describe it well. Everyone is different. For me, it is typically too much sugar at once, like a couple of cans of soda, or too much sweets. It comes on about 90 minutes after ingesting offending foods. If it comes on, quickly drink a small glass of orange juice. My symptoms include dizziness, sweat and heat beating rapidly. Once you drink the OJ, just relax for 10-15 minutes and your symptoms will likely subside. Good luck.

[Gerdopoulos]

Thank you all very much. Meant to ask the same question, now its answered. Thanks again

[Mentalmicky6]

I'm seven years post IL and my experience of dumping is due to the fact I have a very sweet tooth and by nature slightly greedy when it comes to carbohydrates like bread, having a tiny stomach after the op means there is a rapid transit of sugar into the intestine which causes an insulin overdose resulting in low blood sugar , in my case I have to stop what I'm doing , I feel weak nervous, slightly giddy and I see green stars and other visual disturbances, I normally counteract this with a cold drink an apple and then an urge for savory food. These episodes usually start about an hour after the bad eating choices and last for about 15-30 mins

[Spikey]

There are two types of dumping, early and late. Early dumping occurs immediately after eating, whereas late dumping occurs 1-2 hours later. The link below provides a simple explanation of the symptoms and causes:

mayoclinic.org/diseases-con...

[kiddy]

Hi yes I agree with all the above.

I cant eat full fat or drink full fat milk. Things like yoguart, ice cream some cheeses and meats cause it for me . Also Icant drink with food only sip water so having tea/coffee after a meal has to wait. Take care with sugar in cakes, chocolate etc.

Exercise causes me to burn up quicker so I need to have a banana after and carry dextrose you can get these in any supermarket, boots etc.

I had all the tests for lactose intolerance etc which turned out negative.

I was put on creon which has helped.

It’s annoying but least we are here

Best Wishes

Debbie

[rasor]

Hi Debbie

I agree with your sentiments , i am here also thanks to the 2 surgeons at Watford hospital ,i am taking notes of what people are telling me , thank you so much

[Janashlin]

Everyone has explained it well. The only thing I would add is that I find what is okay one day may not be okay the next day. Type of food and quantity Varys all the time.

Everyone always asks what did you eat or how much did you eat. This is them trying to find the fix but the only fix is time and your body adjusting. You aren’t doing anything wrong your body is just trying to figure it all out. I am 10 months post op and started with every time I ate having a bad pain in my back and early dumping. I still have it most days but usually only once a day. Sitting after eating for 20-30 minutes seems to really help avoid sessions for me.