Dumping syndrome post fundoplication

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Gaviscon99
Regular Member


Date Joined Apr 2012
Total Posts : 53
   Posted 4/25/2012 9:41 AM (GMT -6)   
Hi. I'm looking to see what other people's experience of dumping syndrome after fundoplication are? I'm am now only 7 days post redo fundoplication with a 180 wrap! Still got major swallowing problems and infact a barium swallow yesterday show fluid backing up in my oesophagus so wrap is doing something. However my other major problem is every time I have a build up drink (which is all I'm having at the moment) after 30 to 60 minutes I get nausea, belching, sweating, lethargy, racing heart then severe diarrhoea. It's really quite debilitating. Surgeon hopes it will pass once I get off build up drinks and eat small amounts more often. Anyone experienced this? What can I expect? Thanks

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 4/25/2012 1:48 PM (GMT -6)   
Hi Gaviscon,
I had dumping syndrome whenever my wrap was irritated, or that's what it seemed to me.  I'd eat something that might be somewhat challenging, and moments afterward would have loud gurgling that could be heard across the room.  At some point after that I'd have diarrhea, but it wasn't like I had to spend my day close to the toilet. 
 
Once it was started, it would continue several days like that with loud gurgling and diarrhea.  Then it would settle down again for a bit, until I ate something my wrap and stomach didn't like and we'd be back to the races.  I was working by this time and out and about.  It would be quite embarassing to have such loud sounds coming out of my stomach!
 
This continued intermittently for much of the first year, but became less and less frequent as my healing progressed.  Still, I figured I'd have to deal with having a dumping episode every so often, and chalked it up to a post-op quirk.  However, sometime during my second year, I suddenly noticed that it wasn't happening any more.  I don't know when it stopped, but it sure did.
 
I found that as my healing progressed there were certain triggers.  One was salad/lettuce/raw veggies.  It seemed that not long after enjoying it, I'd hear that telltale gurgling, and I knew what was happening next.
 
I didn't get any of the other effects, like lightheadedness, nausea, or sweating. 
I can only tell you that mine went away in time, and I expect yours will, too.  Just hang in there...this surgery definitely has a challenging recovery, but you will recover. 
 
Best wishes,
Denise
Words of wisdom by Eckhart Tolle:
"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”

kyheart
Veteran Member


Date Joined Apr 2011
Total Posts : 513
   Posted 4/25/2012 7:21 PM (GMT -6)   
Hello Gaviscon

First of all, it sounds as though something in your buildup drink is not agreeing with you.. what is in it and could this be the problem?? even if you drank it before with out issues, maybe it just doesn't work now...

I am 1 year and 1 month post op. I had the Nissen done. I still have intermittent episodes of "dumping" occasionally. It was almost gone in January and then I had gall bladder surgery and it came back more frequently. As time goes by, the dumping issue should recede.

I do remember that the first several weeks the diarrhea was quite an issue because of the liquid and then soft diet.. but, time flies when you are looking forward to feeling better.. the best advice I can give you is the advice I was given way back when... please try to relax into your recovery and do not push your diet. You will be glad you were patient...
Good luck to you

Reach for the Sunshine.. Rainbows will follow...
Sandi smurf tongue turn turn tongue smurf

pegster
Regular Member


Date Joined Feb 2011
Total Posts : 95
   Posted 4/25/2012 10:05 PM (GMT -6)   
Hey Gaviscon and others,

In trying to find information in addition to what my dr. and nutritionist gave me, I came across some useful information that is much more specific to dumping syndrome than I had ever seen. Since dumping is quite common after NF and can contribute to reactive hypoglycemia, I thought you might want to look at it. I am not computer savvy, so I don't know how to make the blue words to click on. The site is http://gicare/anti-dumping-post-gastrectomy/diet. Hope this is helpful.
Peggy

Gaviscon99
Regular Member


Date Joined Apr 2012
Total Posts : 53
   Posted 4/26/2012 4:14 AM (GMT -6)   
Thanks for all your replies. I have switched to fortijuice from fortisip, so its less milkiy. I'm also drinking it much more slowly and this seems to be helping. I am however feeling really tired, weak and wobbly I suspect as at present I'm only managing 600 calories a day. I will certainly check out that website. Thanks again.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 4/26/2012 6:11 AM (GMT -6)   
Hi Peggy,
I'll be saving that link and document in my files. 
Great contribution.
Thanks a lot!
Denise

pegster
Regular Member


Date Joined Feb 2011
Total Posts : 95
   Posted 4/26/2012 9:15 PM (GMT -6)   
I knew you would be on it, Denise.

Peggy

dee76
New Member


Date Joined Nov 2017
Total Posts : 2
   Posted 11/29/2017 12:23 AM (GMT -6)   
Hello all,
I'm new to this forum, I found it by googling for answers to some things I am experiencing since my recent fundoplication surgery on 11/13/17.

I am having random bouts of diarrhea. My surgeon did let me know this may happen. However, was not clear why, he just said "it happens to some people & can last for weeks up to a year."

From what I have read on this forum, I believe it is referred to as "dumping syndrome".

It seems to me, again, based on what I've read on this forum, that it is typically due to certain foods & possibly over eating. Although I over ate a couple times because I was so hungry & I definitely regretted it, it was hard to tell if I was full until it was too late. The diarrhea episodes mostly seem to happen when I am active. By active I mean any type of activity where I am up & active for more than 5 to 10 minutes.

For example, today I went grocery shopping to buy the soft foods I am now allowed to eat, I was 'out & about' for about 3 hours total. My stomach was slightly upset within the 2nd hour, by the time I got home there was a storm going on in my stomach, so I took 2 gas x & within a 1/2 hour or so started having diarrhea, that was like water. I had diarrhea 3 times in less than 2 hours. I know Imodium would stop it, but, I was constipated for 3 days (until this morning & that was after I took Miramax twice), so I am afraid to take it. Although diarrhea is pretty miserable, I have been severely constipated a few times in the last few months, which is not normal for me, so I would rather have diarrhea than be constipated as to me, that is much worse, at least I can get some relief with diarrhea. Even after 3 bouts of diarrhea, my stomach was still upset, although it seems to be calming down & so far is just gas now, my stomach is still making loud gargling sounds. Just fyi, I only had 1 danimals drinkable yogurt this morning & a glass of apple juice, as well as a cup of water this evening. I felt good all day, until I was 'out & about' this evening. Also, when this happens, I feel nauseous afterwards so I typically take a zofran, I also have promethazine suppositories but mainly use those when I am nauseous but do not have diarrhea.

I am hungry right now but am afraid to eat anything.

Is this normal? What can I do to prevent it, other than less activity? I will most likely be released to go back to work on 12/11/17 & am concerned about this because I will be up & down, working 8 hours a day Monday through Friday. My job will expect me to be "on point" now that I've had this surgery, as I have been out alot since August when I got really sick with an abdominal infection & gastritis, which put me in the hospital for 4 days, due to the severe pain & on medical leave for a month & a half, as my belief was that it'd be life changing & I'd feel much better, after the 1st 4 weeks.

From what I've read on this forum, it actually takes 6 months to a year to completely recover from this surgery, which I was completely unaware of. I also read that I should only be eating 1/4 to a 1/2 cup of food each time I eat, 4 to 8 times a day, which I was also unaware of. I was told I can eat whatever I want at 5 weeks after my surgery (as tolerable), but, that doesn't necessarily seem to be true, although it hasn't felt any different swallowing & hot/cold food or drinks haven't hurt my chest or bothered me at all, I am extemely nervous to eat potatoes, meat, bread, chips, salsa or green chilé at 5 weeks, even though I am so looking forward to it, as those are some of my favorite foods.

I didn't even need pain meds right after surgery, just a heating pad for the intense shoulder pain, which I was aware would most likely happen, so I honestly thought recovery would be fairly easy & quick. I have only used the prescribed pain meds maybe 3 times & Tylenol about the same amount, typically when I've over done it, food or activity wise. I really only use either when it really hurts.

Last, I was on 80 mg of prontonix & 600 mg of zantac, per day, had a hiatal hernia & my esophageal sphinxter was essentially non existent, prior to this surgery

Any thoughts, suggestions or input is very much appreciated!


Sincerely,

dee76 idea

Post Edited (dee76) : 11/28/2017 11:40:06 PM (GMT-7)

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