People who have had surgery to remove their stomachs or cut the nerve that controls stomach contractions, often feel nauseas after meals. Fifteen to 30 minutes after eating they develop high blood sugar that causes nausea, dizziness, cramping and diarrhea; then two hours later, they develop low blood sugar levels that cause shakiness, vomiting, headache, cold sweating, hunger, weakness and confusion.

The early symptoms of dumping syndrome are caused by a rapid flow of food into the intestines which lowers blood volume by drawing fluid from the blood into the intestines to dilute the food and causes a very high rise in blood sugar. The late phase is caused by a low blood sugar from the high insulin levels of phase one.

Treatment is to never allow a large amount of food to enter the stomach, and avoid foods that cause a high rise in blood sugar and take medication to keep the food in the stomach longer and prevent blood sugar levels from rising too high. In short, the treatment is the same as for diabetics. Avoid bakery products, pastas, sugar added foods and eat lots of whole grains, beans seeds, nuts, and vegetables. Take 500 mg of Glucophage before meals to reduce the rise in blood sugar. Take antacids such as Prilosec, Prevacid and Protinix to shut off stomach acid and keep food in the stomach longer, and eat multiple small meals.

Checked 8/9/05

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