For Severe Symptoms

If you are one of the few people with severe symptoms that are not adequately controlled by simple measures and which have persisted for more than a year, you should ask to see the surgeon who performed your operation.  He or she will probably do a simple test to confirm the diagnosis of dumping;  for example, testing whether a concentrated glucose solution reproduces the symptoms?  It may then be possible to advise if an operation is available to cure your rapid stomach emptying.  For example, if your pylorus has been by-passed it may be possible to bring it back into circuit;  if it has been enlarged, it may be possible to restore it to normal size; and if your stomach has been removed, it may be possible to construct an artificial stomach from intestine.

If no operation is available, drug treatment will possibly be recommended.  There is no one remedy that is so good that it has displaced all the others, but each has helped many patients so it is well worth trying what you have been prescribed.

Useful Tips on Diet

1.    Eat small frequent, regular meals
2.    Only drink between meals.
3.    Avoid too much sugar and sugary foods.  If necessary, you can use artificial sweeteners.
4.    Avoid excesses of acidic foods eg. Tomatoes and citrus fruits.
5.    Excess fat should be avoided
6.    Try not to eat late at night.
7.    Avoid food temperature extremes.
8.    If you are underweight seek advice from a dietitian regarding energy and protein supplements.
9.    Increase foods rich in calcium and Vitamin D.
10.  Iron, folic acid and Vitamin B12 supplementation may be necessary.