'''Two different things share one name, they happen at different times, and diet is the first-line answer to both.''' An international consensus published in 2020 is the source for everything on this page (Scarpellini E et al., ''Nature Reviews Endocrinology'', 2020 · [https://doi.org/10.1038/s41574-020-0357-5 doi:10.1038/s41574-020-0357-5]).
== Early dumping ==
'''Within the first hour after a meal.'''
Stomach symptoms (abdominal pain, bloating, nausea, diarrhoea) along with flushing, palpitations, tiredness and a drop in blood pressure (Scarpellini E et al., ''Nature Reviews Endocrinology'', 2020 · [https://doi.org/10.1038/s41574-020-0357-5 doi:10.1038/s41574-020-0357-5]).
== Late dumping ==
'''Usually one to three hours after a meal.'''
The symptoms of a low blood sugar: weakness, confusion, feeling faint, and sweating, tremor and a pounding heart (Scarpellini E et al., ''Nature Reviews Endocrinology'', 2020 · [https://doi.org/10.1038/s41574-020-0357-5 doi:10.1038/s41574-020-0357-5]).
== What the consensus puts first, for both ==
- '''Smaller portions'''
- '''Fluids delayed until about 30 minutes after eating'''
- '''Simple sugars out'''
- '''Protein-rich, higher-fibre food, eaten slowly'''
(Scarpellini E et al., ''Nature Reviews Endocrinology'', 2020 · [https://doi.org/10.1038/s41574-020-0357-5 doi:10.1038/s41574-020-0357-5])
For early dumping it also notes that people can be advised to lie down for 30 minutes after eating, while saying the evidence for that part is limited (Scarpellini E et al., ''Nature Reviews Endocrinology'', 2020 · [https://doi.org/10.1038/s41574-020-0357-5 doi:10.1038/s41574-020-0357-5]).
== What to tell your care team ==
Symptoms that keep coming back are a conversation with your team, not something to manage alone, particularly the late kind, because low blood sugar has other causes worth ruling out.
== What Loopa does ==
When you log one of these symptoms, the card appears with what the consensus says. Log the food beside it and, over time, the app will show you which foods turned up before which symptoms, as counts of what you recorded, never as a cause.
== Related ==
- [[the-staged-diet-after-surgery|The staged diet after surgery]]
- [[protein-and-fluid-after-surgery|Protein and fluid after surgery]]
- [[nausea-constipation-gas-and-hair|Nausea, constipation, gas and hair shedding]]
== Where this comes from ==
Everything on this page is drawn from published clinical guidelines and peer-reviewed research, cited above. '''Loopa does not give medical advice.''' It does not decide whether a procedure is right for you, does not recommend one over another, and never sets a dose. Your care team does all three, and where they give you an instruction, theirs is the one to follow.
'''Two different things share one name, they happen at different times, and diet is the first-line answer to both.''' An international consensus published in 2020 is the source for everything on this page (Scarpellini E et al., ''Nature Reviews Endocrinology'', 2020 · [https://doi.org/10.1038/s41574-020-0357-5 doi:10.1038/s41574-020-0357-5]). == Early dumping == '''Within the first hour after a meal.''' Stomach symptoms (abdominal pain, bloating, nausea, diarrhoea) along with flushing, palpitations, tiredness and a drop in blood pressure (Scarpellini E et al., ''Nature Reviews Endocrinology'', 2020 · [https://doi.org/10.1038/s41574-020-0357-5 doi:10.1038/s41574-020-0357-5]). == Late dumping == '''Usually one to three hours after a meal.''' The symptoms of a low blood sugar: weakness, confusion, feeling faint, and sweating, tremor and a pounding heart (Scarpellini E et al., ''Nature Reviews Endocrinology'', 2020 · [https://doi.org/10.1038/s41574-020-0357-5 doi:10.1038/s41574-020-0357-5]). == What the consensus puts first, for both == * '''Smaller portions''' * '''Fluids delayed until about 30 minutes after eating''' * '''Simple sugars out''' * '''Protein-rich, higher-fibre food, eaten slowly''' (Scarpellini E et al., ''Nature Reviews Endocrinology'', 2020 · [https://doi.org/10.1038/s41574-020-0357-5 doi:10.1038/s41574-020-0357-5]) For early dumping it also notes that people can be advised to lie down for 30 minutes after eating, while saying the evidence for that part is limited (Scarpellini E et al., ''Nature Reviews Endocrinology'', 2020 · [https://doi.org/10.1038/s41574-020-0357-5 doi:10.1038/s41574-020-0357-5]). == What to tell your care team == Symptoms that keep coming back are a conversation with your team, not something to manage alone, particularly the late kind, because low blood sugar has other causes worth ruling out. == What Loopa does == When you log one of these symptoms, the card appears with what the consensus says. Log the food beside it and, over time, the app will show you which foods turned up before which symptoms, as counts of what you recorded, never as a cause. == Related == * [[the-staged-diet-after-surgery|The staged diet after surgery]] * [[protein-and-fluid-after-surgery|Protein and fluid after surgery]] * [[nausea-constipation-gas-and-hair|Nausea, constipation, gas and hair shedding]] == Where this comes from == Everything on this page is drawn from published clinical guidelines and peer-reviewed research, cited above. '''Loopa does not give medical advice.''' It does not decide whether a procedure is right for you, does not recommend one over another, and never sets a dose. Your care team does all three, and where they give you an instruction, theirs is the one to follow.
