Here are some dietary strategies that can help maintain good nutrition and minimize your symptoms.
June 10, 2015
- Eat smaller meals. Try eating five or six small meals a day rather than three larger ones.
- Avoid fluids with meals. Drink liquids only between meals. Avoid liquids for a half-hour before eating and a half-hour after eating.
Change your diet. Eat more protein — meat, poultry, creamy peanut butter and fish — and complex carbohydrates — oatmeal and other whole-grain foods high in fiber. Limit high-sugar foods, such as candy, table sugar, syrup, sodas and juices.
The natural sugar in dairy products (lactose) might worsen your symptoms. Try small amounts at first, or eliminate them if you think they're causing problems. You might want to see a registered dietitian for more advice about what to eat.
- Chew well. Chewing food thoroughly before you swallow can aid digestion.
- Sit upright after eating. Don't lie down for 30 to 60 minutes after you eat.
- Increase fiber intake. Psyllium, guar gum and pectin in food or supplements can delay the absorption of carbohydrates in the small intestine.
- Check with your doctor about drinking alcohol.
- Consume adequate vitamins, iron and calcium. These can sometimes become depleted following stomach surgery. Talk to your doctor or dietician about whether you need supplements.
- Dumping syndrome. National Institute of Diabetes and Digestive and Kidney Diseases. http://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/dumping-syndrome/Pages/facts.aspx. Accessed Feb. 26, 2015.
- Adair JD, et al. Late complications of bariatric surgical operations. http://www.uptodate.com/home. Accessed Feb. 26, 2015.
- Elrazek AE, et al. Medical management of patients after bariatric surgery: Principles and guidelines. World Journal of Gastrointestinal Surgery. 2014;6:220.
- Barbara Woodward Lips Patient Education Center. Dietary guidelines for managing dumping syndrome. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013.
- Yeo CJ. Postgastrectomy syndromes. In: Shackelford's Surgery of the Alimentary Tract. 7th ed. Philadelphia, Pa.: Elsevier; 2013. http:// www.clinicalkey.com. Accessed March 2, 2015.
- Goldman L, et al. Disorders of gastrointestinal motility. In: Goldman's Cecil Medicine. 24th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed March 2, 2015.
- Guar gum. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. March 2, 2015.
- Pectin. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. March 2, 2015.
- Blond psyllium. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. March 2, 2015.
- Black psyllium. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. March 2, 2015.