Dumping syndrome, also called rapid gastric emptying, is a group of symptoms which are most likely to develop after surgery to remove all or part of the stomach. This condition occurs when the undigested contents of the stomach are transported or ‘dumped’ into the small intestine too rapidly. Common symptoms include nausea, vomiting, abdominal cramps, diarrhea, bloating, dizziness, weakness and palpitations.
For most patients with mild symptoms, dumping syndrome improves on its own without medical treatment or after adjusting the diet. Patients with more serious symptoms can be given Ayurvedic medicines to reduce the dumping of food and the associated symptoms. Medicines like Shankh-Vati, Laghu-Sutshekhar-Ras, Chitrakadi-Vati, Hingashtak-Churna and Lashunadi-Vati are used to treat abdominal pain, cramps, nausea, vomiting and bloating. Medicines like Kamdudha-Ras, Shankh-Bhasma, Praval-Panchamrut-Ras and Sutshekhar-Ras are used to slow down the passage of the food out of the stomach. Medicines like Panchamrut-Parpati, Kutaj-Parpati, Ras-Parpati and Suvarna-Parpati can be used to improve the retentive and digestive power of the small intestine. Kutaj-Ghan-Vati, Bilva (Aegle marmelos), Daruharidra (Berberis aristata) and Musta (Cyperus rotundus) can be used to reduce diarrhea.
In addition, symptomatic treatment is given for other associated symptoms and conditions. Shrung-Bhasma, Laxmi-Vilas-Ras, Arjun (Terminalia arjuna), Sarpagandha (Rauwolfia serpentina) and Khurasani-Ova (Hyoscyamus niger) are used to treat symptoms like fatigue, palpitations, weakness and dizziness. Brahmi (Bacopa monnieri), Jatamansi (Nardostachys jatamansi) and Shankhpushpi (Convolvulus pluricaulis) are used to treat anxiety and nervousness. Other underlying conditions like diabetes and Zollinger-Ellison syndrome can increase the susceptibility to dumping syndrome. To manage these conditions, medicines like Gudmar (Gymnema sylvester), Mamejva (Enicostemma littorale), Sutshekhar-Ras and Praval-Panchamrut can be used. For refractory patients with severe diarrhea, medicines like Shankhodar-Ras and Karpooreshwar-Ras may be used for a short duration.
Dumping syndrome cannot be prevented. However, measures such as dietary adjustments may prevent recurrence of symptoms and minimize their severity. Individuals affected with this condition are advised to eat smaller meals, avoid fluids with meals, reduce the carbohydrate content of the food, use low-fat cooking methods and avoid acidic foods.