Dumping Syndrome vs. Hiatal Hernia

Question 1

What is the difference between Dumping syndrome and Hiatal Hernia?

Answer 1

They are both emptying problems.

They are opposite from each-other.

Question 2

Describe Dumping Syndrome

Answer 2

Post-op gastric surgery complication usually rolling gastric by-pass surgery in which the gastric contents dump quickly into he Duodenum.

Gastric contents move in the right direction at the wrong rate. Think traffic violation - speeding.

Question 3

Signs and Symptoms of Dumping Syndrome

Answer 3

THINK ADS - Acute Dumping Syndrome

A = Abdominal Distress
D = Drunk
S = Shock

So…abdominal distress plus hypoglycemia symptoms

Question 4

Treatment Dumping Syndrome

Answer 4

1. HOB: Low, flat or Left side
2. < Fluids
3. Diet: Low Carb, High Protien

Question 5

Describe Hiatal Hernia

Answer 5

Regurgitation of acid into the Esophagus b/c upper stomach herniates upward thru the Diaphragm therefore end up with a 2 chamber stomach.

Gastric move in the wrong direction at the correct pace.
Think traffic violation: Going the wrong way on a one way street.

Question 6

Signs and Symptoms of Hiatal Hernia

Answer 6

Think GERD

G = Gastro
E = Esophageal 
R = Reflex
D = Disease

Note: its a Hiatal Hernia if you get GERD after you lay down after eating - heartburn, indigestion

Question 7

Treatment for Hiatal Hernia

Answer 7

Want stomach to empty faster to relax symptoms.

1. HOB: High
2. < fluids
3. Diet: High Carbs- carbs empty stomach.