Gastric Disorders: Dumping and HH

Question 1

Dumping Syndrome

Answer 1

• gastric contents emptying too quicky into duodenum
• correct direction

“think…dumping…too fast but into the toilet correctly”

“wrong rate, correct direction”

Question 2

S/S of Dumping Syndrome

Answer 2

think…dumping…drunk

1. drunk
2. shock
3. acute abdominal distress

Question 3

drunk + shock?

Answer 3

hypoglycemia

Question 4

Tx for Dumping Syndrome

Answer 4

think…Dumping syndrome…fast…want it to slow down

“when everything is low, stomach is slow”

• low carb
• high protein
• no fluids at meal time (1-2 hr before or after)
• lay flat on side after meals

Question 5

Hiatal Hernia

Answer 5

regurgitation of acid into esophagus, two chambered stomach

-correct rate, wrong direction

Question 6

S/S of Hiatal Hernia

Answer 6

GERD when lying down after meals

• they have to have eaten
• they have to have been laying down

-not random GERD during the day

Question 7

Tx for Hiatal Hernia

Answer 7

“think..hiatal HIGH, everything HIGH”

• high carb
• low protein
• high HOB
• increase fluids PO

want stomach to empty faster