Hiatal Hernia vs. Dumping Syndrome

Question 1

hiatal hernia

Answer 1

• moves in the WRONG direction at the RIGHT rate

- regurgitation of acid upward or backward to esophagus

Question 2

S&S of hiatal hernia

Answer 2

Heartburn, Indigestion on lying down after eating (similar to GERD)

Question 3

treatment for hiatal hernia

Answer 3

1. Elevate HOB (head of bed) during and 1 hour after meals
2. Increase the amount of fluids with meals
3. Increase the amount of Carb content
   o These cause the stomach to empty quickly so its content doesn’t back up

Question 4

High-atal Hernia … Everything is…

Answer 4

Everything high

Question 5

Dumping Syndrome

Answer 5

Gastric contents are dumped too quickly into duodenum

o Right direction but at wrong rate

Question 6

S/Sx of dumping syndrome

Answer 6

o Drunk: Staggering gate, impaired judgment, labile—all blood gone to gut
o Also get Shock: cold/clammy, tachycardia, pale
o Now add Acute abdominal distress: n/v, diarrhea, cramping, guarding, borborygmi,
bloating, distention

Question 7

• Dumping syndrome S/S=

Answer 7

Drunk, Shock, Acute Abdominal Distress

Question 8

Drunk + Shock =

Answer 8

Hypoglycemia

Question 9

Drunk + Shock + Acute abdominal distress =

Answer 9

Dumping syndrome

Question 10

Treatment of dumping syndrome

Answer 10

1. Lower HOB (head of bed) during meals and turn pt on the side
2. Decrease the amount of fluids 1 or 2 hours before or after meals
3. Decrease the amount of Carb content
   o These 3 things prevent the stomach to empty quickly or dump its content into the duodenum

Question 11

• Dumping syndrome … Everything is

Answer 11

low

Question 12

Why is protein is added in the diet for dumping?

Answer 12

• Protein does the opposite of carbohydrate
• Protein bulks gastric content, takes longer to digest, and moves slower through the gut
• Therefore, give
o Low protein in hiatal hernia
o High protein for dumping syndrome