Dumping Syndrome: What It Is and How to Prevent It

Steph Wagner MS, RDN

March 14, 2025

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If you have undergone gastric sleeve or gastric bypass surgery, you may have heard about dumping syndrome. But what exactly is it? Many bariatric patients mistakenly associate dumping syndrome with vomiting, but in reality, it is a different reaction caused by the rapid movement of food into the small intestine. Let’s explore what dumping syndrome is, its symptoms, and how you can prevent it.

What is Dumping Syndrome?

Dumping syndrome occurs when food—especially high-sugar or high-fat foods—moves too quickly from the stomach into the small intestine. This rapid emptying causes an influx of water into the intestines, leading to a range of uncomfortable symptoms.

Symptoms of Dumping Syndrome:

Nausea

Stomach Cramps

Dizziness

Sweating

Rapid heartbeat

Diarrhea

Notably, vomiting is not a primary symptom of a dumping experience. If you are vomiting after a meal, it is more likely due to eating too quickly or taking bites that are too large. Dumping syndrome is primarily linked to what you eat, not just how you eat.

image of strawberries in a blue bowl surrounded by produce

Why Does Dumping Syndrome Happen?

After gastric bypass or gastric sleeve surgery, the stomach empties more quickly than before. The texture and composition of the foods you eat determine how fast they pass through your digestive system. Lean, solid proteins slow down digestion, while softer, high-carb, or high-sugar foods move much faster, increasing the risk of dumping syndrome.

How to Prevent Dumping from Happening

To reduce your risk, follow these simple strategies:

Limit high-sugar and high-fat foods

Foods rich in sugar—such as candy, desserts, and sugary drinks—along with high-fat foods like fried items, are common triggers. Aim for foods with: less than 10 grams of fat per serving, less than 8 grams of sugar per serving.

Eat protein first.

If you plan to have a small treat, such as a slice of birthday cake, don’t eat it on an empty stomach. First, consume lean protein and vegetables, which help slow digestion and reduce the likelihood of symptoms.

Watch for Sugar Alcohols

Many sugar-free products and protein bars contain sugar alcohols, which can trigger symptoms similar to dumping. Keep sugar alcohol intake below 8 grams per serving, and if you experience discomfort, consider reducing your intake further.

What to do if you experience Dumping Syndrome

If you have a dumping syndrome episode, focus on rehydration, especially if diarrhea occurs. Drinking water and electrolyte-rich fluids can help restore balance and prevent dehydration.

Stay informed for a Healthy Post-op Journey

Dumping syndrome can be frustrating, but with mindful eating habits, you can prevent it and maintain better digestion. If you found this information helpful, be sure to explore more bariatric nutrition tips on our website and subscribe for weekly guidance on post-op success.

By making informed food choices, you can navigate life after bariatric surgery with confidence and comfort.

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    2 thoughts on “Dumping Syndrome: What It Is and How to Prevent It”

    1. Oh, my first dumping episode happened because I ate (just a half cup of oatmeal) but ate it too fast on my way to church. Oh my gosh it was AWFUL.!!! I also for a time seriously thought I was going through menopause again because of some really bad dizzy spells and sweating. I wasn’t eating frequently enough. It was a rollercoaster until I found my “sweet spot”. Yes to sugar alcohols too. Almost instant dumping (that one took me a while to figure out because I was checking carbs). Lately (about 2 1/2 yes post op) I started up with the constant cycle of dumping ; I assumed it was because I was on strong antibiotics for ear and sinus infection) til I heard you today and had the ah-ha moment; my mother passed away last month and my eating went off the rails (several states away, sisters all together, eating out every day for 2 weeks and my fall to comfort food Pop Tarts) I’m going to go toss them! I also think there may be some cause/effect of having had gallbladder removed about 10 yrs ago. Makes me more sensitive to high fats and it got worse after gastric bypass. I need to get back in my groove!

    2. Julie, I am SO sorry to hear about your incredible loss! Those are certainly understandable times to find comfort in food or forget the symptoms that certain foods cause. I’m glad this was helpful for you to hear so you can feel better physically as you care for yourself emotionally! Yes, fat is extra tricky with no gallbladder to boot!

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