After gastrectomy, it's not uncommon to experience nausea, vomiting,
diarrhea, weight loss, nutritional deficiencies and dumping syndrome,
which occurs when food enters your small intestine too quickly. These
side effects usually result from eating more at one time than your
digestive system can tolerate and can often be controlled with changes
in the amount, frequency and kinds of food you eat.
You may also develop nutritional deficiencies because you're no longer
able to absorb certain vitamins. Vitamin B-12, for example, can only be
absorbed when it's attached to a protein produced in your stomach
(intrinsic factor). For that reason, you'll need to receive vitamin B-12
injections for life. Your doctor may also recommend supplementing your
diet with other nutrients especially folic acid, iron and calcium.
Although coping with the effects of gastrectomy can be challenging, the
following measures may help improve or relieve your symptoms:
Normally, your stomach can expand to hold nearly a gallon of food
and liquid, which it then releases slowly into your small intestine.
After gastrectomy, you won't be able to eat as much at one sitting
as you once did, although you likely can consume the same amount
overall. To get the calories you need while minimizing intestinal
symptoms, try eating six small meals a day, rather than two or three
Although it's important to drink plenty of fluids, especially water,
drinking with meals hastens the movement of food through the upper
part of your digestive tract and may reduce the absorption of
nutrients. Instead, try to drink 30 minutes before or 60 minutes
after you eat.
Eat slowly and
This can help reduce nausea and vomiting and increase your ability
to absorb nutrients.
hot or cold foods or liquids.
These may aggravate your symptoms.
It's best to relax after you eat because activity increases the
likelihood of nausea and vomiting. Don't lie flat, however, for at
least two to three hours after a meal.
All forms of sugars and sweets aggravate dumping syndrome.
Some people find that dairy foods such as milk, cheese and even
yogurt cause gas, bloating and abdominal pain. In that case, an
enzyme product such as Lactaid or Dairy Ease may help break down
lactose. Consuming small amounts of milk products or combining them
with other foods to slow digestion also may help. In some cases,
though, you may need to eliminate dairy foods completely. If so, be
sure to get enough protein, calcium and B vitamins from other
If certain foods make your symptoms worse, don't eat them. Common
culprits include alcohol, chocolate, caffeinated beverages such as
coffee and sodas, spicy foods, fruit juices, raw fruits and
vegetables, beans, broccoli, cabbage and other gassy foods, and
sugar-free sweeteners such as sorbitol or mannitol. Butter,
margarine, oils and high-fat foods such as mayonnaise, nuts, cream,
ice cream and red meat may be particularly troublesome. Instead, try
eating softly cooked or pureed fruits and vegetables, rice, plain
baked potatoes, soups, broth, and chicken or fish cooked without
Talk to a
It's difficult to get the calories and nutrition you need on a
restricted diet. A dietitian can help you plan healthy meals that
don't aggravate your symptoms.
1 > 2
> 3 > 4
Complementary and Alternative medicine
and mind-body-spirit approaches to health and
Live Blood Analysis
of blood under a specialized high powered ultra-dark
field microscope, reveals anomalies in the blood.
unique tool for prevention.
is recognized by most as
the most powerful and versatile therapy known in
alternative health because it plays a vital role in
maintaining the well-being of the body.
Check it out why.
contact the doctor
This information is
provided for general medical education purposes only and
is not meant to substitute for the independent medical
judgment of a physician relative to diagnostic and
treatment options of a specific patient's medical
In no event will The DrEddyClinic.com be liable for any
decision made or action taken in reliance upon the
information provided through this web site.
Chiang Mai 50230,