Guest guest Posted August 9, 2004 Report Share Posted August 9, 2004 My son, who had the fundo and pyloroplasty about 10 mos ago, has had both Early and Late Dumping Syndrome and currently dealing with the late dumping. This is what I have been told......early dumping is characterized by flushing and pallor of the skin, especially the face, lethargy, shakiness, and sweaty, clammy skin, and then diarrhea usually all within about 10-20 min after a feed. Late dumping is more of a blood sugar issue. It has all of the above (except diarrhea), but the symptoms last much longer......about 60-90 min. At the worst, my son would have to sleep off a feed for about an hour or so on the floor and he would be so weak and lethargic, he could not sit up or hold his own head up at all. He scared the OT really bad when she saw it. That is when we KNEW something was really wrong. His sugars would spike to 260+ 30 min after a feed and bottom out at 40-60 about 60 min after the feed. We had to get a glucometer and check his sugars at those times. It has to do with the body absorbing the sugar in the formula really quickly and then the pancreas overreacting and releasing a lot of insulin, thereby overcompensating for the amount of sugars in the system. The spike in sugars is due to the fast absorbtion and the drop is from the overrealease of insulin. He was hospitalized for 5 days until we had things straightened out. These things all happened when he was taking gravity bolus feeds through his tube. Now that he is using the pump to slow the tube feeds down, he does not have these problems. As for the tests, I know we did not have any of them done, unless the antibody one is the same as the titers test. All she did was to feel for the lymph nodes and once she felt one, she was sure that it was not XLA. I have no idea about the tonsils. I will look. I assume you can see them in the back of the throat. Thx again for the info and I will look into the testing. Melody, mom to 21 mo old - THI, GERD, DGE, RAD, MSPI, Dumping Syndrome Quote Link to comment Share on other sites More sharing options...
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