Q) Postgastrectomy faintness tremor due to
a) Late dumping
b) Roux stasis
c) Bile reflux
d) Early dumping
Ans 5) a
Early dumping is more common. Systemic manifestations include palpitations, tachycardia, fatigue, a need to lie down following meals, flushing or pallor, diaphoresis, lightheadedness, hypotension, headache, and possibly syncope.
Abdominal symptoms include early satiety, epigastric fullness or pain, diarrhea, nausea, cramps, bloating, and borborygmi. Early dumping begins within 30 minutes following a meal and is attributable to bowel distention, relative hypovolemia, GI hormone hypersecretion, and autonomic dysregulation.
Late dumping is characterized by symptoms that occur 1 to 3 hours postprandially. Symptoms of late dumping consist of perspiration, faintness, decreased concentration, and altered levels of consciousness, among others.
The most common symptoms attributed to chronic bile gastritis are abdominal pain and bilious vomiting.
Unlike afferent limb syndrome, the pain does not resolve after vomiting. Weight loss and anemia are common.
Symptoms of Roux syndrome include abdominal pain and distention, postprandial bloating, nausea, and vomiting. Typically the vomitus contains solid food and is nonbilious.