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21 Sep 2008

Dumping syndrome
My daughter who is 6 was admitted to hospital earlier this year as she had a quite a bad case of faecal impactment. While she was in hospital she became so nauseas every time she tried to eat anything, and went deathly pale after the first bite. The paed treating her asked the dietician to visit her, and she thought that she had a case of dumping syndrome and put her onto a special low gi diet. She has been fine for a quite a few months (we didnt continue with the diet so strictly after a month but her usual diet is good). The symptoms have started again from this week, stomach aches, and hungry until she takes the first bite of food, then nauseas and very pale once again.

I read up on dumping on the internet, and I am not sure if this diagnosis was correct as it is reported to be rare and usually only after stomach surgery. I wonder if you could give an opinion on the above - I have started to give her pegicol again each day - she is not constipated (she never was so not sure quite how the faecel impactment occured).

I just wanted to add that the paed wasnt going to admit her for the fi initially, (we had the script all written out to treat at home) but then in the surgery she became so pale and listless he felt she needed monitoring.

At the moment she is running around and seems as right as rain, these symptoms only appear when she tries to eat anything.

Many thanks for your time.
Answer 436 views
childhood diseases

01 Jan 0001

Dumping syndrome has been described in children, but it is very rare. It has only been described in children who have had operations on the lower part of the oesophagus and upper part of the stomach.Your daughter has not had such an operation.
Despite this your daughter's symptoms very closely fit the usual chain of events found in the dumping syndrome.This is very unusual to say the least, but it seems as if your paediatrician is correct in identifying this problem.
It is essential for your daughter to be seen by a paediatric gastroenterologist as soon as possible. There are experts in all the main centres in SA.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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