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Light headed and clammy
Arabesque replied to buildabetteranna's topic in POST-Operation Weight Loss Surgery Q&A
Always best to talk with your surgeon but did think hypoglycemia when I saw your post title. Reactive hypoglycemia is a form of dumping too. Low blood pressure can also cause light headedness. The fact you’re eating so little at the moment that you feel weak. Plus you’ve just a pretty major surgery which is stressful to your body. But definitely speak with your surgeon to be sure and ti find out ways to manage it. PS - Try an electrolyte drink. I used to take one with me whenever I was going to be a bit more active (even grocery shopping) and when I started back at work to offset the hypoglycemic episodes. Sip some if I thought it might happen & when it happened. Seems crazy but sometimes a cup of green tea helped though I think it was more to do with the fluids which may be why the sugar free popsicle helps you. I had had hypoglycaemic episodes prior to my surgery but not often. After my surgery I had them frequently. Also my tendency towards drops in blood pressure became a multiple times a day experience. All just how my body reacted. -
Have you already talked to a doctor? I believe the most common reason for this would be reactive hypoglycemia, but I'm sure there are other potential causes. Only a doctor can properly diagnose the problem.
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What Are Some Things That Surprised You After Surgery?
Beks18 replied to Beks18's topic in Gastric Bypass Surgery Forums
Interesting! What kind of symptoms go along with your type of dumping episodes? If it feels like reactive hypoglycemia then I’m imagining it makes you pretty tired, weak, sluggish. Have you dealt with the terrible constipation that a lot of others talk about? -
What Are Some Things That Surprised You After Surgery?
SpartanMaker replied to Beks18's topic in Gastric Bypass Surgery Forums
I think the first thing that comes to mind is just how varied dumping syndrome can be. When the bariatric teams talk about it, they tend to tell you all the symptoms and that it tends to happen pretty quickly after eating. Unfortunately, it's not that simple or straightforward. Some people may only have one or two symptoms. Others multiple symptoms. For some people it happens really quickly, and for others it can take hours before it begins. Time to recover is also really varied. For some it's over with in 30 minutes or less. Others can be in agony for many, many hours. As an example, I'm over 2 years out and for the longest time I just assumed I was one of the lucky (or cursed depending of your perspective), people that didn't really have to worry about dumping. I can eat almost anything and not have "typical" dumping syndrome. What I do have is what I was calling reactive hypoglycemia, meaning I was having low blood glucose issues ~3 hours of so after eating. After talking to my bariatric surgeon in my last checkup, she pointed out that what I was calling reactive hypoglycemia, is likely just a different form of dumping. Once I started being more careful about not eating a bunch of added sugar without sufficient protein as a buffer, the symptoms mostly went away. -
Wondering if anyone else has had issues like mine. I realized reading other people’s posts that I was way behind on how much I could eat. I am still under 900 calories a day. I get horribly sick when I try to eat more. Over the last few months some of my pre existing conditions have suddenly gotten a lot worse and I have developed severe reactive hypoglycemia, with my blood sugars dropping as low as 32. After visiting several doctors and specialists a few who told me it was all in my head it was determined that I was slowly starving to death. They said my stomach pouch had not expanded like it should have and some of my organs were starting to shut down. They said it’s rare side effect but it does happen. They now have me eating every two hours even at night. Due to everything I was put out of work on STD. I feel so completely on my own with this and just wondered if anyone else has heard of anyone dealing with this.
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There is another thread about this called reactive hypoglycemia which apparently is not all that uncommon post weight loss surgery. Actually may be why my teams standard is to have us eat every three hours. I’ve never gone longer than that so I wouldn’t know if I had it. Maybe I should try it while I’m at home instead of it happening when I’m out having fun on vacation or something. Definitely try eating more often a little something. It’s also possible that it’s diabetes related so personally, I would go ahead and schedule an appointment with my family doctor and then just cancel it if eating more often helps. That’s just me because my doctor is kind of hard to get into.
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Reactive Hypoglycaemia
catwoman7 replied to Bypass2Freedom's topic in POST-Operation Weight Loss Surgery Q&A
the kind of reactive hypoglycemia that some people get after bariatric surgery isn't necessarily related to diabetes. It can happen to non-diabetics, too (I'm not diabetic). I've also seen it referred to as "late dumping", because it tends to happen a couple of hours after you eat (as opposed to soon after, as is the case with regular dumping). I mentioned in my response above that my physician couldn't find anything wrong with me when she did the workup, but she told me to let her know the next time I had that experience. The next time was a couple of weeks later. I'd been at a retirement party and had a whole piece of cake (instead of a couple of forkfuls, like I used to have back in those days). A couple of hours later, there it was again - dizziness, etc. She said it was likely reactive hypoglycemia (AKA post-prandial hypoglycemia), and it may not have shown up at the workup because my glucose might have been normal the day I went in for that. Anyway, yes - it's not uncommon after WLS, . It often appears when you're a year or so out (although sometimes sooner...or later). They say to eat protein - or a something paired with a protein - every three hours or so to prevent it (I know it's orange juice or something similar for regular hypoglycemia - but she specifically said protein with this type - may be something to specific to the WLS-caused version) -
Reactive Hypoglycaemia
ShoppGirl replied to Bypass2Freedom's topic in POST-Operation Weight Loss Surgery Q&A
Yea. Just start with the times that you naturally do actually eat anyways and then pick other times that are convenient from there. I also do a proffee in the morning (just protein shake and coffee to make an iced coffee like drink). I really am not a breakfast person but I have to do vitamins 5 different times a day so I do that with my soluble fiber mixed in and take my multivitamin once I get that down. It’s fast and it’s liquid too so it’s a good start to the day getting fiber, protein, fluids and my first vitamin done. I like the premiere protein caramel and I just mix it with some chilled coffee. I use the whole shake in a tall cup and add coffee the rest of the way but I am one of those people that are asked if I want some coffee with my cream and sugar so adjust as needed. But for sure, start with the snacks. They are a must if you have reactive hypoglycemia. Then add alarms to remember to eat those snacks. Maybe around 1 if you haven’t eaten yet you need to get something soon or have one of your snacks to avoid the 2-3pm issue. Hopefully that will help. -
I spoke with my surgeon today about some weird symptoms I have had since surgery. I have only experienced about 3-4 episodes of it since having surgery, but it tends to happen if I haven't eaten for a substantial amount of time (like nothing until 2/3pm). The following happens: shaking light headedness dizziness sweating anxiety palpitations pale presentation of skin weakness disorientation He has suggested that I have reactive hypoglycaemia - has anyone else experienced this? I have heard it is quite common after bariatric surgery
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What do you do for the reactive hypoglycemia?
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Just had an odd experience
GreenTealael replied to Bypass2Freedom's topic in Gastric Bypass Surgery Forums
Used to happen to me earlier on in what I’m guess was reactive or post prandial hypoglycemia. Now it only happens if it’s a sugar/carb item not properly paired with protein and fats, so essentially an unbalanced meal. It was like an extreme food coma. It can get better with time or figuring out the offending food. -
Question: Could this be Dumping Syndrome
catwoman7 replied to leese13's topic in Gastric Bypass Surgery Forums
that sounds more like orthostatic hypotension (OH) than dumping syndrome. OH is not uncommon the first few months after surgery. But your doctor may want to do a full work up just to be sure. I had some dizziness issues when I was about a year out and they checked for a UTI, OH, inner ear issues, and post-prandial hypoglycemia (also know as reactive hypoglycemia, which can also happen to bypass patients). But given your drop in blood pressure, it sounds like it's most likely OH - but check with your doctor. The "cure" for that is just to get up slowly. -
I have severe reactive hypoglycemia my blood sugar goes up over 220 even with even a protein shake then 1-2 hours later drops dramatically it has dropped as low as 38. With blood sugar I slow down and appear confused, but no pain. Dumping I am sweating and doubled up in pain. Luckily I don’t get dumping often.
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Helpl 16 years out - regain is REAL
Dawn Hanaphy replied to LMR422's topic in Duodenal Switch Surgery Forum
Hello all, I am in the same boat, I have regained 50 of my 98, it had been slow at first and now the last year it has been 15 pounds in one year. I never got my hunger back, for years I barely ate and loved it. What I didn't love was only pooping every fifth day. My Ferritin levels were super high, (I think it was related) My surgery was 2018 in Feb, so I am in my 7th year post-op. I'm considering trying Ozempic / Wegovy. I know my metabolism was completely shut down. I was struggling with reactive hypoglycemia, which I think I have under control. I am working on eating as much protein daily as possible and also getting any fluids in, (not soda). I am going to read as many posts as I can in order to seek out others who are in the same boat thanks Dawn Marie -
I want to echo the possibility of reactive hypoglycemia -- I've a relative who suffered a long time before they figured out what it was. But it sounds pretty similar. The problem is, I feel like the symptoms of so many things are similar. If you're suddenly having 'low tolerance' (rather than outright intolerance) of lactose, or cacao, etc, it could manifest in the same way. It might also be a pre-cursor to dumping? Like your body telling you "Heck No, Stop RN!" before you have enough of something that would trigger a full-out dumping attack. I've had awful dumping syndrome four times now post-OP, but have had near-misses several times that I catch the warning signs early enough on that I'm able to prevent it. (I really have to get better at knowing what constitutes 'dry' food. Broccoli & Cauliflower steamed or in broth? Fine. Broccoli or cauliflower in a thicker creamy soup? Just kill me already. This is why I stick to leafy veg and green beans lol.)
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This sounds a little like what I occasionally experience if I rush my breakfast or have it too early. General weak feeling, a little nauseous, doesn’t last long. From what I’ve worked out it’s related to hypoglycemia specifically reactive or postpradial hypoglycemia which can occur if you’ve had stomach surgery like us. It occurs after you eat unlike hypoglycemia which occurs when your glucose levels drop because you haven’t eaten. ( I have this occasionally too which I manage by eating regularly & taking electrolyte drinks with me if doing anything more strenuous than usual.) They think your body produces more insulin than you need to digest what you’ve eaten which then cause your glucose levels to drop which is why it occurs shortly after you eat. Maybe the bite or two of dessert or chocolate, signaled your body to produce additional insulin to process the sugar??? I don’t have added sugar in my breakfast but of course there’s natural sugars in the milk & blueberries which I think triggers mine.. Generally it doesn’t occur as often as it originally did which could be being more careful about situations that can cause it or just time since my surgery. Wouldn’t give up about not being able to have a small sweet treat at some time in the future. Worth a conversation with your doctor anyway.
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Goodness yes. I am incredibly emotionally reactive right now -- and prior to all this, as an adult I've always been very non-reactive, to the extent that I used to wonder if I was a sociopath. The past two-ish-weeks I've been on a rage bender, and now I'm starting to see that ease but now instead I get teary when I tell my dog I love her, etc. XD
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Having an issue that's very bothersome...
catwoman7 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I had this issue about a year out from surgery and had a complete workup because it could be due to many things - orthostatic hypertension, inner ear imbalance, low blood sugar, even a UTI. In my case, everything from my workup came back completely normal, so they were baffled. But a couple weeks later, I was at a retirement party and ate a piece of cake. A whole piece - not just my usual one or two forkfuls. About an hour or two later - dizzy. Very dizzy. I told my PCP. She suspected reactive hypoglycemia, sometimes known as "late dumping". She said to try eating something about every three hours - a protein. Or if a carb, then pair it with a protein. I haven't had that issue in a long time, so in my case, that was likely the culprit. It's just that my glucose level might have been normal when I was there for the workup; thus, they didn't catch it. In your case, it could be one of those other things mentioned, too (orthostatic hypertension is pretty common - although that tends to hit pretty early out from surgery - although that could definitely be the culprit, too..) P.S. I just re-read your post. Since it seems to be happening when you're standing, sitting, etc - then it sounds like it might be orthostatic hypertension in your case. Hopefully you'll get some answers soon! -
Where to start (in the UK)?
BlueParis replied to simonbRTRCPL's topic in General Weight Loss Surgery Discussions
I went to turkey. Paid around 3.5k all in. Aftercare is through whatsapp and calls. It was okay for me and they are pretty reactive (get back to me with in a day) on any questions I ask. They send lists of blood tests to do every once in a while. I'm 4 months out. -
i've self-diagnosed myself with reactive hypoglycemia (i think alot of us have on here probably)...aka late dumping syndrome. i noticed it the first time i had (like 2 sips!) of a very sugary drink about 1 month post op. i've had it ever since, though i will say it is not as horrible as it used to be. A bad episode before was like wanting-to-die-on-the-bathroom-floor bad, bad episodes now are me passing out on couch for a couple hours. management of it basically consists of not having too much sugar at one time, or on an empty stomach (note that what "too much" means to me will be different for someone else...so people need to figure out what thier own limits are). as well as having small regular meals throughout the day. unfortunately i don't always do that so, yeah. p.s. i'm 5+ years out.
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Has any one else been diagnosed with reactive hypoglycemia after bypass. Just got the diagnosis today. My blood sugar was dropping so low my symptoms made me appear drunk. It finally got to the point it went to low and I passed out. Just wondering if anyone else has gone through this and how they are doing. Thanks
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Anyone having issues with irregular heartbeats since having gastric bypass? I have been having problems with AFIB when I went through dumping the first few months and now 1 year out since February I have been in constant PVC (Premature ventricular contraction). My cardiologist is baffled. Been through all kinds of tests and my heart is healthy and have no blockages BUT even with meds it’s not going away. I am constantly having PVC’s AND when I eat my heart gets worse! I flutters like CRAZY!!!! Feels like I horrible panic attack, sometimes feel like I am going to have a heart attack or something. I have been in hospital, being monitored and back in hospital for testing and been on heart monitors. In 1 week wearing a monitor they recorded over 38,000 PVC’S 😱 I am at a loss here and never had these issues until I was revised to gastric bypass. I went back to Bariatric surgeon and he put me on reactive hypoglycemia diet he said that cannot cause PVCs, but it can cause heart, palpitations, and being on that diet has not made any changes. I go back to the cardiologist again for the 11th time on Tuesday after wearing my third monitor and I don’t know what is going to be done at this point. It’s really freaky that after I eat whether it’s healthy or not so healthy my heart does a freaking jiggly jig dance!!!! I thought I’d come on here to see if this is a problem that anybody else has heard of or experienced ?
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I have reactive hypoglycemia also. It is true that each surgeon/office will have their own ways of doing things. You're comment: "portion sice and calories ect and there reply was as long as I stick to the bariactric place then calories and portion size will never be an issue" - I submit there will be an issue. You can pile that plate and still are getting too many ounces of food. I can say right now, we have veggies only rather than fruit (carbs) and veggies and salad. Carbs, we don't have that, we have fruit. There's one issue I can see. The only carbs we get are in the fruit and we are to go for low calorie fruit (meaning not bananas or grapes). Berries are what they discuss.
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1. Iv been eating like this for about 6 months now. 2. 5 foot 11inch (180cm) male. 3. The only thing I do suffer from is reactive hypoglycemia which means when I eat cars my body produces to much insulin and my sugar levels drop very low that's why I try to avoid cars. When I spoke to the hospital last I was talking to them about portion sice and calories ect and there reply was as long as I stick to the bariactric place then calories and portion size will never be an issue
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I was told 80 grams of mozzarella a day was OK that's why I split it over 2 meals and I was having home made air fryed chips instead of the seafood sticks but I suffer from reactive hypoglycemia so I tent to avoid potato as much as I can and switched to seafood sticks and the advice I was given from the hospital also was a boiled egg is a perfect snack between meals
