Question
Which of the following are correct regarding late dumping?
I. It usually occurs during the second hour after meal.
II. It lasts for 30–40 minutes.
III. Major symptoms are tremor, faintness, prostration
IV. It is relieved by lying down.
Select the answer using the code given below:
| A. |
I, II and III
|
| B. |
I, II and IV
|
| C. |
I, III and IV
|
| D. |
II, III and IV
|
Show Answer
|
Correct Answer » A
Explanation
|
|
Late dumping syndrome is caused by reactive hypoglycemia.
- Rapid delivery of carbohydrates into the small intestine causes:
- Rapid glucose absorption.
- Excessive insulin release.
- Subsequent hypoglycemia.
The clinical features include:
- Occurs 1.5–3 hours after a meal (commonly during the second hour).
- Symptoms usually last 30–40 minutes.
- Symptoms are predominantly due to hypoglycemia:
- Tremor
- Sweating
- Palpitations
- Faintness
- Weakness (prostration)
- Hunger
- Confusion in severe cases
Therefore, Statements I, II, and III are correct.
Why the Remaining Statement is Incorrect
IV. It is relieved by lying down.
- Incorrect.
- Lying down is helpful in early dumping syndrome, where symptoms are related to rapid fluid shifts and hypotension.
- Late dumping syndrome is due to reactive hypoglycemiaand is relieved by:
- Oral glucose
- Small, frequent meals
- Avoiding simple carbohydrates
- Therefore, lying down is not the characteristic treatment for late dumping syndrome.
