Hi Carmel,
This is the first I’ve heard of dumping syndrome, so I’m a novice on this topic. I took a quick look at Mayo Clinic’s online summary, though. It sounds like this must make him incredibly uncomfortable and he has my sympathy. From what you described, he is doing most of what Mayo recommends (small, frequent meals, healthy eating etc.) It may be worth a conversation with him to check his understanding of “healthy” eating. Not at all meant to insult him, rather to be sure he is following expert advice on what constitutes healthy. I know even in my family, each of us has a different set of “healthy” guidelines.
Key dietary items per Mayo include
– No sugar. In addition to table sugar, this includes fruits (sucrose), milk (lactose which converts to sugar in the body) and other foods that may contain sugar.
– Eat more protein, which digests more slowly and adds weight
– Include fats like olive oil, mayonaise or margerine
– Increase fiber – to slow digestion. (Physillium works well).
If he is following all of this and still has concerning symptoms, there are medications that can be prescribed. The site also recommended lying down after meals to slow digestion.
Hope this was a little helpful. Best wishes to your brother.
Debbie