Dietary measures
Dietary measures are the first approach to manage dumping syndrome and are probably helpful for the majority of patients.[7,11,23-25] Dietary measures include advising patients to consume smaller amounts in one go by dividing the recommended daily energy intake between six meals. Patients are also advised to delay any liquid intake until at least 30 min after a meal. All rapidly absorbable carbohydrates (for example, all sweet or sweetened foods) should be eliminated from the diet to prevent late dumping symptoms. Lying down for 30 min after meals can prolong gastric emptying and help to reduce the symptoms of hypovolemia.