The client begins coughing during insertion. Talking is difficult with large bore tubes that have gone into or through the larynx. Dobbhoff is a brand name for a small bore tube that is weighted so it travels into the small intestines. Common problem after partial gastrectomy with duodenal anasomosis. Dumping syndrome is the rapid entry of a hypertonic, undigested food bolus into the duodenum or jejunum.
Water is pulled into the intestine causing decreased blood volume and increased intestinal dilation.
Peristalisis is stimulated and motility increases. Symptoms occur in 5 - 30 minutes and include nausea, epigastric pain, cramping, borborygmi, and diarrhea. Systemic symptoms include tachycardia, orthostatic hypotension, dizziness, flushing and diaphoresis. The hyperosmolar chyme causes a rise in blood glucose, the stimulates the release of insulin, leading to hypoglycemic symptoms 2-3 hours after the meal. For people eating, separate solid from liquid intake.