SUBJECTIVE
Patient attends with a history of dumping syndrome. The patient had a gastric bypass done in 06/2016, he almost immediately developed dumping syndrome post Roux-en-Y. He has lost a significant amount of weight close to 100 pounds but he has now developed folic acid and vitamin B12 deficiencies and is currently on B12 supplementation. He states his dumping syndrome is not predictable and with this he also has trouble ingesting large meals. He is supposed to engage in soft foods and no more than 3 ounces over this specific period of time, which he is not quite sure of. Nonetheless, he has been taking longer to eat his meals and since being transferred to our system he has had problems in eating his meals. Meals also will then
Patient attends with a history of dumping syndrome. The patient had a gastric bypass done in 06/2016, he almost immediately developed dumping syndrome post Roux-en-Y. He has lost a significant amount of weight close to 100 pounds but he has now developed folic acid and vitamin B12 deficiencies and is currently on B12 supplementation. He states his dumping syndrome is not predictable and with this he also has trouble ingesting large meals. He is supposed to engage in soft foods and no more than 3 ounces over this specific period of time, which he is not quite sure of. Nonetheless, he has been taking longer to eat his meals and since being transferred to our system he has had problems in eating his meals. Meals also will then