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Anyone have hot flashes after esophagectomy?

Esophageal Cancer | Last Active: May 13, 2023 | Replies (6)

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@beachpoet

What you are referring to as ‘hot flashes’ are actually a symptom of dumping syndrome. This type of reaction, for me, happens as a result of pancreatic asynchrony. Because most of my vagus nerve was removed during my surgery, my pancreas does not receive the necessary signals to release insulin at the right time to help me digest carbohydrates, especially sugars. As a result, sometimes there is too much insulin in my blood and I experience severe hypoglycemia. One of the symptoms of hypoglycemia is sudden heavy sweating. Other symptoms I experience are dizziness and nausea, depending on the severity of the ‘attack.’

Whenever this happens, I immediately eat something sweet, followed by some protein. My symptoms usually subside within 10 minutes. In order to avoid dumping, I try to make sure to balance my macros - carbohydrates, proteins, and fats - every time I eat. I also take pancreatic enzymes, prescribed by my doctor, before I eat anything. Those have made a monumental difference in my quality of life and have enabled me to eat almost normally after 9 months post surgery.

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Replies to "What you are referring to as ‘hot flashes’ are actually a symptom of dumping syndrome. This..."

beachpoet: Thanks very much for sharing this information. I had an esophagectomy in December 2022 and have had several episodes of hot flashes, heavy sweating, light headedness etc.

Can I ask which of your doctors helped with the pancreatic asynchrony diagnosis? I love my oncologist but I get the sense that dealing with this issue is not part of his expertise. I love my surgeon also, but the same story with him. I'm thinking this might be an issue for my PCP or a GI/Endocrinologist. Any advice?

Thanks and be well.