Too Human Moves
Too Human is a retelling of Norse mythology with a cybernetic twist, in which the gods are bionically enhanced humans protecting common men and women from the onslaught of Loki's army of machines. May 23, 2000 - Too Human lingered in development for some time, until its developer, Silicon Knights, was acquired by Nintendo to become part of their coalition of second-party developers.
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SymptomsSigns and symptoms of dumping syndrome generally occur right after eating, especially after a meal rich in table sugar (sucrose) or fruit sugar (fructose). Signs and symptoms might include:. Feeling bloated or too full after eating.
Nausea. Vomiting.
Abdominal cramps. Diarrhea. Flushing. Dizziness, lightheadedness. Rapid heart rateLate dumping syndrome starts one to three hours after you eat a high-sugar meal. The signs and symptoms develop that long after you eat because your body releases large amounts of insulin to absorb the sugars entering your small intestine.
The result is low blood sugar.Signs and symptoms of late dumping syndrome can include:. Sweating. Flushing. Dizziness, lightheadedness.
Weakness. Rapid heart rateSome people have both early and late signs and symptoms. And dumping syndrome can develop years after surgery. When to see a doctorContact your doctor if any of the following apply to you.
You develop signs and symptoms that might be due to dumping syndrome, even if you haven't had surgery. Your symptoms are not controlled by dietary changes. You are losing large amounts of weight due to dumping syndrome.
Your doctor may refer you to a registered dietitian to help you create an eating plan.Causes. Stomach and pyloric valveYour stomach is a muscular sac about the size of a small melon that expands when you eat or drink to hold as much as a gallon of food or liquid. Once your stomach pulverizes the food, strong muscular contractions (peristaltic waves) push the food toward the pyloric valve, which leads to the upper portion of your small intestine (duodenum).In dumping syndrome, food and gastric juices from your stomach move to your small intestine in an uncontrolled, abnormally fast manner. This is most often related to changes in your stomach associated with surgery.Dumping syndrome can occur after any stomach surgery or major esophageal surgery, such as removal of the esophagus (esophagectomy).
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Risk factors. Gastric bypass surgeryBefore gastric bypass, food (see arrows) enters your stomach and passes into the small intestine. After surgery, the amount of food you can eat is reduced due to the smaller stomach pouch.
Food is also redirected so that it bypasses most of your stomach and the first section of your small intestine (duodenum). Food flows directly into the middle section of your small intestine (jejunum), limiting the absorption of calories.Surgery that alters your stomach can increase your risk of dumping syndrome. These surgeries are most commonly performed to treat obesity, but are also part of treatment for stomach cancer, esophageal cancer and other conditions. These surgeries include:. Gastrectomy, in which a portion or all of your stomach is removed.
Gastric bypass surgery (Roux-en-Y operation), which is performed to treat morbid obesity. It surgically creates a stomach pouch smaller than the stomach, meaning that you're no longer able to eat as much as you once did. It connects the small intestine to this pouch in the form of a gastrojejunostomy. Esophagectomy, in which all or part of the tube between the mouth and the stomach is removed.
Dumping syndrome. National Institute of Diabetes and Digestive and Kidney Diseases. Accessed May 1, 2018. Ellsmere JC. Late complications of bariatric surgical operations.
Accessed May 1, 2018. Barbara Woodward Lips Patient Education Center. Dietary guidelines for managing dumping syndrome. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013. Savas JF, et al.
Postgastrectomy syndromes. In: Shackelford's Surgery of the Alimentary Tract. Philadelphia, Pa.: Elsevier; 2013. Accessed May 1, 2018. Guar gum. Natural Medicines. Accessed May 1, 2018.
Pectin. Natural Medicines. Accessed May 1, 2018. Blond psyllium. Natural Medicines.
Accessed May 1, 2018. Black psyllium.
Natural Medicines. Accessed May 1, 2018.
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