What instruction should be included in a discharge plan to minimize dumping syndrome after a subtotal gastrectomy?

To minimize dumping syndrome after a subtotal gastrectomy, including the instruction to lie down one hour after eating is appropriate. This position helps slow gastric emptying and reduce the rapid transit of food into the small intestine, which is a key factor that contributes to dumping syndrome. This syndrome often manifests with symptoms such as nausea, vomiting, and diarrhea shortly after eating due to the swift arrival of undigested food into the intestines.

The practice of lying down post-meal can assist in allowing the food to stay in the stomach longer, thus alleviating some of the symptoms associated with dumping syndrome. It can also encourage better digestion, as gravity aids in the proper processing of food.

Regarding the other options, large meals can exacerbate symptoms, as they lead to more significant food volume entering the intestines quickly. Drinking fluids during meals can also contribute to dumping syndrome by increasing gastric volume and promoting faster emptying. Skipping meals might seem beneficial at first; however, it can lead to inconsistent nutrient intake and potentially worsen digestive issues.