Dumping syndrome is best managed by which of the following dietary practices?

Restricting fluids during meals is a key dietary practice in managing dumping syndrome because it helps slow gastric emptying and reduces the rapid influx of food and fluids into the small intestine. In dumping syndrome, the stomach empties its contents too quickly into the intestine, leading to symptoms such as nausea, cramping, diarrhea, and the "dumping" of high osmotic loads. By limiting fluid intake during meals, the overall volume of the meal is lessened, which can prevent or reduce symptoms associated with this condition.

This practice promotes better digestion and nutrient absorption and ensures that the stomach has more time to process the food before it enters the small intestine. Additionally, staying hydrated is still important, but it’s advised to consume fluids in between meals rather than during them.

In contrast, other dietary strategies such as eating large meals can exacerbate symptoms by overwhelming the digestive system, while a high-fiber diet may not be suitable right after surgery or during the initial management of dumping syndrome, as it can increase bulk and speed up transit times. Consuming infrequently might not directly address the rapid gastric emptying characteristic of dumping syndrome, making it less effective in managing symptoms compared to the practice of restricting fluids.