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Nutrition Ch 21
Disorders of the Lower GI Tract
Question | Answer |
---|---|
Secretory Diarrhea | Fluid moves from intestinal capillaries into the lumen of the intestines |
Osmotic Diarrhea | Water is not asborbed as the materials move thru the intestines |
Intractable Diarrhea | Severe or chronic, don't respond to treatment |
Irritable bowel syndrome | Indigestion, nausea, cramps, gas, diarrhea, and constipation. Unknown cause |
What are the contributing factors of Irritable Bowel Syndrome? | Stress, bacteria overgrowth, medications and herbal supplements |
What is the diet recommendation of Irritable Bowel Syndrome? | High fiber, low fat diet, small frequent meals with low caffiene, alcohol and sorbitol |
Fat malabsorption | Unasborbed fatty acids forms soaps w/ calcium & magnesium, cause a form of diarrhea called steatorrhea |
What is symptoms of Fat Malabsorption? | Fatty acids & fat soluble vit deficiencies; too much oxalate absorbed-kidney stones |
What is the diet recommendation of Fat Malabsorption? | High calories and protein, low fat diet w/ medium chain triglyceride supplements |
Pancreatitis | Inflammation of pancreas |
What is the main symptoms of Pancreatitis? | Pain & Vomiting |
What is the main causes of Pancreatitis? | Gallstones, Alcohol and Cancer |
What is the treatment for Pancreatitis? | Fluid and electrolytes for about a week; Progressive diet- low fat, small meal, no alcohol diet |
Cystic Fibrosis | Genetic disorder that cause the production of thick mucus |
What is the symptoms of Cystic Fibrosis? | Difficult breathing, frequent infections, pancreatitis, and decreased nutrients absorption |
What is the diet recommendation for Cystic Fibrosis? | High calories and proteins, extra vits, minerals, sodium and enzymes replacement |
Crohn's disease | Inflammation, ulcers or tumors along the length of the GI tract |
What is the main symptoms of Crohn's disease? | Weight loss, fever, diarrhea, pain and many nutrients deficiencies |
What is the diet recommendation for Crohn's disease? | Low fiber and lactose diet |
Ulcerative colitis | Inflammation and ulcers of the arge intestine |
What is the symptoms of Ulcerative Colitis? | Severe diarrhea, rectum bleeding, cramps and weight loss |
What is the diet recommendation for Ulcerative Colitis? | High protein, low fat and fiber diet |
Intestinal surgery on the small intestines | Up to 50% can be removed without severe malabsorption, remaining will lengthens and thickens to get over lost |
What are the side effects of surgery on the small intestines? | Short bowel syndrome: diarrhea, weight loss, anemia, hypocalcemia and hypomagnesemia |
What is the diet recommendation for those who had surgery on small intestines? | High carbs, low fat and oxalate, extra vits and minerals diet |
Intestinal surgery on the large intestine | Does not affect nutrient asborption, does reduce fluid and electrolytes asborption |
What is the diet recommendation for those who had surgery on large intestine? | Low fiber and extra fluid |
Ileostomy | Removal of the entire colon, rectum and anus |
Colostomy | Removal of part of large intestine, rectum and anus |
Celiac disease | Genetic allergy to gluten, protein found in wheat |
What is the symptoms of Celiac disease? | Intestinal cells shrink, diarrhea and nutrient deficiency |
What is the diet recommendation for Celiac Disease? | Remove wheat, oats, rye and barley from diet |