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CM/GIS

Terms in this set (31)

constipation occur in
5%-25% depending on how defined
IBS is common with pooled global prevalence of
11.2%
------ of IBS patients believe that food item are important triggers of their gastrointestinal symptoms.
40%-84%
IBS incidence in US
20% of women
10-15% of men
20-40%of gastroenterologists
Dietary treatment of dumping syndrome : Amount of liquid we should take? When?
Small amount 1/2-1cup
B/w meals
IBS Nutritional care : fluid
2-3 qts w/ fiber supp
Amount of protein, CHO and fat in dietary treatment of dumping syndrome
High protein 20%
Moderate fat 30-40%
Complex CHO as tolerate
use of pectin to decrease transit tim, glucose absorption
Dumping syndrome
Use of Psyllium (Metamucil) and pectin
Constipation
Feeling of incomplete Evacuation and rectal pain and mucus in stool
Irritable bowel syndrome
IBS nutritional care :Gradually add dietary fiber to diet
20-30g
FODMAPS
Fermentable>> fermented by bacteria in large bowel
Oligosaccharides>> few suger >> fructans and galacto-oligasaccharide
Disaccharides>> double suger>> lactose
Monosaccharides>> single suger >> fructose
And
Polyols >> suger alcohol/ dont lead to intoxication >> sorbitol, mannitol, maltitol, xylitol
adequate nutrition
-daily intake (quantitatively and qualitatively)
-consider physiological status and pathological disorder
-normal digestion, absorption, metabolism and excretion
Digestion
mechanical and chemical breakdown of food into nutrition
Metabolism
Chemical reactions breaking down food and release energy
Complain of some gut related symptoms
1/3 of people
Preventive Strategies to maintain good digestive health
-General hygiene (food, hand and water)
-dietary advice (amount of fiber, processed food, low FODMAP, eat slowly, lot of fluid)
-maintain healthy gut microbiota (prebiotics and probiotics/X PPI and NSAIDs/ maintain hygiene)
-avoidance of injurious agents to gut (smoking, drugs, NSAID, PPI)
-avoided excess alcohol
-maintain healthy enterocytes
Nutritional care for GERD
-upright position 45-60m after eating
-avoid eating within 2-3h b4 bed time
-stop smoking, caffeine, chocolate, alcohol
-maintain healthy weight
-elevate the head of bed 6-8 inches
Meds for nausea and vomiting
Antinauseants
Antiemetics
dyspepsia treatment
-avoid offending food
-eat slowly
-chew thoroughly
-X overindulge
peptic ulcer treatment
-X coffee, cocoa, tea, alcohol, pepper, low pH juices
-avoid large meal b4 bed
-small and frequent meal
-nutritional status to ⬇️ H. Pylori
Dumping syndrome treatment
Small frequent meal+sweat+liquid b/w meals 1/2-1cup /high protein, moderate fat and CHO as tolerated/food and drink moderate in temp /high fiber food and pectin
Treatment of constipation
Physical activity / respond to urge to defecate/change drug regimens/laxatives and stool softener /Psyllium and pectin
Onset of inflammatory bowel disease
15 to 30 years of age
Nutritional Managment of acute iBD
Low residue, low-fiber liquid diet
Parenteral nutrition
Enteral nutrition
Nutritional Managment of chronic iBD
-High protein, high calorie diet with oral supplements
-Vit-mineral status
-high fiber diet as tolerated
-avoid unnecessary restriction
High fiber diet as tolerated
Nutritional Managment of chronic IBD
Complex CHO as tolerated
Dietary treatment of dumping syndrome
dietary fiber
Polysaccharides
Not digesible
Why dietary fiber are not digestable
Human body lackes enzymes needed to digest and absorb
Fermented by bacteria in lower intestinal tract
Fiber
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