HOSA - Medical Nutrition Therapy (Gastrointestinal Disease)

Numerous disorders of a G.I. system can cause

countless individuals distress and consequently affect the nations economy because they keep so many people home from work

Some problems are psychologically caused others can be

Physiologically caused

Dyspepsia or _______ is a...

Indigestion; Condition of discomfort in the digestive track that can be physical or psychological in origin

Symptoms of dyspepsia include

Heartburn bloating your pain and sometimes regurgitation

Dyspepsia could because physically by

Over eating spicy foods appendicitis kidney gallbladder four: disease or cancer

Psychological stress can affect

Stomach secretions and trigger dyspepsia

esophagitis is caused by

The irritating effect of acidic gastric reflux on the mucosa of the esophagus

Symptoms of esophagitis include

Heartburn regurgitation dysphasia

Acute esophagitis is caused by

Ingesting or irritating agent buy intubation or infection

Chronic esophagitis is

Gastroensophageal reflux (GER)

GER can be caused by

I need a hernia reduced lower esophageal sphincter or smoking

Cancer of the esophagus and silent aspiration maybe

Life-threatening for those with gastroesophageal reflux disease

Hiatal hernia Is a condition in which

The stomach protrudes through the diaphragm into the thoracic cavity

The hernia prevents

Food from moving normally

Small meals are usually recommended for the hernia so

There is never a large amount of food in the stomach

Avoid irritants to the esophagus by

Avoiding carbonated beverages citrus fruits and juices tomato products spicy foods coffee peppers and herbs

Some food to cause the lower esophageal Sphincter to

Relax and those should be avoided

Alcohol garlic onion oil of peppermint and spearmint chocolate cream sauce is gravies margarine butter and oil should

All be avoided And people with a hernia

If client with hernia is overweight

Weight loss surgery maybe recommended to take pressure off the abdomen

People with a hernia should avoid

Late night dinners and lying down 2 to 3 hours after eating

If discomfort cannot be controlled

Surgery may be recommended

And also is in erosion of the

Mucas membrane

Peptic ulcer's may occur in the

Stomach (gastric ulcer) or in the duodenum (duodenal ulcer)

Please specific laws of ulcers is unclear but it may

Be gastric predisposition I normally hi secretion of hydrofluoric acid by the stomach distress excessive use of aspirin or ibuprofen cigarette smoking and in some cases bacteria

Bacteria that causes peptic ulcer is is called

Heliobactor pylori

A classic symptom is

Gastric pain

In some cases hemorrhages

May also be symptoms

A hemorrhage usually

Require surgery

The pain is typically relieved with

Food or anti-acid

Ulcers are usually treated by

Drugs such as antibiotics or cimetidine

Cimetidine Inhibits acid secretion in the

Stomach and us helps you'll be also

Stress management is also beneficial in the

Treatment of an ulcer

Sufficient lowFat protein should be provided but not in

Excessive amounts because of its ability to stimulate gastric acid secretion

It is recommended that clients receive no less than .8 g of

Protein per kilogram of body weight

If there has been blood loss

Proteins should be increased to one or 1.5 g per kilogram of body weight

Vitamin and mineral supplements especially if there has been a hemorrhage or maybe

Prescribed

Amount of fat in the diet should not be

Excessive

Carbs have little effect on

Gastric acid secretion

Spicy foods maybe

EAten as tolerated

Coffee tea alcohol aspirin cigarette smoke should all be

AVoided

Oh well balanced diet of three meals a day consisting of food so I do not irritate the client is

Generally recommended

Diverticulosis is an intestinal disorder characterized by

Little pockets on the sides of the large intestine or fecal matter collects in these packets instead of moving through the colon Bacteria may bread and inflammation and pain killers old causing the diverticulitis

If a diverticulum ruptures

Surgery is needed

Diverticulitis is thought to be caused by

A diet lacking fiber

A high fiber diet is commonly

Recommended for clients with diverticulitis

Along with antibiotics day of therapy may begin with a clear liquid diet followed by a low residue diet with a bowl to

Rest and heal

After that Clear diet and low residue diet

A high fiber diet will be initiated

Inflammatory bowl diseases (IBDs)

Are chronic conditions causing inflammation to the Gastrointestinal track

The inflammation causes

Malabsorption the often leads to Malnutrition

Neither the cars nor cure for these conditions are

Known

Do you cute faces of inflammatory bowel disease occur at

Irregular intervals

Ulcerative colitis causes

Inflammation and ulceration of the colon the rectum and sometimes the entire large intestine

Crohn's disease is a

Chronic progressive disorder that can affect both of small and large intestines

The ulcers can penetrate the entire intestinal wall and the chronic inflammation can

Taken the intestinal wall causing obstruction

Both conditions cause (ulcerative colitis and Crohn's disease)

Bloody diarrhea cramps fatigue nausea anorexia mount nutrition and weight loss and the bleeding can cause lots of iron and proteins

Treatment may involve

Anti-inflammatory drugs and medical nutrition therapy

For ulcerative colitis and Crohn's disease Usually a low residue diet is required to avoid

Irritating the inflamed area

When tolerated the riot should include about

100 g of protein additional calories vitamins and minerals

In severe cases total parental nutrition (TPN) maybe

Necessary for a period

total parenteral nutrition (TPN)

A process in which nutrients are delivered directly into the superior vena cava

Stoma

Surgically create an opening in the abdominal wall, size of a nickel

ileostomy

Opening from ileum to abdomen surface; is needed one entire colon and rectum and anus must be removed

Colostomy

Opening from: two abdomen provide entrance to colon if rectum and Anus must be removed

Clients with ileostomy's have a greater than normal need for

Salt and water because of excess losses

A vitamin C supplement is recommended and sometimes a B 12 supplement

May be needed

Eating a well-balanced diet will prevent

Nutrient deficiencies from clients with ileostomies and colostomies

Celiac disease or non-tropical spure

Gluten sensitivity is a disorder characterized by melon selection of virtually all nutrients

Celiac disease is thought to be

Heredity

Symptoms of celiac disease include

Diarrhea weight loss and Malnutrition

Celiac disease is stools are usually

Foul smelling light colored and bulky

The cause of celiac disease

Is unknown, But a gluten-free diet gives relief

If celiac disease is on treating it is a

Life-threatening because of the severe Mel nutrition and weight loss

Celiac disease is treated by

A gluten control diet

Gluten is found in

Barley oats rye and wheat so rice and corn may be used

A reduction of fiber is recommended for

Celiac patients

Fats may be restricted until

Bowel function is normal in celiac patients

Vitamin and mineral supplements maybe

Prescribed to celiac patients

LActos intolerant sometimes develops with

Celiac disease

The client will have to learn to read food labels and eventually

Wide restaurant foods with breading

Cirrhosis

Generic term for liver disease characterized by Cell loss

The liver determines where

Amino acids are needed and synthesizes some proteins, enzymes, and urea

Liver disease maybe

Acute or chronic

The treatment of liver disease can usually lied to

Recovery

Alcohol abuse is the most common cause of

Cirrhosis but it can also be caused by congenital defects infection or other toxic chemicals

Although the liver does regenerate

The replacement drinks roses does not match the loss

In addition to cell loss

Cirrhosis also has fatty infiltration and fibrosis

Fibrosis

Developments of tough, stringy tissue preventing deliver from functioning normally

Because of fibrosis blood through the liver is

Upset and a form of hypertension anemia and hemorrhages in the esophagus can occur

Dietary treatment of cirrhosis provides at least

25 to 35 cal or more and 0.8 through 1.0 g of protein per kilogram of weight each day

Supplements and vitamins and minerals are

Usually needed

In advanced cirrhosis

50 through 60% of calories should be from carbs

In some forms of cirrhosis

Clients cannot tolerate fat well so it is restricted

And another form of cirrhosis protein may not be tolerated

So it is restricted to 35-40 g a day

Sometimes cirrhosis causes

Ascites

Ascites

Abnormal collection of fluid in the abdomen

Hepatitis is an

Inflammation of the liver

Hepatitis is caused by

Viruses or toxic agents such as drugs and alcohol

Necrosis

Tissue death due to lack of blood supply

Hepatitis causes

Necrosis

Hepatitis maybe

Acute or chronic