Formula Intolerance
Gastrointestinal Reflux
Acute Gastroenteritis
Dehydration
Pyloric Stenosis
Hirschsprung’s Disease
Intussusception
The extreme: Short Bowel Syndrome
Biliary Atresia
Constipation
Diarrhea
Abnormal transport of fluid and electrolytes across intestinal mucosa
A sudden increase in frequency and change in consistency of stool
Major cause of illness under age 5
Can be mild to severe, acute or chronic
Chronic if more than 14 days
Causes
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Viral diarrhea:
Parasitic diarrhea:
Bacterial diarrhea:
Length of symptoms depends on source
Can be transmitted through undercooked meats, person to person, from pets, contaminated water
Examples: Yersinia, e. coli, salmonella, clostridium difficile, clostridium botulinum, shigella, norovirus, staph
More severe, higher fevers, worse symptoms
Nursing care for diarrhea
Education:
To prevent spread of infection:
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Appendicitis
Appendectomy complication
Failure to thrive
Celiac Disease
Gluten sensitive enteropathy
An autoimmune reaction to gluten that leads to intestinal inflammation, atrophy, and malabsorption
Gluten= protein found in wheat, rye, barley
Chronic, irreversible disease
In early onset, fat absorption is impaired, leading to excretion of large amounts of fat in the stool
As it progresses, there is a malabsorption of proteins, carbs, and fat-soluble vitamins
Diagnosis: transglutaminase IgA – if positive a biopsy of small intestine is done to evaluate intestinal mucosa damage
official diagnosis: get piece of intestine via colonoscopy
can do bloodwork to see if colonoscopy is necessary - but very expensive
Assessment findings:
Severe form:
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