Bowel Movement

Question 1

What is steatorrhea? If a patient presented with this where would you think the issue was?

Answer 1

Fatty oily stools caused by increased lipids

Pancreas (due to lack of enzymes being produced)

Question 2

What is constipation

Answer 2

< 2 bowel movements per week

Question 3

What goes along with constipation?

Answer 3

Straining
Incomplete empyting
Abdo pain
Perianal disease

Question 4

What drug commonly causes constipation?

Answer 4

Opiods

Question 5

Treatment of constipation?

Answer 5

Treat underlying
Diet, exercise, fluid
Laxatives

Question 6

Name the 3 types of diarrohea and explain their causes

Answer 6

Osmotic - large quantities of non-absorbale substances in the bowel cause water to move into the lumen

Secretory - secretion of electrolytes into the lumen in response to a signal - followed by movement of water

Inflammatory - damage to mucosal cells leads to loss of blood and fluid. Decrease in absorptive function causes a build up in malabsorbed substances

Question 7

What type of diarrohea is IBD associated with?

Answer 7

IBD

Question 8

Osmotic diarrhoea can be caused by what?

How is it tretaed?

Answer 8

Certain laxatives
Malabsorption condition e.g. lactose intolerance

Avoid substance

Question 9

Enterotoxins released by E.coli, shigella (maybe), C.diff cause secretory diarrohea, how is this treated?

Answer 9

Fluids

Electrolyte replacement

Question 10

At what point does diarrhoea go from acute to chronic?

Answer 10

2 weeks