Chapter 13 - Nutrition For Disorders Of The GI Tract Flashcards

1
Q

What is Dysphagia?

A

Chewing or Swallowing difficulty

Implement:

  • specific diet
  • thickening agents
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2
Q

What does GERD stand for?

A

Gastroesophageal reflux disease

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3
Q

GERD is commonly known as what?

A

Heartburn

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4
Q

Reflux usually occurs how long after meals?

A

Within 1-4 hours after meals

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5
Q

Esophagitis?

A

Inflammation of the lower esophagus

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6
Q

Factors that aggravate reflux?

A
  • reclining after meals
  • stress
  • certain foods
  • increased intra-abdominal pressure
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7
Q

What are examples of intra-abdominal pressure?

A
  • coughing
  • straining
  • bending
  • vomiting
  • obesity
  • pregnancy
  • trauma
  • ascites
  • clothing too tight around the waist
  • lifting heavy objects
  • strenuous exercise
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8
Q

GERD treatment?

A
  • avoid certain foods, especially those high in fat
  • six stages of medical management, one surgical intervention
  • medications used to treat GERD
  • reduce intra abdominal pressure
  • reduce gastric acid production
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9
Q

What is Peptic Ulcer Disease?

A

Break or ulceration in the protective mucosal lining

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10
Q

Where does Peptic Ulcer Disease typically occur?

A

Lower esophagus, stomach, or duodenum

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11
Q

Peptic Ulcer Disease is can be ________ or___________ in nature?

A

Acute or Chronic

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12
Q

Peptic Ulcer Disease erosions can be ____________ or ____________?

A

Superficial or deep erosions

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13
Q

Major causes of Peptic Ulcer Disease?

A
  • infection with Helicobacter-pylori

- NSAIDs

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14
Q

There is no need for a special diet or bland diet with which type of disease?

A

Peptic Ulcer Disease

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15
Q

What foods should an individual with Peptic Ulcer Disease eliminate from their diet that may worsen damage to the lining of the esophagus, stomach, or duodenum?

A
  • Red and Black pepper
  • Chili pepper
  • coffee
  • Caffeine
  • Alcohol

(They should also stop smoking and have a good quality diet)

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16
Q

What is dumping syndrome caused by?

A

Caused by partial or total gastrectomy or removal of pyloric sphincter

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17
Q

EARLY PHASE symptoms of Dumping Syndrome?

A
  • Fullness
  • Cramps
  • Nausea
  • Diarrhea
  • tachycardia
  • postural hypotension
  • sweating
  • weakness
  • flushing
  • syncope
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18
Q

When do EARLY PHASE dumping syndrome symptoms typically occur?

A

10-20 minutes postprandial(after meals)

19
Q

When do LATE PHASE dumping syndrome symptoms typically occur?

A

1 to 3 hours postprandial (after meals)

20
Q

What are the symptoms of LATE PHASE dumping syndrome?

A
  • Hypoglycemia
  • Perspiration
  • Hunger
  • Nausea
  • Anxiety
  • Tremors
  • Weakness
21
Q

What is Celiac Disease?

A

Chronic disease that damages mucosa of the small intestine

22
Q

Celiac disease is also known as what?

A

Gluten- sensitive Enteropathy

23
Q

Symptoms of Celiac Disease?

A
  • Diarrhea
  • Abdominal distention
  • Fat malabsorption
  • Weight loss
24
Q

Intestinal damage is caused by what in people with Celiac Disease?

A

Caused by gliadin ( a protein found in gluten. Ex: wheat, rye, barley)

25
Q

Nutrition therapy for Celiac Disease?

A
  • Remove gluten from the diet

( Requires lifelong avoidance)

26
Q

Inflammatory Bowel Disease includes what?

A
  • Chronic Ulcerative Colitis (CUC)

- Crohn’s disease (regional enteritis)

27
Q

Symptoms of Inflammatory Bowel Disease?

A
  • abdominal pain
  • diarrhea
  • intestinal bleeding
  • protein loss
  • Fever
28
Q

Surgery is curative for what disease?

A

Ulcerative colitis

29
Q

____________ disease tends to recur?

A

Crohn’s

30
Q

irritable bowel disease, most common deficiencies?

A
  • Iron
  • calcium
  • zinc
  • magnesium
  • selenium
  • folate
  • thiamine
  • riboflavin
  • pyridoxine
  • vitamin B12
  • vitamin A
  • vitamin D
  • vitamin E
31
Q

For people with IBD, what type of diet should be implemented when in remission?

A

High-fiber diet

32
Q

For acute IBD episodes, what should be done?

A

Bowel rest & low fiber diet

33
Q

What are Ileostomies and Colostomies?

A

Surgical formation of an opening from the colon or ileum to the abdomen

34
Q

More liquid bowel movements are common with what?

A

Ileostomies

Important to replace fluid and electrolytes

35
Q

What is Diverticular Disease?

A

Weakened musculature of bowel walls causes diverticula (diverticulosis)

36
Q

What types of therapy are suggested for Diverticular Diseases?

A
  • Bowel rest during periods of inflammation

- High-fiber diets to reduce straining during defecation

37
Q

Aerophagia?

A

Swallowing air; carbonated beverages

38
Q

Flatus?

A

Gas produced by food digestion and fermentation by intentional bacteria

39
Q

What is Constipation?

A

Having fewer than 3 BMs per week. Straining to pass hard, dry stools

(is a symptom, not a disease)

40
Q

Causes of Constipation?

A
  • Organic: intentional obstruction, spasms of sigmoid colon, diverticulitis, tumors
  • Ignoring the urge to defecate
  • Lack of fiber and/or fluid
  • Prolonged bed rest or lack of physical activity
  • Habitual use of laxatives or enemas
  • pregnancy
41
Q

Diarrhea is a _________ not a ___________.

A

is a Symptom not a Disease

42
Q

Acute diarrhea usually results from what?

A
  • enteritis
  • emotional stress
  • side effect of medication
43
Q

Chronic diarrhea is considered longer than what?

A

Longer than 2-4 weeks

44
Q

Chronic diarrhea is a result of what?

A

GI irritation or malabsorption