Chapter 22: MNT in GI Disorders Flashcards
disease of the intestines - small intestine
is the disease characterized by atrophy of the intestine due to lack of peptidase to digest the gliadin fraction of gluten
gluten-sensitivity enteropathy (celiac disease)
gluten-sensitive enteropathy is aka
celiac disease
disease of the intestines - small intestine
signs of this disease are: diarrhea, weight loss, steatorrhea
gluten-sensitive (celiac disease)
disease of the intestines - small intestine
celiac disease dietary mgmt
diet: restrict rye, oats, wheat, and barley
rationale?
rich in gluten
disease of the intestines - small intestine
celiac disease dietary mgmt
diet: low fat
rationale:
prevent steatorrhea
disease of the intestines - small intestine
celiac disease dietary mgmt
diet: MCT
rationale:
for better fat absorption
excessive amounts of fat in your poop
steatorrhea
disease of the intestines - small intestine
celiac disease dietary mgmt
diet: vitamin and mineral supplementation
rationale:
to replace losses
disease of the intestines - small intestine
celiac disease dietary mgmt
diet: high calorie
rationale:
to compensate weight loss
disease of the intestines - small intestine
refers to the disease characterized by malabsorption, diarrhea, and intestinal disorders
tropical sprue
disease of the intestines - small intestine
signs of this disease are: flatulence, indigestion, glossitis
tropical sprue
disease of the intestines - small intestine
tropical sprue dietary mgmt
diet: high protein
rationale:
to health lesions
disease of the intestines - small intestine
tropical sprue dietary mgmt
diet: folic acid
rationale:
to alleviate symptoms; restore the gi structure and function
disease of the intestines - small intestine
tropical sprue dietary mgmt
diet: ?
rationale: to correct malabsorption
low fat diet
disease of the intestines - small intestine
tropical sprue dietary mgmt
diet: ?
rationale: prevent pernicious anemia
vitamin b12
disease of the intestines - small intestine
refers to the fibrosis of the bowel wall due to radiation exposure characterized by diarrhea and malabsorption
enteritis
disease of the intestines - small intestine
enteritis dietary mgmt
diet: ?
rationale: to provide nutritional needs
NPO, IVF, or PN
disease of the intestines - small intestine
enteritis dietary mgmt
diet: ?
rationale: to prevent irritation
small frequent feedings
disease of the intestines - small intestine
enteritis dietary mgmt
diet: ?
rationale: to favor fat absorption
low fat, MCT
disease of the intestines - small intestine
enteritis dietary mgmt
diet: ?
rationale: to replace losses
vitamins and mineral supplements
disease of the intestines - small intestine
enteritis dietary mgmt
diet: ?
rationale: to prevent oxaluria
calcium supplements
happens when you have too much oxalate in your urine
oxaluria
disease of the intestines - small intestine
refers to the congenital malformation of the lymphatic system causing losses of protein, diarrhea, and steatorrhea, due to malabsorption
lymphangiectasis
disease of the intestines - small intestine
lymphangiectasis dietary mgmt
diet: ?
rationale: for direct transport to the liver and better fat absorption
MCT
disease of the intestines - small intestine
pertains to the failure to absorb nutrients due to pancreatitis, e.coli, or rotavirus infection, bacterial overgrowth, impaired enzymatic activity, biliary secretion, drugs, and reduction of absorptive surface due to organic diseases (celiac or tropical sprue, resections or bypass); increased absorption may occur with hemochromatosis or Wilson’s disease
malabsorption
disease of the intestines - small intestine
malabsorption dietary mgmt
diet: ?
rationale: in case of malabsorption
fat-restricted diets
disease of the intestines - small intestine
malabsorption dietary mgmt
diet: ?
rationale: for hyperoxaluria due to binding of fatty acids with calcium
oxalate-restricted diets
disease of the intestines - small intestine
interference with the flow of intestinal contents caused by adhesions, hernia, or tumor
intestinal obstruction
disease of the intestines - small intestine
intestinal obstruction dietary mgmt
diet: ?
rationale: to provide nutrition support
NPO, IV, TPN
disease of the intestines - small intestine
intestinal obstruction dietary mgmt
diet: surgical removal of the obstruction
rationale: -
-
disease of the intestines - small intestine
the failure to digest and absorb nutrients due to lack of enzyme activity characterized by vomiting or diarrhea
intolerance
disease of the intestines - small intestine
intolerance dietary mgmt
diet: restrict specific disaccharide rich food item (ex: if lactose, restrict milk)
rationale: -
-
disease of the intestines - small intestine
severe diarrhea and malabsorption following surgery or intestinal resections
short-bowel syndrome
disease of the intestines - small intestine
short bowel syndrome dietary mgmt
diet:
-tube feeding, intravenous nutrition or intestinal transplantation
-progressive diets
-if with intact colon, carbohydrates (CHOs) are increased; low fat
- if w/o intact colon, fats are increased; low CHO
-vitamin and mineral supplements
-
disease of the intestines - large intestine
symptom of several diseases
acc to WHO (2009), it is the passage of 3 or more watery or loose bowel movements in a 24-hr period
diarrhea
disease of the intestines - large intestine
diarrhea may be acute
<2 weeks
disease of the intestines - large intestine
diarrhea may be severe
> 2 weeks
disease of the intestines - large intestine
etiology of this disease is: stress, poor eating habits, lesions in the git, organic diseases, enzyme deficiency, malabsorption, and infection
diarrhea
disease of the intestines - large intestine
types of this disease are: osmotic, secretory, exudative, and motility disorder
diarrhea
disease of the intestines - large intestine
diarrhea mangement (medical)
antidiarrheal drugs
disease of the intestines - large intestine
diarrhea dietary mgmt
diet: ?
rationale: to rest the organ and replace fluids
NPO, IVF