Chapter 28 - Bowel Elimination (Week 6 Quiz) Flashcards
T or F: Normal flora in the colon aid in the digestive process and produce vitamins such as K and B’s.
True.
What are the major functions of the small intestine and large intestine?
Answer:
The intestine has the following major functions:
● Small intestine. The major function of the small intestine is the digestion and absorption of carbohydrates, fat, and protein.
● Large intestine. The major function of the large intestine is the absorption of water, vitamins, and minerals.
How do the rectum and anus control elimination of feces from the body?
Answer:
Normally, the rectum is free of waste products until just before defecation. Feces and flatus (gas) are expelled from the rectum through the anus. The anus has two ringlike muscles that function as sphincters. The internal sphincter relaxes and opens when feces is present in the rectum. This is an involuntary reaction. The external sphincter is under voluntary control. Relaxation of the external sphincter allows feces, or stool, to be expelled from the body.
Feces are usually brown in color because of _____ _____.
Bile Salts
Feces are usually brown in color because of _____ _____.
Bile Salts.
golden yellow Bile + bacteria = brown
What is considered “normal” when it comes to bowel function?
Answer:
There is a wide range of “normal.” The frequency of BMs may range from several times per day to once per week. Bowel function may be regarded as normal as long as stools are passed without excessive urgency (needing to rush to the toilet), with minimal effort and no straining, without blood loss, and without the use of laxatives.
Identify the factors that affect bowel elimination.
Answer: The following factors affect bowel elimination: ● Age ● Stress ● Dietary intake ● Fluid intake ● Activity ● Medications ● Surgery ● Anesthesia ● Pregnancy ● Pathological conditions (e.g., food allergies and intolerances, diverticulosis, diverticulitis)
What is the process of bowel elimination?
Fecal material reaches rectum
Stretch receptors initiate contraction of sigmoid colon/rectal muscles
Internal anal sphincter relaxes
Sensory impulses cause voluntary “bearing down”
External sphincter relaxes
Identify the factors that affect bowel elimination.
Answer: The following factors affect bowel elimination: ● Age: -infants=newborns pass meconium ● Stress ● Dietary intake ● Fluid intake ● Activity ● Medications ● Surgery ● Anesthesia ● Pregnancy ● Pathological conditions (e.g., food allergies and intolerances, diverticulosis, diverticulitis)
What is meconium?
newborn passes meconium through the anus. It is green-black, tarry, and sticky and is formed by swallowed mucous, hair and amniotic fluid. It is odorless. Stool transition to yellow-green color over the next few days.
Identify the factors that affect bowel elimination.
Answer:
The following factors affect bowel elimination:
● Age:
-INFANTS=newborns pass meconium; transitions to yellow-green. Bottle fed becomes tan, breastfed is yellow. As normal flora develop it becomes firm and less frequent.
-CHILDREN=toilet training
ADULT = childhood habits are set and continue
● Stress
● Dietary intake
● Fluid intake
● Activity
● Medications
● Surgery
● Anesthesia
● Pregnancy
● Pathological conditions (e.g., food allergies and intolerances, diverticulosis, diverticulitis)
What is meconium?
newborn passes meconium through the anus. It is green-black, tarry, and sticky and is formed by swallowed mucous, hair and amniotic fluid. It is odorless. Stool transition to yellow-green color over the next few days.
Why do we wait until 2-3 years of age to toilet train?
Ability to control defecation develops around this age.
Toilet training requires neural and muscular control as well as conscious effort. Child must be aware of the urge to go, able to maintain closure of external sphincter while getting to toilet and removing clothing.
T or F: Peristalsis, intestinal smooth muscle tone, perineal muscle tone, and sphincter control normally decrease with aging.
True.
Decreased fiber and activity can make it even worse.
Identify the factors that affect bowel elimination.
Answer:
The following factors affect bowel elimination:
● Age:
-INFANTS=newborns pass meconium; transitions to yellow-green. Bottle fed becomes tan, breastfed is yellow. As normal flora develop it becomes firm and less frequent.
-CHILDREN=toilet training
ADULT = childhood habits are set and continue
● Stress - can lead to IBS
● Dietary intake - regular pattern of eating = regular pattern of defection; fiber promotes peristalsis; fluids; supplements
● Fluid intake
● Activity
● Medications
● Surgery
● Anesthesia
● Pregnancy
● Pathological conditions (e.g., food allergies and intolerances, diverticulosis, diverticulitis)
What foods promote peristalsis?
Fibrous foods! They bulk the stool and initiate peristalsis.
Good sources are: fruit, berries, dried fruits, vegetables (raw esp), whole grain cereal, flaxseed, popcorn, dried beans/peas/legumes.
How much water should you drink in a day for healthful bowel function?
6-8 8oz glasses per day
Identify the factors that affect bowel elimination.
Answer:
The following factors affect bowel elimination:
● Age:
-INFANTS=newborns pass meconium; transitions to yellow-green. Bottle fed becomes tan, breastfed is yellow. As normal flora develop it becomes firm and less frequent.
-CHILDREN=toilet training
ADULT = childhood habits are set and continue
● Stress - can lead to IBS
● Dietary intake - regular pattern of eating = regular pattern of defection; fiber promotes peristalsis; fluids; supplements
● Fluid intake
● Activity
● Medications-antacids, NSAIDs,
● Surgery
● Anesthesia
● Pregnancy
● Pathological conditions (e.g., food allergies and intolerances, diverticulosis, diverticulitis)
Identify the factors that affect bowel elimination.
Answer:
The following factors affect bowel elimination:
● Age:
-INFANTS=newborns pass meconium; transitions to yellow-green. Bottle fed becomes tan, breastfed is yellow. As normal flora develop it becomes firm and less frequent.
-CHILDREN=toilet training
ADULT = childhood habits are set and continue
● Stress - can lead to IBS
● Dietary intake - regular pattern of eating = regular pattern of defection; fiber promotes peristalsis; fluids; supplements
● Fluid intake
● Activity
● Medications-antacids, NSAIDs, antibiotics, iron, opioids, laxatives
● Surgery
● Anesthesia
● Pregnancy
● Pathological conditions (e.g., food allergies and intolerances, diverticulosis, diverticulitis)
If someone takes Iron, what might you expect to happen to their bowel movements? Feces?
causes constipation
stool comes out back
causes nausea if not food was eaten with it
Why do antibiotics cause constipation?
They decrease the normal flora in the colon.
Patients should take probiotics or eat yogurt daily while taking them to prevent this problem
Identify the factors that affect bowel elimination.
Answer:
The following factors affect bowel elimination:
● Age:
-INFANTS=newborns pass meconium; transitions to yellow-green. Bottle fed becomes tan, breastfed is yellow. As normal flora develop it becomes firm and less frequent.
-CHILDREN=toilet training
ADULT = childhood habits are set and continue
● Stress - can lead to IBS
● Dietary intake - regular pattern of eating = regular pattern of defection; fiber promotes peristalsis; fluids; supplements
● Fluid intake
● Activity
● Medications-antacids, NSAIDs, antibiotics, iron, opioids, laxatives
● Surgery - anesthesia, stress, manipulation of bowel during surgery
● Anesthesia
● Pregnancy
● Pathological conditions (e.g., food allergies and intolerances, diverticulosis, diverticulitis)
What is a paralytic ileus?
a cessation of bowel peristalsis. Bowel continues to produce secretions, but without peristalsis, secretions are stagnant.
NG tube with intermittent or constant suction is used until peristalsis returns.
Identify the factors that affect bowel elimination.
Answer:
The following factors affect bowel elimination:
● Age:
-INFANTS=newborns pass meconium; transitions to yellow-green. Bottle fed becomes tan, breastfed is yellow. As normal flora develop it becomes firm and less frequent.
-CHILDREN=toilet training
ADULT = childhood habits are set and continue
● Stress - can lead to IBS
● Dietary intake - regular pattern of eating = regular pattern of defection; fiber promotes peristalsis; fluids; supplements
● Fluid intake
● Activity - decreased mobility, perineal surgery, anal sphincter surgery
● Medications-antacids, NSAIDs, antibiotics, iron, opioids, laxatives
● Surgery - anesthesia, stress, manipulation of bowel during surgery
● Anesthesia
● Pregnancy - fluid loss from morning sickness
● Pathological conditions (e.g., food allergies and intolerances, diverticulosis, diverticulitis)
What is the BRAT diet?
bananas rice applesauce toast.
These foods are used for people who have experienced stomach upset due to IBS, food poisoning, etc. Easy on the tummy. They are also calorie dense help offset potassium loss, and are easy to digest
What is the BRAT diet?
bananas rice applesauce toast.
These foods are used for people who have experienced stomach upset due to IBS, food poisoning, etc. Easy on the tummy.
What is the BRAT diet?
bananas rice applesauce toast.
These foods are used for people who have experienced stomach upset due to IBS, food poisoning, etc. Easy on the tummy.
Identify the factors that affect bowel elimination.
Answer:
The following factors affect bowel elimination:
● Age:
-INFANTS=newborns pass meconium; transitions to yellow-green. Bottle fed becomes tan, breastfed is yellow. As normal flora develop it becomes firm and less frequent.
-CHILDREN=toilet training
ADULT = childhood habits are set and continue
● Stress - can lead to IBS
● Dietary intake - regular pattern of eating = regular pattern of defection; fiber promotes peristalsis; fluids; supplements - calcium constipates but magnesium loosens stools.
● Fluid intake - 6 to 8 8-ounce glasses
● Activity - decreased mobility, perineal surgery, anal sphincter surgery
● Medications-antacids, NSAIDs, antibiotics, iron, opioids, laxatives
● Surgery - anesthesia, stress, manipulation of bowel during surgery
● Anesthesia
● Pregnancy - fluid loss from morning sickness
● Pathological conditions (e.g., food allergies and intolerances, diverticulosis, diverticulitis)
What foods promote peristalsis?
Fibrous foods! They bulk the stool and initiate peristalsis.
Good sources are: fruit, berries, dried fruits, vegetables (raw esp), whole grain cereal, flaxseed, popcorn, dried beans/peas/legumes.
Bacteria in yogurt stimulate peristalsis and promote healing of intestinal infection (good to eat after some intestinal issues)
What are symptoms of food allergies?
- rash
- anaphylactic shock
- bloating
- constipation/diarrhea
- red, blistering rash around the anus
- abdominal discomfort
- excessive gas
- intestinal bleeding
What are symptoms of food allergies?
- rash
- anaphylactic shock
Common GI symptoms suggesting food allergy are:
- bloating
- constipation/diarrhea
- red, blistering rash around the anus
- abdominal discomfort
- excessive gas
- intestinal bleeding
What is the difference between food intolerance and food allergy?
Same symptoms but allergy is immune response based, whereas intolerance is not immune related. It could be enzyme related ie lactose intolerance
symptoms
- bloating
- constipation/diarrhea
- pain
- abdominal discomfort
- gas
What is the difference between diverticulosis and diverticulitis?
Diverticulosis is when the colon must repeatedly move highly compacted fecal material, over time the longitudinal and circular muscles enlarge.
What is the difference between diverticulosis and diverticulitis?
Diverticulosis is when the colon must repeatedly move highly compacted fecal material, over time the longitudinal and circular muscles enlarge. pouches are created. Diverticula are present in the intestine WITHOUT signs of inflammation.
Diverticulitis is when these said pouches become infected. (Say good bye to sesame seeds, strawberries, etc.)
caused by diets low in fiber or consist of mainly refined foods