Chronic bowel disorders Flashcards
What is coeliac disease ?
autoimmune condition associated with chronic inflamation of small intestine unable to absorb nutrients
What causes coeliac disease ?
intolerance to gluten
Where is dietary protein gluten found ?
in cereals wheat, barley and rye
What are the symptoms of coeliac disease ?
diarrhoea, abdominal pain, bloating
Why the patients who have coeliac disease should be assessed for the risk of osteoporosis ?
higher risk of malabsorption of key nutrients: vitamin D and calcium
What is the difference between diverticula and diverticulitis ?
Diverticula: small bulges or pockets that develop in the lining of large intestine. Pain in the lower tummy
Diverticulitis when the pockets become inflamed or infected.
No symptoms: diverticulosis
What are the symptoms of diverticular ? Fiber can predispose to diverticular ( aim for 30g fiber a day )
tummy pain, usually in your lower left side, that tends to come and go and gets worse during or shortly after eating (pooing or farting eases it)
constipation, diarrhoea, or both
occasionally, blood in your poo
What is the treatment for suspected uncomplicated acute diverticulitis ?
Oral first line: Co-amoxiclav.
Alternative in penicillin allergy or co-amoxiclav unsuitable: cefalexin (caution in penicillin allergy) with metronidazole, or trimethoprim with metronidazole, or ciprofloxacin (only if switching from intravenous route with specialist advice) with metronidazole.
Inflammatory bowel disease is a term used to describe which two conditions ?
Ulcerative colitis and chrons disease
What is ulcerative colitis ?
mucosal inflammation and ulcers restricted to colon and rectum
What are the symptoms of ulcerative colitis ?
Symptoms alternate between acute-flares up and remission
- bloody diarrhoea ( may contain mucus or pus)
- abdominal pain, urgent need to defecate
What happens in acute flares up of ulcerative colitis ?
mouth ulcers, arthritis, sore skin, weight loss, fatigue
What are the long term complications of ulcerative colitis ?
colorectal cancer
secondary osteoporosis (corticosteroid medication, dietary change )
VTE
Toxic megacolon
which drugs are contraindicated during acute flares up of ulcerative colitis ?
loperamide, codeine : paralytic illeus= increased risk of toxic megacolon
Would you use oral or rectal inflammation for extensive colitis ? ( proximal)
oral