DUMPING SYNDROME vs. HIATAL HERNIA

Question 1

Hiatal hernia=

Why does this happen?

What direction does it move ?

Answer 1

regurgitation of acid into the esophagus, because the upper part of your stomach herniates upward through the diaphragm

moves in the wrong direction in the
correct rate (you want it to empty faster; so it doesn’t reflux)

Question 2

Dumping syndrome:

What direction does move ?

When does this occur

Answer 2

Dumping syndrome: gastric contents dump too quickly into the duodenum

moves in the
right direction, but at the wrong rate (you want it to empty slower

(post-operative ulcer/stomach surgeries

Question 3

S/s of HIATAL HERNIA ?

You can’t have HIATAL HERNIA unless?

Answer 3

S/S: GERD (heartburn & indegestion) when lying down after eating

Unless your symptoms occur when you lay down after you eat

Question 4

S/S of dumping syndrome

DRUNK + SHOCK =

Answer 4

S/S: 1.)DRUNK (staggering gait, slurred speech, impaired judgement) &

2.)SHOCK
(tachycardia, tachypnea, cold, clammy, pale)

DRUNK + SHOCK = HYPOGLYCEMIA

3.)ACUTE ABDOMINAL DISTRESS (cramping, pain, doubling over, borborygmi increased
bowel sounds, diarhhea, bloating, distension)

Question 5

What’s the treatment for hiatal hernia?

Answer 5

Want the stomach to empty faster

If it empty it want reflux

1.) play around with the head of the bed (raise), high because gravity empty it faster

2.)play around with water content with 
the meal (flush faster) ! Liquid meal empty fast 

3.)you can play around with the carbohydrate content of the meal (carbs
go fast)… LOW protein!! Carbs empty fast

Question 6

Treatment for dumping syndrome

What position do they eat in ?

What position do they assume after meals?

What do they eat ?

When do they drink fluids?

When everything low the stomach empty ?

Answer 6

Treatment:

During meals -eat in reclining position,

After meals -lie down after meals for 20-30 minutes

(also restrict fluids during meals, low CHO and fiber diet, small frequent meals) , increase fat and protein,

Slow

Question 7

What is diverticulitis?

Where is the pain?

Answer 7

diverticulitis (inflammation of the diverticulum in the colon) pain is around LL Quadrant?

Question 8

What is the diet for diverticulitis?

Answer 8

low residue, no seeds, nuts, peas

low-residue diet, which avoids all high-fiber foods, may be used in treating acute diverticulitis. However, after symptoms have resolved, a high-fiber diet is resumed to prevent future episodes.