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Integrative Nutrition and Pathophysiology > GI 1 > Flashcards

GI 1 Flashcards

1
Q

constipation = difficulty __ bowel movements

A

constipation = difficulty passing bowel movements

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2
Q

constipation is characterized by

A
  1. dry/solid stools
  2. incomplete bowel movements
  3. too much time in the bathroom
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3
Q

causes of constipation

A
  1. dehydration
  2. diet lacking fiber
  3. medical conditions
  4. medications
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4
Q

constipation treatment formula

A

diet + exercise + fluids

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5
Q

constipation treatment increase (3)

A
  1. fiber (not too quickly though)
  2. water intake
  3. exercise
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6
Q

diarrhea = __ and __ stools that make it hard to __ bowel movements

A

diarrhea = loose and watery stools that make it hard to hold bowel movements

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7
Q

causes of diarrhea

A
  1. infection
  2. food intolerances
  3. chronic conditions (Crohn’s disease)
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8
Q

diarrhea treatment

A
  1. low fiber food (white rice, white bread, pedialyte)
  2. Pedialyte (Zn and Mg)
  3. low fat diet
  4. no energy drinks, SSBs, red meat
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9
Q

what nutrients does Pedialyte have?

A

Zn and Mg

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10
Q

safe grains for Celiac

A
  1. rice, wild rice
  2. corn
  3. sorghum
  4. quinoa
  5. millet
  6. buckwheat
  7. amaranth
  8. soy
  9. potato
  10. garbanzo beans
  11. yuca/cassava/tapioca
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11
Q

considerations for people with celiac

A
  1. cross-contamination
  2. lactose intolerance
  3. other allergies
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12
Q

deficiencies common with celiac disease

A
  1. iron
  2. folic acid
  3. B6
  4. B12
  5. vitamin D
  6. copper
  7. zinc
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13
Q

IBS =
IBD =

A

IBS = irritable bowel syndrome
IBD = inflammatory bowel disease

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14
Q

IBS is a __ GI disorder

A

IBS is a functional GI disorder

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15
Q

functional GI disorder means

A

there is some type of disturbance in bowel function

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16
Q

cause of IBS

A

not fully understood
stress
foods
medications

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17
Q

IBS symtpoms unique to IBS

A

no visible changes seen in examination
- gas
- bloating
- trouble sleeping
- constipation

18
Q

IBS and IBD shared symptoms

A
  1. abdominal pain
  2. diarrhea
  3. cramping
  4. fatigue
19
Q

IBD symptoms unique

A
  1. visible inflammation in examination
  2. progressively can get worse
  3. risk of surgery and hospitalization

fever
blood in stool
anemia
weight loss

20
Q

IBD 2 main types

A

Crohn’s disease and ulcerative colitis

21
Q

ulcerative colitis causes __ and __ ( ) in __ intestine

A

ulcerative colitis causes swelling and sores (ulcers) in large intestine

22
Q

Crohn’s affects

A

any part from mouth to anus

23
Q

indeterminate colitis

A

can’t tell if it is Crohn’s or ulcerative colitis

24
Q

causes of IBD

A

unclear BUT
1. genetics
2. immune system response
3. environmental triggers (diet, smoking, stress, medication use, depression)

25
Q

MNT for IBS

A
  1. limit certain dietary factors (caffeine, alcohol, spicy foods, fatty foods)
  2. restricting (onions, cabbage, beans, SSBs, artificial sweeteners)
  3. fiber intake
26
Q

dietary factors to limit with IBS

A
  1. caffeine
  2. alcohol
  3. spicy
  4. fatty
27
Q

foods to restrict with IBS

A
  1. onions
  2. cabbage
  3. beans
  4. SSBs
  5. artificial
28
Q

FODMAP personalization process

A
  1. 2-6 weeks low FODMAP diet
  2. 8-12 weeks, reintroduce one FODMAP, one food at a time over 3 days
  3. identify triggers
29
Q

nutritional assessment for IBD

A
  1. anthropometrics
  2. tanner scale (kids >10, menstruation)
  3. check-ins
  4. labs
  5. dietary record
  6. exercise
  7. sleep hygiene
30
Q

labs for IBD

A
  1. iron
  2. vit D
  3. folate
  4. B12
  5. calcium
  6. Zn
  7. Mg
31
Q

3 things to avoid eating with IBD

A
  1. processed meats
  2. artificial additives
  3. raw milk
32
Q

what is EEN

A

exclusive enteral nutriton for Crohn’s disease

33
Q

EEN is a __ therapy for __ Crohn’s disease

A

EEN is a first line therapy for pediatric Crohn’s disease

34
Q

pros of EEN

A
  1. complete nutritional feed
  2. induces remission in 80% of cases to optimize nutrition going forward
35
Q

cons of EEN

A

difficult to stick to

36
Q

what is SCD

A

specific carbohydrate diet

37
Q

SCD focuses on removing

A
  1. grains
  2. dairy (except hard cheese and yogurt fermented >24 hours)
  3. sugars (except honey)
38
Q

breads and pastries on SCD

A

okay, but nut flours are ideal!

39
Q

when does SCD not work

A

might not work when there is poor growth, severe symptoms, abscess formation or fistulizing disease

40
Q

considerations of SCD

A
  1. restrictive diet
  2. social/emotional factors
  3. economical factors
  4. increased prep time
  5. family support

Integrative Nutrition and Pathophysiology (22 decks)

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