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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
MNT for IBS
1. limit certain dietary factors (caffeine, alcohol, spicy foods, fatty foods) 2. restricting (onions, cabbage, beans, SSBs, artificial sweeteners) 3. fiber intake
26
dietary factors to limit with IBS
1. caffeine 2. alcohol 3. spicy 4. fatty
27
foods to restrict with IBS
1. onions 2. cabbage 3. beans 4. SSBs 5. artificial
28
FODMAP personalization process
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
nutritional assessment for IBD
1. anthropometrics 2. tanner scale (kids >10, menstruation) 3. check-ins 4. labs 5. dietary record 6. exercise 7. sleep hygiene
30
labs for IBD
1. iron 2. vit D 3. folate 4. B12 5. calcium 6. Zn 7. Mg
31
3 things to avoid eating with IBD
1. processed meats 2. artificial additives 3. raw milk
32
what is EEN
exclusive enteral nutriton for Crohn's disease
33
EEN is a __ therapy for __ Crohn's disease
EEN is a **first line** therapy for **pediatric** Crohn's disease
34
pros of EEN
1. complete nutritional feed 2. induces remission in 80% of cases to optimize nutrition going forward
35
cons of EEN
difficult to stick to
36
what is SCD
specific carbohydrate diet
37
SCD focuses on removing
1. grains 2. dairy (except hard cheese and yogurt fermented >24 hours) 3. sugars (except honey)
38
breads and pastries on SCD
okay, but nut flours are ideal!
39
when does SCD not work
might not work when there is poor growth, severe symptoms, abscess formation or fistulizing disease
40
considerations of SCD
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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