GI (13 TQs) Flashcards
What are some micronutrients of concern in patients with stomach conditions?
B12, iron, calcium
What micronutrienit is of concern to people with crohns?
B12
What are some natural eradicators of h pylori?
Green tee, broccoli, blank currant oil, kimchi, probiotics
If someone is constipated what should they eat?
Whole grains 6-11 servings a day, 5-8 servings of veggies, high fiber cereals, increase fluid consumption 2 liters a day.
If someone has diarrhea what should they consume ?
Replenish electrolytes, soups, veggie juices, limit lactose sugar alcohols, fructose, sucrose, modest intake of fiber pectin,.
How do you test for leaky gut?
Lactulose mannitol test, urine samples 6 hours after consumption
What are some extra intestinal symptoms of celiac disease?
Malaise, arthritis, dermatitis dermatitis herpetiformis, hepatitis, infertility, ataxia, psychiatric symptoms.
How is celiac diseased diagnosed?
Gluten free during diagnosis, high prob a duodenal biopsy TTGA IgA, logo prob a start with blood test, kids <2 years old screen for both TTGA IgA +DGP,
What is treatment for celiac disease?
Stop eating gluten, avoid wheat, rye, barley, malt.
What are some hidden sources of gluten?
Medications, communion wafers, toothpaste, mouthwash, lipstick, cross contamination.
What are safe gluten free options?
Amaranth, bean flours, corn rice, potap, quinoa, sorbet, popsicles, all cheese, all eggs, fresh meats, fish, all fruits and veggies, wine.
What nutritional deficiencies are often found in patients with celiac disease?
Fiber, iron, cal, magnesium, vit d, folate, niacin, riboflavin, B12
What is as nutritionally complete gluten free diet?
Focus on naturally gluten free diet, get at least 5 servings of fruits and veggies a day, add amaranth, quinoa, Buckweat. Meat fish, dairy.
What are the two most common brush border enzyme deficiencies?
Lactose intolerance and fructose malabsorption
What is the most common form of cab malabsorption ?
Lactose intolerance
How do you test for lactose intolerance ?
Hydrogen breath test or lactose intolerance test?
How do you test for fructose intolerance ?
Hydrogen breath test
What is the protein requirements for someone with IBD?
1.3-1.5
What form of IBD is most likely to present with malnutrition ?
Crohns
Explain IBS-C
< 3 Bowel movements a week with hard lumpy stools, straining
Explain IBS-D
<3 bowl movements a day, loose watery stool, fecal urgency
Explain IBS-M
Mix of hard and loose stools
What are some foods to limit on the FODMAP diet?
Fermentable foods like surgar alcohols and, sugar and Oligosaccharides
What are some specific foods to limit on the FODMAP Diet?
Chocolate, beans, lentils, rye, watermelon, apples, dried or canned fruit, honey, avocado, broccoli, asparagus,
What is the nutritional therapy for diverticular disease?
No longer have to avoid seeds, high fiber, probiotics.
How is SIBO diagnosed?
Hydrogen breath test
What are some causes of SIBO?
Over growth of SI bacteria, possibly low stomach acidity, liver or gall disease or pancreatitis
What should be avoided for platients with SIBO?
Lactobacillus acidophilus, lactobacillus fermenti
What diet is useful for treating SIBO?
FODMAP diet
