GI (13 TQs)

Question 1

What are some micronutrients of concern in patients with stomach conditions?

Answer 1

B12, iron, calcium

Question 2

What micronutrienit is of concern to people with crohns?

Answer 2

B12

Question 3

What are some natural eradicators of h pylori?

Answer 3

Green tee, broccoli, blank currant oil, kimchi, probiotics

Question 4

If someone is constipated what should they eat?

Answer 4

Whole grains 6-11 servings a day, 5-8 servings of veggies, high fiber cereals, increase fluid consumption 2 liters a day.

Question 5

If someone has diarrhea what should they consume ?

Answer 5

Replenish electrolytes, soups, veggie juices, limit lactose sugar alcohols, fructose, sucrose, modest intake of fiber pectin,.

Question 6

How do you test for leaky gut?

Answer 6

Lactulose mannitol test, urine samples 6 hours after consumption

Question 7

What are some extra intestinal symptoms of celiac disease?

Answer 7

Malaise, arthritis, dermatitis dermatitis herpetiformis, hepatitis, infertility, ataxia, psychiatric symptoms.

Question 8

How is celiac diseased diagnosed?

Answer 8

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,

Question 9

What is treatment for celiac disease?

Answer 9

Stop eating gluten, avoid wheat, rye, barley, malt.

Question 10

What are some hidden sources of gluten?

Answer 10

Medications, communion wafers, toothpaste, mouthwash, lipstick, cross contamination.

Question 11

What are safe gluten free options?

Answer 11

Amaranth, bean flours, corn rice, potap, quinoa, sorbet, popsicles, all cheese, all eggs, fresh meats, fish, all fruits and veggies, wine.

Question 12

What nutritional deficiencies are often found in patients with celiac disease?

Answer 12

Fiber, iron, cal, magnesium, vit d, folate, niacin, riboflavin, B12

Question 13

What is as nutritionally complete gluten free diet?

Answer 13

Focus on naturally gluten free diet, get at least 5 servings of fruits and veggies a day, add amaranth, quinoa, Buckweat. Meat fish, dairy.

Question 14

What are the two most common brush border enzyme deficiencies?

Answer 14

Lactose intolerance and fructose malabsorption

Question 15

What is the most common form of cab malabsorption ?

Answer 15

Lactose intolerance

Question 16

How do you test for lactose intolerance ?

Answer 16

Hydrogen breath test or lactose intolerance test?

Question 17

How do you test for fructose intolerance ?

Answer 17

Hydrogen breath test

Question 18

What is the protein requirements for someone with IBD?

Answer 18

1.3-1.5

Question 19

What form of IBD is most likely to present with malnutrition ?

Answer 19

Crohns

Question 20

Explain IBS-C

Answer 20

< 3 Bowel movements a week with hard lumpy stools, straining

Question 21

Explain IBS-D

Answer 21

<3 bowl movements a day, loose watery stool, fecal urgency

Question 22

Explain IBS-M

Answer 22

Mix of hard and loose stools

Question 23

What are some foods to limit on the FODMAP diet?

Answer 23

Fermentable foods like surgar alcohols and, sugar and Oligosaccharides

Question 24

What are some specific foods to limit on the FODMAP Diet?

Answer 24

Chocolate, beans, lentils, rye, watermelon, apples, dried or canned fruit, honey, avocado, broccoli, asparagus,

Question 25

What is the nutritional therapy for diverticular disease?

Answer 25

No longer have to avoid seeds, high fiber, probiotics.

Question 26

How is SIBO diagnosed?

Answer 26

Hydrogen breath test

Question 27

What are some causes of SIBO?

Answer 27

Over growth of SI bacteria, possibly low stomach acidity, liver or gall disease or pancreatitis

Question 28

What should be avoided for platients with SIBO?

Answer 28

Lactobacillus acidophilus, lactobacillus fermenti

Question 29

What diet is useful for treating SIBO?

Answer 29

FODMAP diet