GI Tract

Question 1

**MNT for constipation

Answer 1

Adequate mix of soluble and insoluble fiber
Adequate fluid intake
Exercise

Question 2

Soluble fiber

Answer 2

fruits veggies oats
forms a gel and slows down digestion
o good for watery diarrhea

Question 3

insoluble fiber

Answer 3

bran wheat brans

absorbs water increases stool wegiht so speeds up time in small intestine - stumlats bowel mocement

Question 4

**EXUDATIVE DIARRHEA characteristics

Answer 4

Mucosal damage - outpouring, mucous, fluid, blood

Question 5

**EXUDATIVE DIARRHEA associated with

Answer 5

chrons disease
Ulcerative colitis
radiation enteritis

Question 6

****osmotic diarrhea related to

Answer 6

solute that cant be absorbed
dumping syndrome
lactose intoleracne
releived by fasting

Question 7

***secretory diarrhea

Answer 7

from bacterial exotoxin
c diff
viruses
increases intestinal hormone secrestions

Question 8

***malabsorptive diarrhea

Answer 8

steatorrhea - excess fat
inflammatory bowel disease or bowel resection
not enough bile and pancreatic enzymes to digest
not getting the breakdown needed

Question 9

**steatorrhea

Answer 9

excess fat n stool

60 g normal is 2-6 g

Question 10

steatorrhea related to*****

Answer 10

lver disease
disease involvng distal ileum
BLIND LOOP SYNDROME

Question 11

MNT for steatorrhea*****

Answer 11

MCT - synthetic fats

products absorbed witout bile salts

Question 12

*****MNT for diarrhea

Answer 12

manage fluid and electrolyte - be careufl with dehydration

Question 13

**minimal residue diet

Answer 13

insoluble fiber >20 g

Question 14

*****MNT for diarrhea in chldren

Answer 14

replace Na and K losses

Question 15

*** celiac disease gluten

Answer 15

specific peptide fraction of proteins - resistant to complete digestion by GI enzymes

Question 16

Inflammatory bowel disease - CRONS DISEASE vs UC

Answer 16

Crons can eba naywhere along the GI TRACT

uc limited to large intestine and rectum

Question 17

** inflamatory bowel disease etiology

Answer 17

inappropriate inflammatory response and ablity to suppress it
damage to the cells of the small / large intestine
malabsorption, ulceration, stricture

Question 18

*****Energy requirements for IBD

Answer 18

energy requirements are constant unless weight gain desired
1.3-1.5 protein
bc of steroid use and protein losses from mucosa

Question 19

divertculitis

Answer 19

bowel rest

Question 20

short bowel syndrome - resection

Answer 20

b12 - intrinsic factor

Question 21

*****!!! see nutrition for short bowel syndrome CHO FAT AND OXALATE

Question 22

*** SMALL INTESTINE BACTERIAL OVERGROWTH SIVBO OR BLIND LOOP SYNDROME

Answer 22

overgrowth of bacteria

Question 23

*** SMALL INTESTINE BACTERIAL OVERGROWTH SIVBO OR BLIND LOOP SYNDROME
consequences

Answer 23

B12 DEFICIENCY