IBS & IBD Flashcards
treatment for IBS
stress management
keeping diary
low FODMAP diet
IBD includes
Ulcerative colitis-colon
Crohn’s disease-anywhere in GI tract; mouth to anus
IBD strongest risk factor
family history
IBD high intake of:
refined sugar
fat
omega-6
TO decrease risk of IBD
low intake of raw fruit/veggies
low intake of fiber
Crohn’s disease & what?
“skip” lesions
all layers of bowel wall are inflamed
manifestations of crohn’s
diarrhea, cramping Weight loss (if small intestine is involved) Abdominal p! fever fatigue
Potassium imbalance
Manifestations of ulcerative colitis
diarrhea, bloody
anemia, anorexia
ulcerative colitis involves
colon
innermost mucosal layer
Diarrhea & electrolyte loss
Protein loss in stool
ulcerative colitis what form?
pseudo polyps
Mild diarrhea
moderate
severe
fewer than 4
up to 10 stools
10-20 stools
Diagnostic studies
colonoscopy
Blood studies–CBC, WBC, Albumin, electrolytes
Imaging studie
double-contrast barium enema study
Goals of treatment of IBD
rest bowel
control inflammation
control infection
correct malnutrition
indications for surgery of CD & UC
strictures or obstructions
repeated surgeries results in
short bowel syndrome
open narrowed areas from chron’s
Strictureplasty
Colostomy output may be as high as
1500-2k mL per 24 hrs
during acute exacerbations
liquid enteral feedings are preferred correct/replace F&E high protein High calories low fiber
Avoid triggers
caffeine alcohol lactose intolerance high-fat cold foods high fiber
When to seek medical care
black tarry stools
bright red bleeding
increased rectal bleeding
FODMAP foods
wheat/rye veggies onions garlic milk fructose--honey apples pears
