L3: Disease-specific dietary interventions Flashcards
Gastroparesis definition
Delayed gastric emptying→ N/V, early satiety, postprandial fullness, upper abdominal discomfort
Lactose intolerance symptoms
Bloating, flatulence, diarrhea
Contain gluten:
wheat, rye, barley
Supplements for lactose intolerance
Lactaid
Calcium
Vitamin D
Gastroparesis is a ______
Complication of DM→ diabetic autonomic neuropathy→ optimize glycemic control
Gastroparesis diet
Small, frequent, low fat/fiber meals
cooked, blended, pureed foods and liquids better tolerated
If a patient with gastroparesis has inadequate oral intake…
post-pyloric enteral nutrition
Goal of dietary interventions post gastric bypass
Maximize weight loss and maintain health, prevent micronutrient deficiencies
Screen for ______ post gastric bypass, replete if deficient
Vitamins A, D, B1, B12, folate, F3, Ca, Zinc
Dumping syndrome
Post gastric bypass: rapid emptying of food into small bowel→ advise frequent meals, separate solids from liquids by 30 minutes, avoid simple sugars
Goal of dietary interventions for IBS
Ensure adequate caloric and protein needs
Avoid processed/refined products +/- lactose
Nutritional deficiencies→ B12, Fe, Calcium, Vit D, Zinc
Oral/enteral/parenteral (if bowel rest needed) nutrition supplementation
Short bowel syndrome
Surgical resection or disease of small bowel→ disruption of digestive/absorptive surface capacity→ nutrient malabsorption, diarrhea, dehydration, electrolyte abnormalities
Dietary interventions for short bowel syndrome
Short term parenteral nutrition support
Oral/enteral nutrition support→ helps augment intestinal adaptation
Vits/Minerals→ B12, A, D, E, K, Mg, PO4, Zinc, Ca++
Diet modification
Diverticulosis
Presence of diverticula
Diverticulitis
Inflammation of diverticulum