MNT-GI

Question 1

too much fat in stool due to malabsorption
-supplement fat soluble vitamins

Answer 1

Steatorrhea

Question 2

-stomaches pushing into chest thru diaphragm
-acid reflex

Answer 2

hiatal hernia

Question 3

-sxs: heartburn, nausea, vomiting
avoid: CCASE-chocolate, caffeine, acid, soda, eating before bed
“I got a CCASE of heartburn”
rxs: PPIs/H2 blockers

Answer 3

GERD

Question 4

LES doesn’t relax
Leads to dysphasia

Answer 4

Achalasia

Question 5

-lesions
-H.pylori (weakens mucus coating)
-rxs: antacids, abx, no spicy, caffeine, alc

Answer 5

Ulcers

Question 6

-consistency scale from 0-7 rating food and liquid texture
-IDDSI

Answer 6

International Dysphagia Diet Standardization Initiative

Question 7

-Thin
-same as water
-flows thru straw

Answer 7

Level 0

Question 8

Slightly thick
-thicker than water
-flows thru straw

Answer 8

Level 1

Question 9

Mildly thick
-sippablble
-flows off spoon

Answer 9

Level 2

Question 10

moderately thick/liquidized
-drunk from cup
-spoon, no lumps

Answer 10

Level 3

Question 11

-extremely thick/pureed
-no cup or straw
-spoon, not sticky

Answer 11

Level 4

Question 12

-minced & moist
-spoon or fork
-minimal chewing

Answer 12

Level 5

Question 13

-soft & bite-sized
-chewing
-no knife

Answer 13

Level 6

Question 14

-no texture restrictions
-chewing

Answer 14

Level 7

Question 15

-food & liquid “dumped” into small intestine too quickly
-sxs: fast pulse, tired, sweat, dizzy, cramps
-gastrectomy
-def: cal, iron, b12, folate (no intrinsic factor) Can I, Buy 12, Flowers?

Answer 15

Dumping syndrome

Question 16

Reccs:
-small, frequent meals
-fluid after, not w meals
-B-12
-avoid simple carbs

Answer 16

Dumping syndrome

Question 17

Bariatric Surgery w…
-dumping syndrome
-malabsorption (higher vits & protein)

Answer 17

roux-en-y

Question 18

Bariatric Surgery w…
-band, less common
-no malabsorption

Answer 18

LAGB

Question 19

Bariatric Surgery w…
-sleeve (partial gastrectomy)
-supp D, Cal, iron

Answer 19

sleeve gastrectomy

Question 20

DTD:
-delayed or no stomach emptying
-sxs: nausea, vomiting
-damaged vagus nerve
-parkinson’s, diabetes, surgery

Answer 20

Gastroparesis

Question 21

MNT:
-avoid high fibre/fat (slow movement)
-smaller, frequent meals
-prokinetics
-enzymes

Answer 21

Gastroparesis

Question 22

GI condition w bacteria, virus or parasite (esp E. Coli)
-diarrhea, inflammation, anemia/malnutrition
-rx: b12, folate, abx, high cals/protein

Answer 22

Tropical sprue

Question 23

-autoimmune, SI cells attached
-macrocyctic/iron-def anemia, malabsorption, weight loss, diarrhea
-avoid prolamin/gliadin/gluten
-supp: fat-sol vit, folate, b12, iron

Answer 23

celiac disease

Question 24

-sxs: diarrhea, cramps, distention
-dx: hydrogen breath test
-limited lactase, esp as adults

Answer 24

lactose intolerance

Question 25

-effects small intestine (ileum)
-flare ups, autoimmune/inflammatory
-destroys GI tract in patches
-sxs: malabsorption, diarrhea, weight loss, anorexia, mega/iron-def anemia

Answer 25

Crohn’s Disease

Question 26

-mucosa ulcers in colon/rectum. Tissues eroded away due to inflammation
-sxs: weight loss, anorexia, anemia, electrolyte balance, dehydration, neg nitrogen, BLOODY DIARRHEA

Answer 26

Ulcerative Colitis

Question 27

MNT:
-adequate fluids & electrolytes
-supps: folate, Vit C, B12, iron
-high fat & protein
-elemental during flare up

Answer 27

IBD

Question 28

-abnormal motility
-visceral hypersensitivity
-sxs: pain, bloating
-stress & food allergy connection

Answer 28

IBS

Question 29

-Artificially created hole in abdomen, waiste leaves thru a bag

Answer 29

Stoma

Question 30

hardened biles due to extra cholesterol causing inflammation

Answer 30

gallstones, cholecystitis