Non-inflammatory Intestinal Disorders

Question 1

describe IRRITABLE BOWEL SYNDROME (IBS)

Answer 1

• the MOST COMMON DIGESTIVE DISORDER; affects one in FIVE people in the USA
• considered as a DISORDER OF BRAIN-GUT INTERACTION; known for RECURRENT ABD. PAIN with altered bowel habits
• etiology is UNCLEAR

Question 2

what are the THREE CLASSIFICATIONS of IBS?

Answer 2

• IBS-D (diarrhea)
• IBS-C (constipation)
• IBS-M (mix of diarrhea/constipation)

Question 3

what are some CUES that can indicate IBS?

Answer 3

• fatigued
• malaise
• lower abdominal pain/changes in BOWEL PATTERNS
• discomfort
• bloating

Question 4

interventions for IBS

Answer 4

• drug therapy
• health teaching
• stress reduction

Question 5

intestinal obstruction

Answer 5

any condition that PREVENTS the FLOW OF CHYME through the intestinal lumen

Question 6

what are the TWO TYPES of INTESTINAL OBSTRUCTION?

Answer 6

• SIMPLE OBSTRUCTION
• FUNCTIONAL OBSTRUCTION (PARALYTIC ILEUS)

Question 7

simple obstruction

Answer 7

the MECHANICAL BLOCKAGE of the LUMEN

Question 8

functional obstruction (paralytic ileus)

Answer 8

• the FAILURE of INTESTINAL MOTILITY
• occurs often AFTER INTESTINAL or ABDOMINAL SURGERY, PANCREATITIS, or HYPOKALEMIA

Question 9

what are SIGNS of SMALL INTESTINAL OBSTRUCTION?

Answer 9

• COLICKY PAINS (sharp, cramping, or intermittent waves of discomfort)
• N & V

Question 10

what are SIGNS of LARGE INTESTINE OBSTRUCTION?

Answer 10

• HYPOGASTRIC PAIN
• ABDOMINAL DISTENTION
  More mild symptoms in comparison to small intestine
• can cause RIBBON-LIKE feces

Question 11

short bowel syndrome

Answer 11

• develops when the SMALL INTESTINE is SHORTENED/DAMAGED; cannot absorb enough nutrients from food
• often seen with patients who had SURGERY to REMOVE PART OF THEIR SI due to INTESTINAL DX (ex. CD, trauma, injury)

Question 12

signs & symptoms of SHORT BOWEL SYNDROME

Answer 12

• diarrhea/steatorrhea
• malaise
• cramping
• heartburn
• weight loss
• fatigue
• bloating

Question 13

short bowel syndrome can cause deficiencies in:

Answer 13

• vitamins A, B, D, E, K
• zinc

Question 14

affected populations of SBS

Answer 14

• prevalent in both males & females
• newborns w/ NECROTIZING ENTEROCOLITIS
• CD

Question 15

lab assessments for SBS

Answer 15

• CBC
• liver enzymes
• electrolyte panel
• vitamins
• albumin

Question 16

diagnostic assessments for SBS

Answer 16

• abdominal x-rays
• CT/MRI
• upper & lower GI endoscopies