Nutrition: Gastritis

Question 1

What is gastritis

Answer 1

GI problem causing inflammation of stomach

Question 2

Acute gastritis is:

Answer 2

rapid: usually by dietary indiscretion

Question 3

Chronic gastritis is:

Answer 3

prolonged inflammation caused by benign or malignant ulcers of stomach or H. Pylori

Question 4

Manifestations of Gastritis can include:

Answer 4

(acute)
abdominal discomfort
nausea
vomiting
anorexia
(chronic)
heartburn after eating
sour taste in mouth
intolerance
vitamin deficiency

Question 5

How to diagnose gastritis

Answer 5

UGI radiography or endoscopy

Question 6

What are some causes of acute gastritis

Answer 6

food or medication
corrosive agents
local irritants
H pylori
immunosuppressive disorders

Question 7

3 stages of chronic gastritis

Answer 7

superficial
atrophic
hypertrophic

Question 8

two types of gastritis according to area involved

Answer 8

type a: upper body of stomach

type b: bottom of stomach (h.pylori)

Question 9

Medical management of gastritis

Answer 9

remove foods that irritate
refrain from alcohol
avoid acid in stomach
eat clean foods
remove overused medications
drink lots of water
stress reduction
may need medication

Question 10

what is peptic ulcer disease

Answer 10

sores in the lining of the stomach but can also be in other areas giving different signs and symptoms

Question 11

what are the causes of peptic ulcer disease

Answer 11

H.pylori MOST COMMON
NSAIDs (non-steroidal anti-inflammatory drugs)
men more likely until women hit menopause

Question 12

complications of peptic ulcer disease

Answer 12

• hemorrhage: most severe complication- bright red emesis; melena
• perforation
• pyloric obstruction

Question 13

Duodenal ulcer symptoms

Answer 13

food makes it better
pain few hours after eating
pain GNAWING
normal weight
tarry stool

Question 14

risk factors of duodenal ulcer

Answer 14

h.pylori
alcohol
smoking
stress

Question 15

gastric ulcer symptoms

Answer 15

food makes pain
short period of time after eating pain
weight loss
vomiting blood

Question 16

risk factors of gastric ulcer

Answer 16

h.pylori
alcohol
cirrhosis
stress

Question 17

management of ulcers

Answer 17

eliminate bacteria
reduce gastric secretions
strengthen barrier
modify diet
modify stress
prevent complications

Question 18

What meds can be prescribed with peptic ulcers

Answer 18

antibiotics
proton pump inhibitors to eradicate h.pylori
med therapy for 10-14 days

Question 19

diagnostic tests for peptic ulcers

Answer 19

blood count
stool check
duodenoscopy
breath test for urea

Question 20

explain how the breath test works

Answer 20

testing for urea, h.pylori metabolizes urea rapidly so the carbon-labelled urea capsule is absorbed and measure the CO2 in the breath to see if h.pylori is present

Question 21

why someone with peptic ulcers would get surgery

Answer 21

cannot manage medications
emergency
removing a lesion

Question 22

surgical management includes

Answer 22

vagotomy (removing a nerve)
vagotomy with pylorplasty (widen sphincter)
gastroerostomy
antrectomy (remove part of stomach)
subtotal gastrectomy
total gastrectomy

Question 23

complications of surgery for peptic ulcers

Answer 23

hemorrhage
nutritional problems (b12 because it gets absorbed in the stomach)
dumping syndrome (only have small meals no nutritional value)
pyloric obstruction

Question 24

CASE STUDY:

male with loss of appetite, nausea, arthritis, negative for H.pylori, 800mg of ibuprofen daily q6h

Answer 24

modify lifestyle
-too many meds
stomach can be healed
-acute gastritis
education
-can lead to ulcers
-can perforate and gastric contents go into body
clear up diet
- avoid spicy food, acidic food, coffee, alcohol, greasy

Question 25

What is indicative of urea in the breath

Answer 25

Peptic ulcer disease