Nutritional Management of Gastrointestinal and Liver Disease

Question 1

how is insoluble fiber best estimated?

Answer 1

crude fiber

Question 2

what is soluble fiber best estimated by?

Answer 2

total dietary fiber

Question 3

what are the common etiologies of acute gastroenteritis?

Answer 3

parasites
toxin
foreign body
organ disease

Question 4

how can you assess if a food is highly digestible?

Answer 4

low in insoluble fiber

Question 5

what are the nutrition strategies for gastroenteritis?

Answer 5

highly digestible
low fat

Question 6

is allergy dose-dependent or dose-independent?

Answer 6

dose-independent

Question 7

are blood and skin allergy tests accurate?

Answer 7

no

Question 8

what diet should you use in a diet trial?

Answer 8

novel protein (to that pet) and carbohydrate or hydrolyzed diet

Question 9

what are the two rules for finding a diet that works for inflammatory bowel disease?

Answer 9

simplify
one change at a time

Question 10

what is the mainstay of therapy for lymphangiectasia and protein losing enteropathy?

Answer 10

reduce dietary fat

Question 11

how can you treat feline constipation?

Answer 11

water
improve hydration- canned food, fountain, SQ fluids
mixed fiber

Question 12

what makes up total dietary fiber?

Answer 12

crude fiber/insoluble fiber
soluble fiber

Question 13

what amount of crude fiber is low for a dog or cat?

Answer 13

dog: <1.0
cat: <0.5

Question 14

what is insoluble fiber?

Answer 14

cellulose
lignin
hemi-cellulose

Question 15

what are soluble fibers?

Answer 15

gums
pectins
fructo-oligosaccharides

Question 16

what do soluble fibers form?

Answer 16

viscous gel

Question 17

what are prebiotics?

Answer 17

substances that encourage growth of healthy gut bacteria

Question 18

what are probiotics?

Answer 18

live, non-pathogenic bacteria

Question 19

what are the most common ingredients in prebiotics?

Answer 19

inulin
fructooligosaccharides
chicory root extract
soluble, fermentable fiber

Question 20

what is the nutritional strategy for gastroenteritis?

Answer 20

highly digestible: low insoluble fiber
low fat

Question 21

is food intolerance immune-mediated?

Answer 21

no
dose dependent

Question 22

what diet should you give for inflammatory bowel disease?

Answer 22

highly digestible
low fat?
omega-3 fatty acids?
fiber?

Question 23

how should you replace protein lost in lymphangiectasia and protein-losing enteropathy?

Answer 23

through gut based on bloodwork
opposite of PLN in that giving more protein is good

Question 24

how can you treat feline obstipation?

Answer 24

prokinetics, lactulose
minimize fecal output: avoid bulking/insoluble fiber

Question 25

is pancreatitis in cats fat dependent?

Answer 25

seems to not be

Question 26

are increased liver enzymes without a known nutrition-responsive disease a reason to feed a low protein “liver diet”?

Answer 26

no

Question 27

what is hepatic encephalopathy associated with in diet?

Answer 27

protein type and source: avoid organ meats

Question 28

how should you feed a dog with a portosystemic shunt?

Answer 28

lower purine and protein
can increase slowly after surgery