Nutritional management of GI diseases in adults

Question 1

How does vitamin D defieiency increase the risk of IBD?

Answer 1

Commonly new diagnosed patients have a low level of vitam in D
Vit D can suppress the release of proinflammatorys

Question 2

How does fibre help in IBD?

Answer 2

Fibre prevents the release of proinflammatory cytokine which helps to maintain the epithelial barrier, having a fibre containing diet can reduce developing IBD by 40%

Question 3

What are the clinical features of crohn’s disease?

Answer 3

Abdominal pain
Anorexia and weight loss
Diarrhoea
Malaise, fever

Question 4

What are the clinical features of UC?

Answer 4

Blood diarrhoea
Colickly abdominal pain
Urgency

Question 5

What nutrients are absorbed in the stomach?

Answer 5

Water
Ethyl alcohol
Copper
Iodine
Fluride

Question 6

What nutrients are absorbed in the jejunum?

Answer 6

Lipids
Monosaccharides
Amino acids
Small peptides
Thamin
Vit A, E, D, K

Question 7

What is included in a dieteic assessment?

Answer 7

MDT approach
MUST assessment 
Calrify symptoms 
Investigations 
Medications 
Detalid diet history 
Assess if meeting nutritional requirements

Question 8

What are common high risk deficiencies?

Answer 8

Anaemia
Oestoporosis
Fat solubal vitamins

Question 9

What are indications for TPN use?

Answer 9

Extensive active disease within the small bowel
Previous multiple surgeries
Short gut (100cms or less)
Fistulas, strictures, obstructions

Question 10

What is the diagnostic critera for IBS?

Answer 10

Related to defacations
Associated with a change in frequency of stool
Associated with a change in form (consistency) of stool