Psychological Aspects of Gastrointestinal Disease Flashcards
What are examples of psychological aspects of GI disease?
Organic disease
Functional GI disease
Psychological problems presenting as GI disease
Psychological problems caused by GI disease
Assessment
What should be remembered about fear and GI diseases?
Both acute and chronic GI diseases carry huge fears
Are functional GI diseases more common in younger or older people?
Younger people
What parts of the gut do functional GI diseases affect?
Every part of the gut
What are examples of upper GI functional diseases?
Reflux
Functional dyspepsia
Nausea vomiting syndromes
What is an example of an intestinal GI disease?
IBS
What is an example of a biliary functional GI disease?
Sphincter of Oddi dysfunction
What are the investigations and physical examination like for functional GI diseases?
Normal
What is some of the aetiology of functional GI diseases?
Motility
Gut hormones
Gut microbiome
Diet
Increased visceral sensation
Psychological factors
What are examples of psychological problems caused by GI disease?
Conditioning
Nausea and vomiting
Loss of appetite
Diarrhoea
Sexual problems
Stress
What are examples of psychological problems presenting as GI disease?
Stress
Anxiety
Depression
Somatisation
Eating disorders
What are examples of drugs that can cause GI problems?
Opiates
Amphetamines
Cocaine
Anticholinergics
Antidepressants
What is refeeding syndrome?
Metabolic disturbances that occur as a result of reinstitution of nutrition to patients who are starved, severely malnourished or metabolically stressed due to severe illness
When does adaptive starvation occur?
Reduced intake of carbohydrates
Reduced secretion of insulin
What are the main sources of energy during adaptive starvation?
Fats and proteins