Psychological Aspects of GI Disease Flashcards
What is meant by organic disease?
Actual biological problem is occuring
What is a functional disease?
When there is no pathology but things are not functioning as they should be
What 2 parts of the body does funcitonal GI disease link?
Brain
Gut
Give example of organic GI disease
IBD
Surgery - stoma
Cancers of the GI tract
Who are functional GI disorders more common in?
Younger people
Which part of the gut is affected in functional GI disease?
Every part of the gut
What are some of the consequences of functional GI disease?
Reflux
Nausea symptoms
IBS
Sphincter of Oddi Dysfunction
What is shown on investigation and examination with functional GI disease?
Normal findings
Nothing abnormal
What is the aetiology of functional GI disease?
Multifactorial aetiology Motility Gut hormones Gut microbiome Diet Increased visceral sensation Psychological factors.
Why is functional GI disease hard to explain to a patient?
Cause there is nothing biological that can be fixed
Need to take time and give reassurance
What are some psychological problems caused by GI disease?
Conditioning Nausea and vomiting Loss of appetite Weight loss Diarrhoea Sexual problems “Stress”
What are some psychological problems that can present as GI disease?
Stress Anxiety Depression Somatisation Eating disorders Mental state examination
18 year old woman Recurrent vomiting Significant weight loss. Persistent pain following a minor operation. Variable bowel habit. Admitted to a surgical ward What are the appropriate investigations?
Full blood count (FBC) Biochemical profile Blood glucose Pregnancy Test Urinalysis / culture Helicobacter pylori (H. pylori) status Antiendomysial antibody (EMA) (tTG) Erect Chest Xray (CXR) Abdominal film (AXR) Ultrasound scan (USS) Endoscopy (UGIE) Might need CT Head or abdomen
Discuss the MUST score
MUST BMI <20 < 18 Weight loss 5% 10% Have you eaten anything for 5 days? Yes No Score > 2 Significant risk of Malnutrition.
What does BMI stand for?
Body mass index
