Psychological Aspects Of GI Disease Flashcards
1
Q
What may be a point of confusion for patients with GI disease?
A
IBD vs IBS
2
Q
Examples of psychological problems caused by GI disease
A
Conditioning Nausea and vomiting Loss of appetite Diarrhoea Sexual problems Stress
3
Q
Psychological problems presenting as GI disease examples
A
Stress Anxiety Depression Somatisation -psychological stress manifesting as physical symptoms Eating disease Mental state examination
4
Q
What is refeeding syndrome?
A
Adapted starvation
- reduced carb intake
- reduced insulin secretion
Main sources of energy are fat and protein
- reduced intracellualr phosphate
- extracellular phosphate may be normal
Low energy expenditure
Atrophied gut, heart, muscles
Low micronutrient reserves
5
Q
Tx for refeeding syndrome?
A
Refeeding with carbs
Start slow
Correct fluid deletion
Thiamine at least 30 mins before feeding starts
Feed at 5/10 kcal/kg over 24 hours
Gradual increase to requirement over 24 hours
6
Q
How does bulimia nervosa present?
A
Restriction
Binges
Purging
Near normal weight
7
Q
How does anorexia nervosa present?
A
Restriction -significant weight loss Obsessive fear of gaining weight -slightly impaired decision making (SIDMA) Body dysmorphia Over excercising Amenhorrea
8
Q
What is amenorrhea?
A
Absence of a period when there should be one
