psychological aspects of GI disorder

Question 1

What is a functional disease

Answer 1

Function of the affected organ is histogically fine but is functioning abnormally

Question 3

What is the relationship between how long after you eat, you vomit and the condition being organic or functional

Answer 3

If you vomit right after you eat, it is probably functional but if you voimit few hours after you eat it is probably an organic problem

Question 4

What is refeeding syndrome

Answer 4

Body becomes used to syate of starvation so when the carbohydrates are given at too quick a pace for the adapted body, there is a rapid rise in insulin which can cause hypophosphataemia

Question 5

What is the criteria to determine high risk of refeeding syndrome

Answer 5

if patient has one of these:
BMI less than 16 kg/m2
unintentional weight loss greater than 15% within the last 3–6 months
little or no nutritional intake for more than 10days
low levels of potassium, phosphate or magnesium prior to feeding.

If patient has 2 of these:
BMI less than 18.5 kg/m2
unintentional weight loss greater than 10% within the last 3–6 months
little or no nutritional intake for more than 5 days
a history of alcohol abuse or drugs including insulin, chemotherapy, antacids or diuretics.

Question 6

What is the treatment of someone who is at risk of refeeding syndrome

Answer 6

Start slowly:
- IV fluids
- Thiamine 30 mins before feeding
- feed slowly and gradually increase over a week
- Replace phospate, K, Mg and thiamine

Question 7

Describe binge eating disorder

Answer 7

Binges and purges(vomits or laxatives…) but fails to compensate so weight gain

Question 9

Describe bulimia nervosa

Answer 9

Restriction and then binging episodes with purging but compensated well so normal weight

Question 10

Describe anorexia nervosa

Answer 10

Restriction which causes severe weight loss

Fear of weight gain due to body dysmorphia

Over exercising

Can have amenorrhoea in women