Upper GI

Question 1

Stomatitis:
Inflammation of the oral mucosa

Answer 1

Signs:
redness and painful ulcers in the mouth, esophagus, tongue, gums, and all areas of the upper GI tract
Treatments:
Viscous lidocaine for pain “magic mouthwash”
aspiration precautions, elevated HOB & oral suction
antimicrobials
antivirals (acyclovir)
antifungals (nystatin)
combo meds are “swish and swallow”
avoid alcohol mouthwash & lemon glycerin swabs
remove dentures, dental care
encourage food that is high in protein & vitamin C
Avoid foods that are spicy, salty, hot, hard, acidic & have sharp edges

Question 2

Gastroesophageal reflux disease (GERD):
Acid and GI contents chronically reflux from stomach into the esophagus causing inflammation

Answer 2

Signs:
dyspepsia
regurgitation with sour taste
nausea
abdominal/chest pain
dysphagia
globus (feeling lump in throat)
cough
laryngitis
asthma symptoms
Interventions:
eat 4-6 small meals and stay up-right for at least 2 hours
limit spicy, acidic & fatty foods, caffeine, chocolate, carbonation, peppermint & alcohol
Avoid CCBs, anticholinergics & smooth muscle relaxers
avoid nsaids & aspirin
sleep on left side with HOB 30 degrees
avoid tight clothing and weight gain and quit smoking

Question 3

Signs of stomatitis

Answer 3

inflammation & swelling
red, white, yellow ulcers (single/multiple)
may bleed
painful/tender
white coating on tongue

Question 4

treatments for stomatitis

Answer 4

medications:
topical pain meds
magic mouthwash
antibiotics
antivirals
acyclovir
antifungal
nystatin swish and swallow
possible enteral or parenteral feeds
No hot foods
No alcohol or caffeine
aspiration precautions, elevated HOB

Question 5

sliding Hiatal hernia signs

Answer 5

heartburn
regurgitation
dysphagia
belching
chest/epigastric pain
nausea/vomiting
anorexia

Question 6

Oral Cancer-
Leukoplakia

Answer 6

thickening of dermis due to irritation causing WHITE round plaques that cant be removed

Question 7

Oral Cancer-
Erythroplakia

Answer 7

RED velvety looking lesions on mucosa