Psychological aspects of GI disease Flashcards
What are some of the things to remember in acute organic disease?
cancer worries
food allergies and sensitivities
restriction diets eg gluten, FODMAP
IBD and IBS confusion
Give some examples of functional GI diseases
upper - reflux, functional dyspepsia, nausea vomiting syndromes
intestinal - IBS
biliary - sphincter of oddi dysfunction
Multifactorial aetiology of functional GI diseases…
diet, gut bacteria, family history, hormones, increased visceral sensation, psychological factors, motility
Psychological problems caused by GI disease are..
conditioning, nausea, vomiting, diarrhoea, sexual problems, loss of appetite - weight loss, stress
Psychological problems presenting as GI disease..
stress, depression, anxiety, somatisation, mental state examination, eating disorders
What is somatisation?
The manifestation of psychological stress by the presentation of bodily symptoms
What drugs can cause somatisation problems?
cocaine, amphetamines, opiates, anti depressants
What is refeeding syndrome?
Starving for a long period of time and refeeding very quickly can make them very ill - electrolyte shift
How has the body adapted during starvation which makes it accustomed to refeeding syndrome?
low expenditure of energy
adapted starvation and
atrophic gut, heart and muscles
Why is refeeding with carbohydrates dangerous?
rapid insulin rise and electrolyte shifts
How should refeeding be done after a period of starvation?
correct fluid depletion
thiamine
slowly progressing feeding
replace deficiencies of nutrients and minerals
Give some examples of conditions showing disordered eating
crohn’s, coeliac disease, missing teeth
Amenorrhoea definition
Absence of a menstrual period eg anorexia nervosa
Describe binge eating
binge then purge
gain weight
present with vomiting, bleeds
Describe bulimia nervosa
restriction
binges and purges
normal weight
