GI DISORDERS Flashcards
(6 cards)
What is reflux and consequences
Weakness of sphincter between oesophagus and stomach
High pressure in stomach and abdominal area
Consequences
- oesophagitis - inflammation of oesophagus
- benign oesophageal structure - may feel food is getting stuck, appetite may become reduced
Dietetic management of reflux
Eat little and often
Avoid fatty foods
Avoid spicy foods
Reduce consumption of caffeine and alcohol
Ensure to chew food well
Avoid eating late at night
Sleep with head semi upright to prevent symptoms at night
What is gastritis - symptoms and causes
Inflammation of gastric mucosa
Symptoms - pain, nausea, vomiting
Causes - alcohol, NSAIDs, pathogens HPylori infection
Diarrhoea - causes and concerns and management
Abnormally loose or watery stools
Causes - infection, IBS
Concerns - dehydration, malnutrition, weight loss, anaemia, electrolyte
Replacement of electrolytes and fluids
Constipation - patient assessment
Look for weight loss, raised potassium and calcium, thyroid function test, urea, hydration
Clarity what patient means by constipation
Treatment history - record previous treatments, medications and stress impact
Diet and lifestyle - assess fibre and fluid intake, whole grains, fruit and veg, meal patterns and physical activity - identify trigger foods
Use of supplements - check for probiotics, prebiotics
Oiler behaviour - address withholding behaviour - dehydrates stools
Laxatives - do state
Diverticular disease - causes, complications, management
Pouches in wall of colon
Symptoms - lower abdominal pain, bloating and change in bowel habit
Causes - pressure in intestines which weakens the wall
Complications - abscesses and infections, blockage, perforation of the bowel if a pouch bursts, fistulas
Management -
- check signs of infection
- assess fibre and fluid
- infection - antibiotics
- dietary - fluids only, avoid skins of fruit and veg ad spicy foods Reduce consumption
