IBS & IBD

Question 1

treatment for IBS

Answer 1

stress management
keeping diary
low FODMAP diet

Question 2

IBD includes

Answer 2

Ulcerative colitis-colon

Crohn’s disease-anywhere in GI tract; mouth to anus

Question 3

IBD strongest risk factor

Answer 3

family history

Question 4

IBD high intake of:

Answer 4

refined sugar
fat
omega-6

Question 5

TO decrease risk of IBD

Answer 5

low intake of raw fruit/veggies

low intake of fiber

Question 6

Crohn’s disease & what?

Answer 6

“skip” lesions

all layers of bowel wall are inflamed

Question 7

manifestations of crohn’s

Answer 7

diarrhea, cramping
Weight loss (if small intestine is involved)
Abdominal p!
fever
fatigue

Potassium imbalance

Question 8

Manifestations of ulcerative colitis

Answer 8

diarrhea, bloody

anemia, anorexia

Question 9

ulcerative colitis involves

Answer 9

colon
innermost mucosal layer
Diarrhea & electrolyte loss
Protein loss in stool

Question 10

ulcerative colitis what form?

Answer 10

pseudo polyps

Question 11

Mild diarrhea
moderate
severe

Answer 11

fewer than 4
up to 10 stools
10-20 stools

Question 12

Diagnostic studies

Answer 12

colonoscopy

Blood studies–CBC, WBC, Albumin, electrolytes

Question 13

Imaging studie

Answer 13

double-contrast barium enema study

Question 14

Goals of treatment of IBD

Answer 14

rest bowel
control inflammation
control infection
correct malnutrition

Question 15

indications for surgery of CD & UC

Answer 15

strictures or obstructions

Question 16

repeated surgeries results in

Answer 16

short bowel syndrome

Question 17

open narrowed areas from chron’s

Answer 17

Strictureplasty

Question 18

Colostomy output may be as high as

Answer 18

1500-2k mL per 24 hrs

Question 19

during acute exacerbations

Answer 19

liquid enteral feedings are preferred
correct/replace F&E 
high protein
High calories
low fiber

Question 20

Avoid triggers

Answer 20

caffeine
alcohol
lactose intolerance
high-fat
cold foods
high fiber

Question 21

When to seek medical care

Answer 21

black tarry stools
bright red bleeding
increased rectal bleeding

Question 22

FODMAP foods

Answer 22

wheat/rye
veggies
onions
garlic
milk
fructose--honey apples pears