Malabsorption Disorders- EXAM 3 Flashcards
General symptoms of Malabsorption disorders
Weight loss
Failure to thrive
Diarrhea
Abdominal pain
Abdominal distention
Anemia
Flatulence
What is IBS
Irritable Bowel Syndrome
Intermediate and recurrent abdominal pain, stool irregularities ( diarrhea, constipation or both )
No known cause
IBS cause
No known cause
Stress/Anxiety can exacerbate it
7% of North American have it
IBS common symptoms
Abdominal pain, altered stool frequency, bloating
What do you assess in IBS
Pain and discomfort more than 3 days a month
3 criteria: Improvement with dedication
Onset associated with change in frequency
Onset change in appearance of stools
Management and Treatment of IBS
Control pain
Reduce stress: yoga, meditation
Exercise
Meds: Antidiarrheal, Antidepressants
Eliminating irritating substances: caffeine, beans, spicy food, fried food
Add fiber to diet, drink enough water
What medications would one with IBS take
For IBS-D: Imodium, Lotronex and Bentyl
For IBS-C:Linzess
To decrease bloating and gas: Probiotics
ONLY FOR WOMEN: Alosteron
What is Celiac Disease
Immune disease when people can’t eat gluten because it will damage their small intestine
Immune system damages the small intestine villi
No wheat, rye, barley
Celiac Disease Symptoms
Acne
Diarrhea
Bloating
Constipation
Pain and swelling
Stomach pain and nausea
Lactose intolerant, Anemia, Dizziness, Depression, Low Vitamin D, Chronic fatigue
Issues that can arise with Celiac disease
Iron deficiency.. anemia
Neuropsych
Arthritis
Infertility
dermatitis herpetiformis
Issues with spleen, kidney and thyroid
Celiac Disease management
Education
Strict gluten free diet!
Manage pain
Medications for cramps
Counseling
What is Lactose Intolerence
No lactose so it is not absorbed, water is brought in and ferments causing bloating
Symptoms of Lactose Int.
Gas, Pain or cramps in lower belly, Bloating, Gurgling sounds, Loose stools, Diarrhea
Tests done to determine Lactose intolerance
Elimination DIY test, try lactase free diet
Standard lactose tolerance test: BG levels are measured before then again at 30 and 60 min after eating 50g of lactose. Blood will be analyzed for lactose malabsorption
Lactose Hydrogen Breath test: Breath samples taken to indicate if malabsorption rises
What lactose containing foods can you eat moderately
Hard cheeses, butter and whipped cream
Have less then 0.1g go lactose
