Flashcards in Nutrition and GI Disease Deck (23)
What % of patients with IBD have each of the separate disease?
2/3rds = ulcerative colitis
1/3rd = Chron's disease
Clinical features of Crohn's?
Anorexia and weight loss
Malaise and fever
Clinical Features of Ulcerative colitis?
Colicky abdominal pain
Prevalence of obesity in ulcerative colitis patients is increasing
What may type of diet may IBD be related to?
Western diet (sugar and fats) - caused by changes in diet leading to alteration of intestinal microbiological flora rather than specific antigens in food
Why do IBD patients becomes malnourished? (3)
increased requirement due to catabolic effect of inflammation
decreased intake e.g. due to pain)
What dietetic assessment
Frequency of bowel movements
detailed diet history
Dietary advice given to patients with IBD?
nutritional support (high calorie and protein diet, little and often, supplement drinks)
Food avoidance (food intolerance unusual but sometimes they can become intolerant to lactose for example)
What must be continually monitored in IBD patients?
Nutrient levels e.g. do they require vitamin. mineral supplements
What is the second line of nutrition if oral route is insufficient
No role in treatment of UC
Alters inflammatory response in CD therefore may be useful
What is the most effective way for inducing remission in IBD?
Parenteral nutrition in IBD?
Not a lot of indications for this apart from when the GI tract is not working
Dietary advice for UC?
Same as general population
What is the diagnoses criteria for IBS?
Rome III - recurrent abdo pain or discomfort at least 3 days per month in the last 3 months. Associated with 2 or more of the following:
Pain relieved by bowel movement
Onset of pain is related to frequency of stool
Onset of pain is related to a change in the appearance of the stool
Medications for IBS
Anti motility drugs
Bulking agents, antispasmodics and antidepressants for the treatment of IBS
Initial Dietary advice for IBS
Ensure adequate fluid intake
LiMIT caffeine intake
2nd stage dietary advice for IBS?
Adjust fibre intake depending on diarrhoea or constipation
Limit fruit juice/ fizzy juice
limit resistant starch
lactose free diet
wheat free diet
3rd advice for IBS?
What are FODMAPs
Short chain carbs
poorly absorbed leading to fermentation and osmotic changes in the bowel
Treatment for coeliac disease?
What contains gluten?
Wheat, barley and rye
Can oats be eaten if you have coeliac?
Oats can usually be eaten (they have a very small amount of gluten in them so if you try them and don't tolerate them you will need to stop eating them)
What can coeliac patients be prescribed?
Gluten free food