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Flashcards in Nutritional Management of GI Disease Deck (20):
1

Clinical Features of Crohn's Disease

Abdominal pain
Diarrhoea
Anorexia and weight loss
Malaise and fever

2

Clinical features of Ulcerative colitis

Bloody diarrhoea
Colicky abdominal pain
Urgent

3

Why is nutrition more important in Crohn's disease?

In CD inflammation can occur anywhere in the tract where as in UC only the colon is affected

4

What are the effects of inflammatory bowel disease on nutritional status?

loss of body cell mass, muscle strength and micronutrient deficits

5

How is the diet assessed?

MUST assessment
check frequency of bowel movements
check medications
ask about diet history

6

what nutritional support is suggested in IBD?

high calorie and protein
meals little and often
Include oral supplements

7

What food should be avoided in IBD?

High fibre foods
Fatty foods
Lactose

8

What should be monitored in IBD?

height, weight, diet history, haemoglobin, albumin, ferritin, Vitamin D, calcium, Vitamin B12 and folic acid

9

Is tube feeding used in IBD?

only in Crohn's disease not ulcerative colitis

10

Is parenteral nutrition used in IBD?

Not recommended but may be useful to improve nutritional status

11

What medications are used in IBS?

Anti spasmodics
Anti muscarinics
Anti motility drugs
Laxitives

12

What is the first line dietary advice given in IBS?

have regular meals
Limit alcohol
Ensure adequate fluid intake
Limit caffeine intake

13

What are the recommended alcohol limits for IBS?

2 units per day max

14

What is the second line dietary advice given in IBS?

adjust fibre intake
Limit fresh fruit intake, fruit juice, resistant starch and sorbitol
Have a low lactose diet
Wheat free diet

15

What does FODMAPs stand for?

Fermentable
Oligo
Disaccharides
Monosaccharides
And
Polyols

16

How do the FODMAP groups trigger symptoms?

osmotically active
stimulate gas production

17

What is coeliac disease?

An auto-immune disease in which ingesting gluten causes villi of small intestine to react by flattening, reducing the absorptive capacity of the intestine to nutrients e.g. iron, folate and calcium

18

What are the symptoms of coeliac disease?

reduced appetite, weight loss, diarrhoea, anaemia, mouth ulcers and abdominal bloating

19

What is the treatment for coeliac disease?

life long avoidance of gluten - avoidance of all wheat, barley and rye

20

What are the problems with avoiding gluten?

risk of cross contamination
lack of options in the supermarket