Flashcards in Nutritional Management of GI Disease Deck (20):
Clinical Features of Crohn's Disease
Anorexia and weight loss
Malaise and fever
Clinical features of Ulcerative colitis
Colicky abdominal pain
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
What are the effects of inflammatory bowel disease on nutritional status?
loss of body cell mass, muscle strength and micronutrient deficits
How is the diet assessed?
check frequency of bowel movements
ask about diet history
what nutritional support is suggested in IBD?
high calorie and protein
meals little and often
Include oral supplements
What food should be avoided in IBD?
High fibre foods
What should be monitored in IBD?
height, weight, diet history, haemoglobin, albumin, ferritin, Vitamin D, calcium, Vitamin B12 and folic acid
Is tube feeding used in IBD?
only in Crohn's disease not ulcerative colitis
Is parenteral nutrition used in IBD?
Not recommended but may be useful to improve nutritional status
What medications are used in IBS?
Anti motility drugs
What is the first line dietary advice given in IBS?
have regular meals
Ensure adequate fluid intake
Limit caffeine intake
What are the recommended alcohol limits for IBS?
2 units per day max
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
What does FODMAPs stand for?
How do the FODMAP groups trigger symptoms?
stimulate gas production
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
What are the symptoms of coeliac disease?
reduced appetite, weight loss, diarrhoea, anaemia, mouth ulcers and abdominal bloating
What is the treatment for coeliac disease?
life long avoidance of gluten - avoidance of all wheat, barley and rye