GI 3 Flashcards
aging: when do changes begin in the GI system?
BEFORE age 50
What oral changes will be seen with aging?
- tooth enamel wear » periodontal disease
- sensory changes with decreased appetite
- salivation decreases
Why is is problematic for there to be decreased salivation?
swallowing is more difficult
GI organs: changes with age
- lose some mm tone, but still perform well
- difficulty swallowing
- reduced esophageal peristalsis
- large intestine slowing
- decreased production of intrinsic factor that promotes vit B12 absorption
GI organs and changes with age: What might difficulty swallowing be caused by?
- decreased salivation
- muscular dysfunction
GI organs and changes with age: Reduced esophageal peristalsis results in
GERD
GI organs and changes with age: implications of slowing down large intestine
- constipation
- slowed mineral absorption
Most clinically meaningful GI sx (aside from constitutional sx)
- dysphagia
- odynophagia
- GI bleed
- epigastric pain with radiation to back
- sx affected by food
- early satiety with WL
- fecal incontinence
- referred shoulder pain
- psoas abscess
- ttp over McBurney’s point
- neuropathy
What is odynophagia?
pain during swallowing
causal factors for odynophagia
- esophagitis
- esophageal spasm
Pain AFTER eating: What might be going on?
- odynophagia
- coronary ischemia
How to differentiate pain after eating?
______ type of pain is relieved by upright position
esophagitis
How to differentiate pain after eating?
______ type of pain is relieved by supine position (or nitroglycerin)
cardiac pain
Does esophagitis require medical attention?
yes
% of Americans who are constipated
25%
