Nutritional management of GI diseases in adults Flashcards Preview

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Flashcards in Nutritional management of GI diseases in adults Deck (10)
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1
Q

How does vitamin D defieiency increase the risk of IBD?

A

Commonly new diagnosed patients have a low level of vitam in D
Vit D can suppress the release of proinflammatorys

2
Q

How does fibre help in IBD?

A

Fibre prevents the release of proinflammatory cytokine which helps to maintain the epithelial barrier, having a fibre containing diet can reduce developing IBD by 40%

3
Q

What are the clinical features of crohn’s disease?

A

Abdominal pain
Anorexia and weight loss
Diarrhoea
Malaise, fever

4
Q

What are the clinical features of UC?

A

Blood diarrhoea
Colickly abdominal pain
Urgency

5
Q

What nutrients are absorbed in the stomach?

A
Water
Ethyl alcohol
Copper
Iodine
Fluride
6
Q

What nutrients are absorbed in the jejunum?

A
Lipids
Monosaccharides
Amino acids
Small peptides
Thamin
Vit A, E, D, K
7
Q

What is included in a dieteic assessment?

A
MDT approach
MUST assessment 
Calrify symptoms 
Investigations 
Medications 
Detalid diet history 
Assess if meeting nutritional requirements
8
Q

What are common high risk deficiencies?

A

Anaemia
Oestoporosis
Fat solubal vitamins

9
Q

What are indications for TPN use?

A

Extensive active disease within the small bowel
Previous multiple surgeries
Short gut (100cms or less)
Fistulas, strictures, obstructions

10
Q

What is the diagnostic critera for IBS?

A

Related to defacations
Associated with a change in frequency of stool
Associated with a change in form (consistency) of stool