This document summarizes common lower gastrointestinal disorders including constipation, intestinal gas, and diarrhea. It discusses their causes and treatment options. Malabsorption conditions are also covered such as fat malabsorption, bacterial overgrowth, and lactose intolerance. The document then examines conditions affecting the pancreas, small intestine, and large intestine like cystic fibrosis, celiac disease, inflammatory bowel disease, and diverticular disease. Nutrition therapy is described for managing many of these gastrointestinal disorders.
A document that I received which is interesting for those looking to maintain healthy eating and fitness during Ramadan (i.e don't dehydrate and don't put on weight :) )
How is COPD and Nutrition Overlapped and Affecting Each Other
How to Solve the Problem as a Part of Pulmonary Rehabilitation
The Presentation is Discussing these items in the form of Problem Solving
Comparison of Popular diets for the Management of Type 2 DiabetesKimmer Collison-Ris
“Diabetes, a disorder of carbohydrate metabolism, is characterized by high blood glucose level and glycosuria resulting from dysfunction of pancreatic beta cells and insulin resistance; in advance stages of diabetes, metabolism of protein and lipids are altered. When patients are able to keep blood glucose levels closer to normal, fewer complications occur. Over 90% of known diabetic patients are Type 2 (Marieb, 2010) and diet plays a key role in the treatment. Nutrients needed for health, divide into carbohydrates, lipids, proteins, vitamins, minerals, and water. Most foods offer a combination of nutrients but some categories and larger quantities elevate glucose levels. This paper serves to compare the ADA low fat, low carbohydrate diet to the Paleo, the Atkins, the Alkaline Acid diets, and food combining; offering possible alternatives for the diabetic patient.
Howdy! Here are some great bsn capstone project examples. Find more at https://www.capstonewritingservice.com/some-great-bsn-capstone-project-ideas-from-our-service/
The ketogenic (keto) diet is becoming more and more popular, so it’s not surprising that this is one of our most requested topics! You might be getting questions from your clients, patients, and friends as to how safe this diet, or lifestyle is. If you are interested in learning more about the ketogenic diet, including the indications of a ketogenic diet, then RSVP for this webinar and join us to discover the facts. In this 60-minute webinar we will define the ketogenic diet, discuss its role in the treatment of chronic disease and review strategies for streamlining sessions with patients interested in this diet.
Learning Objectives:
Define the ketogenic diet using language and protocols outlined in the standard of care for epilepsy.
Discuss the science behind the ketogenic diet’s role in the treatment of chronic disease (i.e. obesity and type II diabetes) as well as athletic performance.
Explore strategies to streamline sessions with patients interested in ketogenic diet.
PRESENTER
Jessica M Lowe, MPH RD CSP | Ketogenic Dietitian
Department of Neurology | Keck School of Medicine | University of Southern California
Division Child Neurology | LAC+USC Medical Center
A document that I received which is interesting for those looking to maintain healthy eating and fitness during Ramadan (i.e don't dehydrate and don't put on weight :) )
How is COPD and Nutrition Overlapped and Affecting Each Other
How to Solve the Problem as a Part of Pulmonary Rehabilitation
The Presentation is Discussing these items in the form of Problem Solving
Comparison of Popular diets for the Management of Type 2 DiabetesKimmer Collison-Ris
“Diabetes, a disorder of carbohydrate metabolism, is characterized by high blood glucose level and glycosuria resulting from dysfunction of pancreatic beta cells and insulin resistance; in advance stages of diabetes, metabolism of protein and lipids are altered. When patients are able to keep blood glucose levels closer to normal, fewer complications occur. Over 90% of known diabetic patients are Type 2 (Marieb, 2010) and diet plays a key role in the treatment. Nutrients needed for health, divide into carbohydrates, lipids, proteins, vitamins, minerals, and water. Most foods offer a combination of nutrients but some categories and larger quantities elevate glucose levels. This paper serves to compare the ADA low fat, low carbohydrate diet to the Paleo, the Atkins, the Alkaline Acid diets, and food combining; offering possible alternatives for the diabetic patient.
Howdy! Here are some great bsn capstone project examples. Find more at https://www.capstonewritingservice.com/some-great-bsn-capstone-project-ideas-from-our-service/
The ketogenic (keto) diet is becoming more and more popular, so it’s not surprising that this is one of our most requested topics! You might be getting questions from your clients, patients, and friends as to how safe this diet, or lifestyle is. If you are interested in learning more about the ketogenic diet, including the indications of a ketogenic diet, then RSVP for this webinar and join us to discover the facts. In this 60-minute webinar we will define the ketogenic diet, discuss its role in the treatment of chronic disease and review strategies for streamlining sessions with patients interested in this diet.
Learning Objectives:
Define the ketogenic diet using language and protocols outlined in the standard of care for epilepsy.
Discuss the science behind the ketogenic diet’s role in the treatment of chronic disease (i.e. obesity and type II diabetes) as well as athletic performance.
Explore strategies to streamline sessions with patients interested in ketogenic diet.
PRESENTER
Jessica M Lowe, MPH RD CSP | Ketogenic Dietitian
Department of Neurology | Keck School of Medicine | University of Southern California
Division Child Neurology | LAC+USC Medical Center
Robert Balfanz, Johns Hopkins University
Edmund Baker, Jr., South Columbus High School
Wiliam Ragland II, Johns Hopkins University
Jennifer Felker, Ohio Department of Education
The business value of consumer analytics and big data is not just about what you can discover or infer about the consumer, but how you can use this insight promptly and effectively across multiple touchpoints (including e-Commerce systems and CRM) to create a powerful and truly personalized consumer experience.
For most organizations, mobilizing this kind of intelligence raises organizational challenges as well as technical ones.
This presentation reveals how some leading companies are starting to address these challenges, and describes the vital role of enterprise architecture in supporting such initiatives.
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This webinar was prepared with the help of Michelin and discusses how Cloud B2B integration helps to support Michelin’s international operations. The presentation discusses some of the trends across today's manufacturing industry before Michelin discusses how they manage international operations using B2B solutions from OpenText. Updated May 2014
The gastrointestinal tract is the tract or passageway of the digestive system that leads from the mouth to the anus.
GI tract is a series of hollow organs joined in a long, twisting tube from the mouth to the anus.
The hollow organs that make up the GI tract are mouth, esophagus, stomach, small intestine, large intestine and anus.
The GI tract contains all the major organs of the digestive system, in humans and other animals.
Digestive disorders are among the most common problems in health care.
Approximately 30-40% adults claim to have frequent indigestion.
Indigestion
Peptic ulcer
Carcinoma of the Stomach
Gastric Surgery
Dumping Syndrome
Constipation
Diarrohoea
Steatorrhoea
Lactose Intolerance
Coeliac Disease
Tropical sprue
Irritable Bowel Syndrome
Inflammatory Bowel Diseases
Intestinal Gas and Flatulence
Diverticular Disease
Indigestion also called dyspepsia which means discomfort in the upper digestive tract.
Indigestion can be caused by dietary indulgences-excessive volumes of food or high intake of fat, sugar, caffeine, spices or alcohol or both.
Symptoms : vague abdominal pain
Bloating
Nausea
Regurgitation and belching
If it is prolonged it can lead to gastro-oesophagul reflux, gastritis, peptic ulcer disease, delayed gastric emptying, gall bladder disease or cancer.
It can be treated by eating slowly, chewing thoroughly and not eating or drinking excessively.
Localized erosion of the mucosal lining of those portions of the alimentary tract that come in contact with the gastric juice.
This disintegration of tissues can also result in necrosis.
Ulcers occurs in oesophagus, stomach, jejunum and duodenum but majority of ulcers are found in the duodenum.
All the ulcers have same symptoms and same response to treatment regardless of location.
Mechanism of ulcer formation
Three vital mechanisms are the mucus layer, prostaglandins and probably the urogastrone /epidermal healing factor(URO/EHF).
These mechanisms can protect the stomach against HCL up to twice the maximum concentration which the stomach is capable of secreting.
The mucous layer, viscous gel is ideally suited for its function of protection from chemical and physical hazards of water proofing and lubrication.
The second line of defence are prostaglandins.
Third line of defence that is urogastrone plays important role by inhibiting gastric acid secretion and by stimulation of cell proliferation and regeneration for healing the ulcer.
If mucosal line is broken then underlying layers of the stomach are exposed to the effect of concentrated acid which results in peptic ulcer.
Duodenal Ulcer :
Peptic ulcer that develops in first part of the small intestine.
Hypersecretion of acid
Tissue resistance is normal
Acid hypersecretion is due to increased number of parietal cells and impaired rapid gastric emptying with loss of buffering effect.
Excess production of acid and pepsin is the primary factor.
Gastric Ulcer
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
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Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
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The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
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NHHC chapter 18 outline
1. Chapter 18 – Nutrition and Lower Gastrointestinal Disorders
Chapter Outline Instructor Resources
I. Common Intestinal Problems
A. Constipation - Defecation frequency of fewer than 3 bowel movements per week
1. More prevalent among women
2. Increases with age
3. Causes of Constipation - Correlates with:
a. Low-fiber diets
b. Low food intake
c. Inadequate fluid intake
d. Inactivity
e. Medical conditions
1. Diabetes mellitus
2. Hypothyroidism
3. Parkinson’s
4. Spinal cord lesions
5. MS
6. Pregnancy
f. Some medications & dietary supplements
4. Treatment of Constipation
a. Gradual increasein fiber to 25 g/day
1. Wheat bran
2. Fruits
3. Vegetables
4. Fiber supplements
b. Adequate fluid
c. Prunes/prunejuice
d. Daily exercise
5. Laxatives
6. Medical Interventions
a. Prokinetic agents
b. Physical therapy
c. Biofeedback
d. Surgery
B. Intestinal Gas (flatulence) - Causes:
1. High-fiber diets, bacterial fermentation
2. Incompletely digested or poorly absorbed carbohydrates
a. Fructose
b. Sugar alcohols (sorbitol, mannitol,maltitol)
c. Beans
d. Some grains & potatoes
3. Malabsorption disorders
4. Swallowed air
C. Diarrhea
1. Description
2. a. Frequent, watery stools
b. If severe, can cause dehydration & electrolyteimbalances
c. If chronic, may lead to weight loss and malnutrition
2. Causes of Diarrhea
a. GI disorders
b. Infections
c. Medications
d. Dietary substances
e. Inadequate fluid reabsorption,sometimes with increased intestinal secretions
f. Osmotic diarrhea
g. Secretory diarrhea
h. Motility disorders
i. Acute diarrhea
1. Infection
2. Certain medications
j. Chronic diarrhea - persists for 3 weeks or longer
1. Malabsorptive& endocrine disorders
2. Inflammatory diseases
3. Motility disorders
4. Infectious diseases
5. Radiation treatment
6. Others, especially tube feedings
3. Medical Treatment of Diarrhea: Correct underlyingmedical problem
4. Oral Rehydration Therapy - or IV solutions
5. Nutrition Therapy for Diarrhea
a. Low residue
b. Low fat
c. Lactose free
d. Avoid caffeine
II. Malabsorption
• Can be caused by pancreatic disorders,disorders that lead to bile deficiency, inflammatory
diseases, and medical treatments
• Resections
• Rarely involvesingle nutrient
A. Fat Malabsorption
1. Fat malabsorption is evidenced by steatorrhea: excessivefat in stool
2. Consequences of Fat Malabsorption
a. Loss of food energy
b. Loss of essential fatty acids
c. Loss of fat-solublevitamins
d. Decreased absorption of calcium, magnesium, & zinc
e. Bone loss
f. Increased risk of kidney stones
3. Nutrition Therapy for Fat Malabsorption
a. May need a fat-restricted diet
b. MCT oil
3. c. How to Follow a Fat-Restricted Diet
B. Bacterial Overgrowth
1. Description
a. Gastric acid protects stomach & intestinefrom bacterial overgrowth
b. Overgrowth disrupts fat digestion & absorption
c. May develop fat-solublevitamin & vitamin B12 deficiencies
d. Symptoms in severe cases:
1. Chronic diarrhea
2. Steatorrhea
3. Flatulence
4. Bloating
5. Weight loss
2. Causes of Bacterial Overgrowth
a. Impaired intestinal motility
b. Reduced gastric acid secretions
3. Treatment for Bacterial Overgrowth
a. Antibiotics & other medications
b. Surgery
c. Lactose-restricted diet
d. Diet with supplements
C. Lactose Intolerance
1. Loss or reduction of enzyme lactase,which digests lactosein milk products
2. Prevalent among certain ethnic groups
3. Symptoms:diarrhea & increased intestinal gas
4. Diet
a. Milk: usually 2 cups/day divided & consumed with food is tolerated
b. Chocolate milk
c. Aged cheese
d. Yogurt with livebacterial cultures
e. Lactose-free milk
f. Can take enzyme tablets before consumingdairy
III. Conditions Affecting the Pancreas
A. Pancreatitis
1. Acute Pancreatitis
a. Causes: gallstones,excessive alcohol, high triglycerides,toxins
b. Common symptoms
1. Severe abdominal pain
2. Nausea and vomiting
3. Abdominal distention
2. Nutrition Therapy for Acute Pancreatitis
a. Pain control,IV hydration,& withhold food & fluids for complete bowel rest
b. Small amounts of clear liquids
c. Low fat
d. Often high protein & high energy
3. Chronic Pancreatitis
a. Permanent and progressivedamage to tissue
b. 70-80% alcohol induced; cigarettesmoking often contributes
4. c. Severe and unrelentingabdominal pain
d. Food avoidance & malabsorption lead toweight loss & malnutrition
4. Nutrition Therapy for Chronic Pancreatitis
a. Objectives
1. Correct malnutrition
2. Reduce malabsorption
3. Prevent symptom recurrence
b. Dietary supplements
c. Small, low-fat meals
d. No alcohol
e. Pancreatic enzymereplacement
B. Cystic Fibrosis - most common life-threateninggenetic disorder
1. Introduction
a. Abnormal chloride and sodium levels in exocrine secretions
b. Unusually viscous exocrine secretions
2. Consequences of Cystic Fibrosis - Complications include:
a. Lung disease
b. Pancreatic disease
c. Other complications
3. Nutrition Therapy for Cystic Fibrosis
a. Children may have energy needs 120-200% of DRI values
b. High-kcalorie, high-fat foods
c. Frequent meals & snacks
d. Pancreatic enzymereplacement
e. Vitamin supplements
f. Liberal use of tablesalt
IV. Conditions Affecting the Small Intestine
A. Celiac Disease - Abnormal immuneresponse to gluten
1. Consequences of Celiac Disease
a. Severe damage to intestinal mucosa
b. Symptoms:Diarrhea, steatorrhea,flatulence
c. Malabsorption
d. Children: stunted growth & underweight
e. Adults: anemia, bone disorders,neurologic symptoms,& fertility problems
f. Dermatitis herpetiformis
2. Nutrition Therapy for Celiac Disease
a. Need a gluten-free diet for life
b. Sometimes need to avoid lactose
c. Dietary supplements
d. Wheat,barley,ryeeliminated; oats allowed if grown/processed separately
e. Check food labels carefully
B. Inflammatory Bowel Diseases
1. Description
a. Chronic inflammatory illnesses
b. Genetic & environmental factors contribute
c. Exact triggers are unknown
d. Crohn’s disease & ulcerativecolitis - periods of activedisease and remissions
5. 2. Complications of Crohn’s Disease
a. Can occur in any region of theGI tract
b. Ulcerations,fissures, & fistulas
c. Thick scar tissue may cause obstructions
d. 60-75% require surgical resection
e. Malnutrition from reduced intake, malabsorption,&surgical resections
3. Complications of UlcerativeColitis
a. Always affects the rectum & usually the colon
b. Frequent, urgent bowel movements of small volume that contain blood and mucus
c. Nutrient losses due to tissue damage, bleeding, & diarrhea
d. Weight loss
e. Fever
f. Weakness
g. Anemia
h. Dehydration
i. Electrolyte imbalance
j. Protein losses
k. Colectomy prevents future occurrences - performed in 25-40% of patients
4. Drug Treatment of Inflammatory Bowel Diseases
a. Antidiarrheals
b. Immunosuppressants
c. Anti-inflammatoryagents
d. Antibiotics
5. Nutrition Therapy for Crohn’s Disease
a. Highly variable
b. High-kcalorie, high-protein
c. Oral supplements
d. Vitamin and mineral supplements
e. Tube feedings
f. Small, frequent feedings
6. Nutrition therapy for UlcerativeColitis
a. May require few adjustments
b. Restore fluids & electrolytes;correct deficiencies
c. Low-fiber diet or withhold food during severe illness
C. Short Bowel Syndrome
1. Secondary to Crohn’s disease, cancers,& other intestinal disorders
2. Can be the consequence of small intestineresections
3. About 50% can be removed without serious nutritional consequences
4. Intestinal Adaptation - Intestine undergoes adaptation toimprove absorptivecapacity
5. Nutrition Therapy for Short Bowel Syndrome
a. Initially IV fluids and electrolytes
b. TPN - tapered with introduction of oral feedings
c. Variablediet
d. High kcalorie
e. Small, frequent meals
f. High fat, low carbohydrateor high complex carbohydrate,low fat with intact colon
g. Avoid concentrated sweets
h. Lactose restricted
6. i. Vitamin & mineral supplements
V. Conditions Affecting the Large Intestine
A. Introduction
1. Moves undigested materials tothe rectum
2. Helps maintain fluid & electrolytebalance
3. Bacteria ferment undigested materials
B. IrritableBowel Syndrome
1. Description
a. Chronic & recurringintestinal symptoms
b. Diarrhea & constipation
c. Flatulence & discomfort
d. More common in women between the ages of 20 & 40 years old
e. Excessive colonic response to meals, GI hormones, & stress
2. Treatment of IrritableBowel Syndrome
a. Dietary adjustment
b. Stress management
c. Behavioral therapy
d. Drugs:
1. Laxatives
2. Antidiarrheal agents
3. Anticholinergics
4. Antispasmotics
5. Antidepressants
3. Nutrition Therapy for IrritableBowel Syndrome
a. Gradually increasefiber
b. Fatty foods, gas-producingfoods, milk products,wheat products,coffee, & alcohol may
worsen symptoms
c. Individual tolerances vary
C. Diverticular Disease of the Colon
1. Description
a. Presence of pebble-sized herniations in intestinal mucosa
b. Prevalence increases with age; occurs in 50-65% of 80 year olds
c. Low-fiber diets may increaserisk
2. Diverticulitis
a. Inflammation or infection
b. Most common complication of diverticulosis
c. Symptoms
1. Persistent abdominal pain
2. Tenderness in affected area
3. Fever
4. Alternatingconstipation &diarrhea
5. Anorexia, nausea and vomiting
3. Treatment for Diverticular Disease
a. Increased insoluble fiber for prevention
b. Some suggest avoiding nuts,popcorn, & food with seeds - no evidence supports this
c. Antibiotics,pain medication
d. Clear liquid or bowel rest
7. e. Surgery
D. Colostomies and Ileostomies
1. Ostomy = surgically created stoma in the abdominal wall
2. Description
a. Often surgical removal of some or all of large intestine
b. Temporary or permanent
c. Wastes exit through a stoma in abdominal wall
d. Colostomy & ileostomy
3. May be required with inflammatory bowel disease,diverticulitis,or colorectal cancers
4. Nutrition Carefor Patients with Ostomies
a. Individualized
b. Gradually advanced from clear liquids
c. Often low residue
d. Small, frequent meals
e. Appropriatefluids & electrolytes
5. Obstructions - Chew food thoroughly toprevent obstructions
6. Reducing Gas and Odors
a. Foods cause unpleasant odors: Asparagus,beer, cruciferous vegetables, dried beans &
peas, eggs, fish, onions, & garlic
b. Foods that reduce odors: Buttermilk, cranberryjuice,parsley,yogurt
7. Diarrhea
VI. Nutrition in Practice - Probiotics & Intestinal Health
A. Introduction
1. 400-500 species of bacteria residein the colon
2. Probiotics = live, non-pathogenic microorganisms;may beuseful for preventingor treating
various medical conditions
B. How do our intestinal bacteria influencehealth?
1. Degrade undigested, unabsorbed carbohydrates
2. Produce vitamins and short-chain fatty acids
3. Stimulateimmune defenses
4. May protect against pathogenic bacteria
5. Prebiotics
C. Why are certain types of bacteria considered “probiotic”?
1. Must be non-pathogenic
2. Must be resistant todestruction by digestion
3. Should be ableto alter the intestinal environment in a beneficial way
4. Consumed in large amounts
D. What types of medical problems arehelped by probiotics?
1. Gastric and intestinal disorders
2. Alter susceptibility tofood allergens and alleviatesome allergy symptoms
3. Improve availability and digestibilityofvarious nutrients
4. Should be considered adjunct therapy
E. What arethe main dietary sources of probiotics?
1. Fermented foods
2. Yogurt
3. Acidophilus milk
4. Ice cream
8. 5. Oatmeal gruel
6. Soft drinks
7. Supplements
F. Are there any potential problems associated with theuse of probiotics?
1. Infection in immune-compromised individuals
2. Lack of industrial standards