Self Care: Gastrointestinal (GI) Disorders PDF

Self Care: Gastrointestinal (GI) Disorders Gas A variety of gastrointestinal complaints, such as belching, bloating, abdominal pain, or flatulence D R G E R B E R , P H A R M D , B C G P, FA S C P, FA Z PA OFFICE: 201-15 C A N VA S I N B O X ( I N S T E A D O F E M A I L ) TO SCHEDU...

Self Care: Gastrointestinal (GI) Disorders Gas A variety of gastrointestinal complaints, such as belching, bloating, abdominal pain, or flatulence D R G E R B E R , P H A R M D , B C G P, FA S C P, FA Z PA OFFICE: 201-15 C A N VA S I N B O X ( I N S T E A D O F E M A I L ) TO SCHEDULE A V I R T U A L M E E T I N G , P L E A S E U S E H T T P S : / / C A L E N D LY. C O M / D K N U D S Please use Canvas Inbox for “email” course communication to Dr. Gerber, instead of MWU email. A succinct subject line is appreciated. Example subject line: When is the best time to take simethicone? This will help Dr. Gerber respond to communication more efficiently and quickly. Every effort is made to respond to Canvas Inbox 2 messages within 48 hours. © D. Gerber 2020  After attending these lectures, completing the required readings and studying these handouts, the pharmacy student should be able to: 1. Classify the severity of a patient’s GI complaints 2. Describe diet, pharmacologic agents, and other issues that can exacerbate intestinal gas 3. Compare and contrast the mechanism of action, indications, onset, and duration of action, and adverse effects of OTC medications used to treat intestinal gas 4. Assess the advantages and disadvantages of OTC medications used to treat intestinal gas 5. Recommend an appropriate drug treatment selection for a patient with intestinal gas 6. Formulate appropriate counseling information to be provided a patient on a given treatment regimen for intestinal gas Required Reading: Handbook of Nonprescription Drugs: intestinal gas chapter 3 What is gas? A variety of gastrointestinal complaints, such as belching, bloating, abdominal pain, or flatulence Causes of gas 5 Risk Factors: Food & beverages Sorbital or Carbonated mannital Sucking on Garlic, onions, Legumes Chewing gum beverages containing candy peppers gum, candy Risk Factors: Lifestyle Swallowing air Smoking Poor fitting dentures Hyperventilating Tight clothing Medication Causes of gas Dihydropyridine Anticholinergic Narcotics calcium channel agents blockers Antibiotics Alli© Fiber products Sodium bicarbonate antacids 8 Health Condition Causes of gas Pregnancy Lactose intolerance Irritable bowel syndrome Gluten intolerance 9 Exclusion of self-treatment Accompanied Sudden by severe Debilitating Unintentional change in diarrhea, symptoms weight loss frequency constipation, GI bleeding 10 What questions do you need to ask? If not excluded for self-treated, which medication What could be the cause? is best? Treatment or prevention? What other disease states are present? Past medical history? What other medications are present? Current disease states? What education needs to be provided for best medication outcome? Medications? 11 TREATMENT & PREVENTION 12 Medication Simethicone Alpha-galactosidase Lactase replacement (Gas X, Phazyme, Mylicon) replacement (Dairy Ease) (Bean-O) MOA Decreases the surface tension of Natural food enzyme that breaks Help digest lactose in milk for gas bubbles thereby disperses and down complex sugars in gassy patients with lactose intolerance prevents gas pockets in the GI foods, making them more digestible system then eliminated more easily and less gassy by passing gas or belching Dosing do not exceed 500mg/day One tablet per serving of One tablet per serving of problem problem food food 5 drops per serving of problem 5 drops per serving of problem food food Side Effects Generally well tolerated Generally well tolerated Generally well tolerated Interactions No clinically significant No clinically significant No clinically significant Patient Adults: don’t exceed 500mg/day One tablet per serving of ▪ Ingest tablets at the same time Educations Newborns (under 2 months of age): problem food as dairy products limit use to 3 times daily 5 drops per serving of problem ▪ Add liquid drops to milk prior to food consumption – read package instructions  Chew food thoroughly Don’t lie down Don’t rush or slump after meals eating Avoid tight Avoid gulping clothing Avoid whipped Food journal foods Patient Education  Make it Stick! “recalling what you have learned causes your brain to reconsolidate the memory, which strengthens its connections to what you already know and makes it easier for you to recall in the future. In effect, retrieval—testing—interrupts forgetting.” Brown, Peter C.. Make It Stick (p. 20). Harvard University Press. Kindle Edition. 9/28/2022 MIDWESTERN UNIVERSITY COLLEGE OF PHARMACY-GLENDALE 15  Make it Stick! Greta is experiencing gas after eating lots of roasted Brussel sprouts. Which medication is the best recommendation & why? Document your answer via https://forms.office.com/r/PhZWB30H5d  After attending these lectures, completing the required readings and studying these handouts, the pharmacy student should be able to: 1. Classify the severity of a patient’s GI complaints 2. Describe diet, pharmacologic agents, and other issues that can exacerbate intestinal gas 3. Compare and contrast the mechanism of action, indications, onset, and duration of action, and adverse effects of OTC medications used to treat intestinal gas 4. Assess the advantages and disadvantages of OTC medications used to treat intestinal gas 5. Recommend an appropriate drug treatment selection for a patient with intestinal gas 6. Formulate appropriate counseling information to be provided a patient on a given treatment regimen for intestinal gas Required Reading: Handbook of Nonprescription Drugs: intestinal gas chapter 17