Digestive Diseases PDF

Digestive Diseases chyme is stomach content chyme is highly acidic usually it is neutralized when entering the small intestine in the case of heart burn, chyme moves back up into the esophagus and chemically burns it 10% of GERD sufferers develop a more severe condition called Barrett's...

Digestive Diseases chyme is stomach content chyme is highly acidic usually it is neutralized when entering the small intestine in the case of heart burn, chyme moves back up into the esophagus and chemically burns it 10% of GERD sufferers develop a more severe condition called Barrett's esophagus esophagus becomes thickened and red risk factor for esophageal adenocarcinomas (cancer) 30-125% of likely to develop this cancer due to Barretts Burning pain in the chest 3x a week meets diagnostic criteria for GERD Obesity is a huge risk factor for GERD Symptoms of GERD and heartburn occur monthly for 44% of adults Symptoms of GERD and heartburn occur weekly for about 20% of adults About 50% of people with Barrett's describe not having symptoms of GERD, thus can be silent Diet to Prevent GERD Treatment for GERD antacids are a temporary fix overuse can lead to diarrhea and kidney problems H-2 Receptors reduce acid production are not as fast of a treatment as antacids but are a better long-term relief treatment Protin Pump Inhibitors reduce acid production and work to heal esophageal lining Gallbladder Disease  bile is not an enzyme itself but does aid in digestion by breaking down fats bile is made in the liver but stored in the gallbladder women are 2x affected by this than men eating high fat may not allow the body to use sufficient amount of bile and fat passes through the digestive system causes fatty stools and issue getting to the restroom diet recommendations for those with gallbladder removed is 30% or less of calories eaten come from fat Irritable Bowel Syndrome If GI symptoms are present and no other conditions are diagnosed, IBS is the default. inflammatory bowel diseases IBD's effect 3 million Americans disproportionally effect white Europeans happens around 20's and 30's before people hit middle age cause is unknown but there seems to be a genetic predisposition common symptoms: abdominal pain fatigue weight loss severe diarrhea rectal bleeding cramping bloating debilitating gastrointestinal discomfort both of the conditions are immune misfires risk factors for IBD's include cigarette smoking frequent use of: non steroidal anti-inflammatory meds Ibuprofen Advil Motrin Aleve  Stress is a risk factor flair ups but not causes of the condition anal fissure: small tear in the tissue that lines the anus or the skin around the anus Because UC only impacts the large intestine only, there are not other complications that you would see with Crohn's such as: obstructions abscesses fistulas fissures in both, but usually Crohn's, a surgical resection or removal is required for damaged tissue diet and inflammatory bowel diseases prednisone is a common medication for Crohn's to reduce inflammation patients have to be cycled off of this due to damage to other parts of the body, especially bone density Diverticulosis  pressure is due to slow moving bowels LI: large intestine walls diverticuli are the small pouches that pop out due to pressure build up on the LI diverticulitis is when those pouches get inflamed or infected, causing puss to build up Diverticular Disease Implications  risk of disease increases dramatically when we age Diet and Diverticulitis avoiding nuts/seeds, skins is a myth due to people believing they might get stuck in the diverticuli. No research supports this and these are actually high in fiber. during flareup's you may need to move to a lower fiber/softer diet to give your GI tract a rest