DIET 4415 Lecture Notes - Lecture 13: Short Bowel Syndrome, Gastric Bypass Surgery, Radiation Enteropathy
Document Summary
Diarrhea: more than three bowel movements per day of large amounts of liquid or semiliquid stool for greater than 3 days. Potential for dehydration, hyponatremia, hypokalemia, acid-base imbalance, metabolic acidosis (losing base) Chronic can lead to malnutrition, impaired digestion, absorption, and intake. Acute is less than 14 days, chronic is greater than 30 days. 5 types - krause, ho(cid:449)e(cid:448)er ncm lists o(cid:374)l(cid:455) 2 (cid:373)ai(cid:374) t(cid:455)pes u(cid:374)der diarrhea . Osmotic: medicated-induced (laxatives, antacids), food intolerance or allergy (lactose), billroth 2, (cid:272)oolattas huge i(cid:374)flu(cid:454) of (cid:272)ar(cid:271)s. If you remove the cause you get better. Secretory: from bile acid malabsorption, infectious agents (e. coli, c. diff, salmonella), medication-induced (antibiotics: typically caused by infection. E(cid:454)udati(cid:448)e or i(cid:374)fla(cid:373)(cid:373)ator(cid:455): i(cid:374)testi(cid:374)al lu(cid:373)e(cid:374) da(cid:373)aged (cid:894)radiatio(cid:374) e(cid:374)teritis(cid:895), s(cid:373)all (cid:271)o(cid:449)el disease (cid:894)(cid:272)roh(cid:374)"s or colitis) Malabsorptive: short bowel syndrome, steatorrhea, small bowel bacteria overgrowth, pancreatic insufficiency or disease, gastric bypass surgery. F/n intake: eating pattern (24 hour recall), foods believed to be associated with exacerbation of symptoms.
