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Bernadette
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What is the gut barrier?
The GIT role in preventing inappropriate interaction between body and environment (food, beverages n contaminants, endogenous ingested microbes)-plays primary role in health maintenance
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What causes disruptions in the gut barrier? What is it linked to?
Injury from drugs, toxins, infection, malnutrition, allergic responses, bacterial growth and oxidative stress; linked to immune dysregulation, number of GI disorders (IBS, celiac disease, food allergy, multi organ system failure)
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List 5 common intestinal problems
Gas/flatulence, constipation, diarrhea, steatorrhea, GI strictures/obstruction
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What does intestinal gas involve?
Belching (eructation) and rectal gas (flatulence) - includes nitrogen, oxygen, carbon dioxide, hydrogen, and some people methane
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What is aerophagia and how can it be minimized?
Eat slowly, chew with mouth closed, avoid straws
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What causes increased flatulence from bacterial fermentation?
Dietary fiber (especially soluble), resistant starches, lactose if lactose deficient, fructose, and alcohol sugars
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What are systemic causes of constipation?
Side effect of medication; metabolic endocrine abnormalities (hypothyroidism, uremia, hypercalcemia); spina bifida; Parkinson disease; lack of exercise; ignoring urge to defecate; vascular disease of large bowl; systemic neuromuscular disease leading to deficiency of voluntary muscles; poor diet low in fiber; pregnancy
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What are gastrointestinal causes of constipation?
Cancer,diseases of upper GI, diseases of large bowel (resulting in failure ofpropulsion along colon=colonic inertia, and failure of passage through anorectal structures= outlet obstruction), IBS, anal fissures/hemorrhoids, laxative abuse, Hirschsprungs disease
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What is the MNT for constipation?
Adequate soluble and insoluble fiber - 14 g/1000 kcal. About 25 g for women, either
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