Clin nutrition 2: peptic ulcer/GERD/EGD
DGL licorcice should be adminsitered at ________ mg TID chewables.
380-760mg TID chewed before meals
With DGL licorice, patients with chronic ulcers should have relief iwhtin?
5-7 days
What are some ominous signs associated with GI disorders?
Acute, severe symptoms Progressive worsening symptoms Signs of fever, inflmmaiton or severe tenderness Palpable masses Difficulting swalloing Ect
For review, what is the best supplement for early gallbladder disease?
Artichoke leaf extract!
What are the symptoms of peptic ulcer?
Burning pain/ache in upper abdomen between meals
For review, what supplements should you use for GERD?
Chewable DGL licorice
What are some supplements that can help treat peptic ulcers?
Chewbale DGL licorice Zinc (100mg/day)
What are the classic symptoms of GERD?
Chronic, reccurent retrosternal burning pain Aka heartburn
What are some supplements for EGD?
Concentrated bile acids Concentrated lecithin Vitamin C Milk thistle Artichoke extract Curcumin
What is the strategy for EGD?
Decrease bilary cholesterol Increase bile acids, phoshplipids Increase bile flow
Coffe drinkers have a _______ risk of EGD?
Decreased risk Caffeine increase bile flow!
DGL licorice contains a _________extract.
Deglycyrrhizinated extract
What are some GERD supplements?
Digestive aids DGL may help but no studies to prove it yet
Petpic ulcers symptoms are relived by ?
EATING They have pain between meals!
What are the 8 F's with EGD?
Fat intolerance Familiy history Female Forties/fifties Increased body fat Fertility Fair skin
What is a good way to identifiy symptom triggering foods in any diet-related health problem?
Food-symptom diary
What is GERD?
Gastroesophageal reflux disease: A disorder of the lower esophageal sphincter
Peptic ulcer are associated with _________ infection in at least 60% of the cases.
H. Pylori infeciton
Early gallbladder disease(EGD) pain is associated with ______ type of meals.
HIGH FAT meals
What are the treatment options for petpic ulcer?
If H. Pylori is present, this MUST BE TREATED MEDICALLY Avoid nsaids and smoking Try having a normal diet
What are some ominous signs with EGD?
If the pain is serve acute PAIN with FEVER, suspect acute choleystitis and refer immediatley
What are the actions of DGL licorice?
Inhibits irratating acid secretion Increases protective mucus secretions Inhibits helicobacter pylori Increases blood flow/cell growth
What are some GERD treatment options?
Keep food in lower portion of sthomach only -smaller more freq. meals -avoid lying down after meals -avoid abominal compression by clothing -lose wiehgt Consider potental aggravators
______ formulas may help with EGD.
Liptropic
GERD is a disorder of the _____ esophageal sphincter.
Lower
Peptic ulcers can also be caused by prolonged ______ use.
NSAID use
What are common GI symptoms?
Pain N/v/loss of appetiite Swelling, bloating Air/gas Dirreha constpiation
Early gallbladder disease will present wiht PAIN where?
RUQ
First, what must you do with GI sympotms?
Rule out serious disease
The DGL licorice extract MUST mix with ______ for efficacy.
Saliva
What are some sensitivities that could cause a peptic ulcer?
Salt Spices Alchohols Caffeine Food allergen
After you rule out serious disease, what is the next step?
Try to find a diagnosis!
DGL licorice is usually as effective as ?
Ulcer medication
Stones involved with EGD may only be visiible with?
Ultrasound
DGL licorice is for ___________.
Upper GI irritation
What are some dietary approaches to decrease risk of EGD?
Weight loss Low cholesterol Vegiterian Coffee drinkers
For review, what supplements should you use for Peptic ulcer?
Zinc Chewable DGL licorice
