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