Large Intestine Disorders

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Large Intestine Disorders
Divertcular Disease of the
Colon Diverticulosis out-pouching of the
colonic diverticula through the muscularis
mucosa layer. Often symptomless.
Risk factors aging low fiber
diets Diverticulitis localized inflammation
and infection near the diverticula.
Sx diarrhea alternating with constipation, abd
ominal pain, dyspepsia, fever, flatus
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Dietary Advice? Complete 180 Now recommend
high fiber, rather than low fiber High fiber?
Emphasize plant foods fruits vegetables,
whole grains, legumes. Helps maintain proper GI
function. Diverticular disease is NOT associated
with malabsorption.
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Ulcerative Colitis
Sx diarrhea, rectal bleeding cramping,
abdominal pain
Anorexia
Weight Loss
Massive loss of fluid and electrolytes Malabsorpti
on
Treat with palliative medications High kcal, high
protein diet (lo fat if malabsor.)
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Nutrition Support of Ostomy Pts
Low Fiber, Bland diets to Promote healing of
stoma Prevent obstructions Prevent GI
discomfort Promote fluid intake because
absorption has Avoid foods that promote gas
formation/flatus Thickening foods can help
control diarrhea.