Therapy, 13th Edition Schlenker & Gilbert
How often should you eat meals when suffering from dumping syndrome? -
ANSWER:small frequent meals
What types of food should be included in every meal when suffering from dumping
syndrome? - ANSWER:protein and fat
What should be avoided when suffering from dumping syndrome? -
ANSWER:concentrated sugars
When should you consume liquids when suffering from dumping syndrome? -
ANSWER:1 hour beforeor after eating
What is the goal of nutrition therapy in anorexia? - ANSWER:stimulate appetite to
maintain adequate nutritional intake
How should food be seasoned when suffering from anorexia? - ANSWER:according
to individual taste
Should meals be large and spaced or small and frequent with anorexia? -
ANSWER:small and frequent
How should liquids be given with meals in anorexia? - ANSWER:30 minutes before
and after meals
What should be limited in an anorexia diet - ANSWER:fat because it contributes to
early satiety
What are some ways to help GERD? - ANSWER:weight loss, raising the head of the
bed when sleeping, and laying on your left side
Which type of diarrhea occurs when there is an increase in particles in the intestine
that draws in water? - ANSWER:osmotic
What are some causes of osmotic diarrhea? - ANSWER:maldigestion of nutrients,
excessive intake of sorbitol or fructose, dumping syndrome, tube feedings and some
laxatives
What type of diarrhea is present in lactorse intolerance? - ANSWER:osmotic
What type of diarrhea is related to an excessive secretion of fluid and electrolytes in
teh intestines? - ANSWER:secretory
, What causes secretory diarrhea? - ANSWER:infection, medication, GI disorders,
excessive bile acids or unabsorbed fatty acids in the color
How is secretory diarrhea treated? - ANSWER:antibiotics (if cause is infectious)
True or false secretory diarrhea has to do with the bowel rather than the food your
taking in - ANSWER:True
What type of foods are encouraged with diarrhea? - ANSWER:high-potassium foods
What foods should be avoied during diarrhea? - ANSWER:clear liquids because tof
their high osmolality content
What produces bloating, cramping and flatulence in lactose intolerance? -
ANSWER:lactose being fermented in the colon
True or False: Undigested lactose decreases the osmolality of the intestinal conents?
- ANSWER:False: it increases osmolality
True or False: Chocolate milk is usually better tolerated than plain milk -
ANSWER:True
What is a genetic autoimmune disorer characterized by chronic inflammation of the
proximal small intestine mucosa? - ANSWER:Celiac disease
What are the 3 foods containing proteins unable to be digested in Celiac disease? -
ANSWER:wheat, barley, and rye
What are some symptoms of celiac disease? - ANSWER:diarrhea, abdominal
distention and failure to thrive
True or False: the main symptom of celiac disease is dermatitis herpetiformis -
ANSWER:True
Who is at the highest risk for developing celiac disease? - ANSWER:people with a
first-degree relative, down syndrome, and those with an autoimmune disease
Untreated celiac disease increases the risk of what diseases? - ANSWER:small-bowel
cancer, T cell lymphoma
What commonly occurs secondary to celiac disease? - ANSWER:lactose intolerance
What do illeostomies cause a decrease in? - ANSWER:fat, bile acid, and vitamin B12
absorption
Is ulcerative collitis or chrons disease more likely to cause nutritional complications?
- ANSWER:Crohns