Lactose Intolerance:
- Lactase is one of the many enzymes required for complete digestion of lactose (a disaccharide).
- Lactose intolerance is not an allergy, and is not to be confused with a milk allergy, which initiates an immune reaction when milk is ingested. Lactose intolerance instead is an enzyme deficiency (lactase).
- S/s including gas, bloating, cramping, nausea, and diarrhea. Some people can ingest small amounts, and others none. Some can take small pills with lactase enzyme before they consume dairy products.
- It’s rare for Caucasians to develop lactose intolerance, but common for Asians, Africans, Middle Eastern, and non-Caucasian Australians.
- It is very common in adults (30 million …show more content…
- Constipation can be caused by insufficient dietary fiber, inadequate fluid intake, decreased physical activity, and ignoring defecation urge. Medications including opioids cause constipation as well as diseases slowing GI transit such as diabetes, Parkinson’s, and MS. Depression and stress can also contribute.
- Many cases of constipation can be prevented by increasing fiber, fluid intake, and exercise. Recommendations for constipation include laxatives and enemas, but overuse of these can lead to chronic constipation. Many patients experience an improvement in s/s when they increase fiber and fluids (3000ml/day). Wheat bran and prunes are especially effective for prevention and treatment. Stool softeners and lubricants lubricate the intestinal tract, making it easier to pass. Osmotic solutions cause fluid retention. Stimulants increase peristalsis by stimulating enteric nerves. …show more content…
- Foods that aggravate diarrhea are high-fiber, including bran, broccoli, beans, peas, lentils, figs, whole, wheat flour, and lentils.
- The biggest concern in a patient with diarrhea is fluid loss/dehydration. Individuals can lose large quantities of water and minerals like sodium.
GERD:
- GERD is not a disease but a syndrome. It is a condition/alteration secondary to reflux of gastric contents into the lower esophagus. It results when the defenses of the lower esophagus are overwhelmed by the reflux of acidic gastric contents into the esophagus. The lower esophageal sphincter (LES) is the anti-reflux barrier. It is classified as GERD when it occurs more than twice per week.
- Lifestyle changes include cessation of smoking and alcohol use. Do not lie down after a meal. Weight loss will help reduce incidence. Consumption of foods contributing to LES pressure such as caffeine and chocolate should be decreased.
Inflammatory Bowel Disease:
- Both diseases are characterized by chronic inflammation of the intestine with periods of remission interspersed with periods of exacerbation. The cause is unknown and there is no