24 June 2009

Gastrointestinal Conditions & Ostomy Surgeries



Gastrointestinal Conditions & Ostomy Surgeries

Type of Gastrointestinal conditions

* Irritable Bowel Syndrome (IBS)
* Diverticulosis/Diverticulitis
* Inflammatory Bowel Diseases

Irritable Bowel Syndrome (IBS)
Causes of IBS
What makes the symptoms of IBS worse?
* large meals
* bloating from gas in the colon
* Medicines
* wheat, rye, barley, chocolate, milk products, or alcohol
* drinks with caffeine, such as coffee, tea, or colas
* stress, conflict, or emotional upsets
Diagnosis of IBS
Treatment for IBS
* No cure for IBS – MDs treat symptoms
* For Constipations – use of laxatives
* Antispasmotic to control colon spasms
* Antidepressants
* Muscle relaxants for bladder & intestines

Stress & IBS
* Stress can stimulate colon spasms in people with IBS
Diet & IBS
* For many people careful eating reduces IBS symptoms
IBS Summary
* IBS is a disorder that interferes with the normal functions of the colon. The symptoms are crampy abdominal pain, bloating, constipation, and diarrhea.
* IBS is a common disorder found more often in women than men.
* People with IBS have colons that are more sensitive and reactive to things that might not bother other people, such as stress, large meals, gas, medicines, certain foods, caffeine, or alcohol.
* IBS is diagnosed by its signs and symptoms and by the absence of other diseases.
* Most people can control their symptoms by taking medicines (laxatives, antidiarrhea medicines, antispasmodics, or antidepressants), reducing stress, and changing their diet.
* IBS does not harm the intestines and does not lead to cancer. It is not related to Crohn’s disease or ulcerative colitis.
Diverticulosis/Diverticulitis
* Many people have small pouches in their colons that bulge outward through weak spots, like an inner tube that pokes through weak places in a tire. Each pouch is called a diverticulum (pl. diverticula).
* The condition of having diverticula is called diverticulosis. About 10 percent of Americans over the age of 40 have diverticulosis. The condition becomes more common as people age. About half of all people over the age of 60 have diverticulosis.
* When the pouches become infected or inflamed, the condition is called diverticulitis. This happens in 10 to 25 percent of people with diverticulosis.
* Diverticulosis and diverticulitis are also called diverticular disease.

Complications
* Bleeding
* Abscess, Perforation & Peritonitis
* Fistula
* Intestinal obstruction

Causes of Diverticular Disease
Diagnosis of Diverticular Disease
Treatment of Diverticular Disease
* Diverticulosis
Points to Remember
* Diverticulosis occurs when small pouches, called diverticula, bulge outward through weak spots in the colon (large intestine).
* The pouches form when pressure inside the colon builds, usually because of constipation.
* Most people with diverticulosis never have any discomfort or symptoms.
* The most likely cause of diverticulosis is a low-fiber diet because it increases constipation and pressure inside the colon.
* For most people with diverticulosis, eating a high-fiber diet is the only treatment needed.
* You can increase your fiber intake by eating these foods: whole grain breads and cereals; fruit like apples and peaches; vegetables like broccoli, cabbage, spinach, carrots, asparagus, and squash; and starchy vegetables like kidney beans and lima beans.
* Diverticulitis occurs when the pouches become infected or inflamed and cause pain and tenderness around the left side of the lower abdomen

Ulcerative Colitis
Symptoms of Ulcerative Colitis
* anemia
* fatigue
* weight loss
* loss of appetite
* rectal bleeding
* loss of body fluids and nutrients
* skin lesions
* joint pain
* growth failure (specifically in children)

Causes of Ulcerative Colitis
Diagnosis of UC
Treatment of UC
Crohn’s Disease
Causes of Crohn’s Disease
Symptoms of Crohn’s Disease
Diagnosis of Crohn’s Disease
Complications of Crohn’s Disease
Drug treatment
Other treatments
Ostomy Surgeries
Colostomy
Ileostomy
Jejunostomy
Cecostomy
Urinary Stomas
Psychosocial/Vocational implications


Gastrointestinal Conditions & Ostomy Surgeries.ppt

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