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Digestion and Absorption of the Food Nutrients

Digestion and Absorption of the Food Nutrients. Chapter 3 Part 3. GI Tract Disorders. Factors influencing GI function Emotional state Intestinal cramping, queasy stomach Exercise - moderate Reduces liver disease Gallstones Constipation Colon cancer. GI Tract Disorders.

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Digestion and Absorption of the Food Nutrients

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  1. Digestion and Absorption of the Food Nutrients Chapter 3 Part 3

  2. GI Tract Disorders • Factors influencing GI function • Emotional state • Intestinal cramping, queasy stomach • Exercise - moderate • Reduces liver disease • Gallstones • Constipation • Colon cancer

  3. GI Tract Disorders • Factors influencing GI function • Exercise – high intensity • GERD • Hiatal hernia • Irritable bowel syndrome • Viral gastroenteritis

  4. GI Tract Disorders • More frequent in women • Common in young athletes • Infrequent in gliding movement sports • Cycling • Serious medical conditions

  5. GI Tract Disorders • Constipation • Defecation habits are different among people. • Difficult or infrequent evacuation • Many causes are possible. • Ignoring normal urges • Muscle spasms • Slows feces movement • Certain medications and supplements • Antacids, calcium, iron

  6. GI Tract Disorders • Constipation • Colonic irrigation is the internal washing of the large intestine and can be hazardous. • Strategies • High-fiber diet • Increased fluids • Exercise regularly. • Respond quickly to the urge to defecate.

  7. GI Tract Disorders • Laxatives • Can work on the intestinal nerve plexus or mucosal surface • Bulk producing laxatives • Bran • Stool softeners • Dulcolax • Hydrating agents • Milk of magnesia • Hyperosmotic agents • Glycerol • Draw water into the large intestine • Regular use can be harmful • Decreases muscle action of large intestine

  8. GI Tract Disorders • Belching and Gas • Strategies • Eat slowly. • Chew thoroughly. • Relax while eating. • Watch bothersome foods. • Hiccups are triggered by eating or drinking too fast.

  9. GI Tract Disorders • Hemorrhoids may be a problem. • Swollen veins of the rectum and anus • Intense pressure and straining • Dietary recommendation: • Fiber and fluid

  10. GI Tract Disorders • Diarrhea: 2009-1.5 million deaths worldwide • Frequent, loose, watery stools • Irritable bowel syndrome or colitis • Infections-bacteria, viruses • Cause excess intestinal secretions

  11. GI Tract Disorders • Types of Diarrhea • Secretory • Increased secretion or reduced absorption of fluids • Cholera (secretes Cl- into intestinal lumen, Na+ follows) • Osmotic • Lactose intolerance, high sugar solutions (particularly during ex.) • Exudative • Crohn’s disease (blood in bowel) • Motility related • Increased motility, diabetic neuropathy • Inflammatory • Infections • Dysentery • Blood in stool, caused by salmonella poisoning, for ex.

  12. GI Tract Disorders • Diverticulosis • Intestinal walls weaken and bulge. The bulging pockets are called diverticula • Diverticulitis • Worsened condition – inflammation • Requires intervention - surgery • Increase fiber intake

  13. GI Tract Disorders • Heartburn • Lower esophageal sphincter – relaxes • Reflux • Painful • Acid from stomach reaches esophagus and irritates lining

  14. GI Tract Disorders • Heartburn and Acid Indigestion • Strategies • Small meals • Liquids between meals • Sit up while eating. • Wait 1 hour after eating before lying down. • Wait 2 hours after eating before exercising. • Refrain from tight-fitting clothing. • Avoid bothersome foods. • Refrain from tobacco use. • Lose weight if overweight.

  15. GI Tract Disorders • Gastroesophageal Reflux Disease (GERD) • Backward flow of stomach contents into the esophagus. • Exercise exacerbates GERD • > 60% athletes • Worst in weightlifters • Mild in endurance runners

  16. GI Tract Disorders • Antacids and acid controllers may help indigestion. • 4 hr from evening meal to bed • Avoid exercising after eating • Avoid foods that relax sphincter • Chocolate, peppermint, coffee, alcohol, tobacco,

  17. GI Tract Disorders • Irritable Bowel Syndrome • Symptoms • Cramps, bloating, increased frequency, diarrhea, constipation • Causes • Altered intestinal peristalsis • Decrease pain threshold

  18. GI Tract Disorders • Individualized treatment • Elimination diet-dairy, gas-forming foods (cabbage, beans), some fruit-grapes, cherries • high fiber foods • Moderate caffeine, avoid dairy • Low-fat, small, frequent meals • Stress reduction

  19. Choking • Food becomes lodged in the trachea. • The larynx cannot make sounds. • The Heimlich maneuver may need to be used. • Strategies • Small bites • Chew thoroughly. • Don’t talk or laugh with food in the mouth. • Don’t eat when breathing hard.

  20. Ulcers • Peptic ulcer • Area of GI tract eroded by gastric acid, pepsin • Exposes nerves • 15% stomach • 85% duodenal • Diet • Soluble fiber – fruits, vegetables: protective • Refined sugar: increases risk

  21. Ulcers • Treatment • Antibiotics • Helicobacter pylori • Cause of most ulcers • Proton pump (H+) inhibitors • Keep HCL from forming • Antacids • Neutralize stomach acids

  22. Vomiting • Body’s adaptive mechanism • Dehydration is a concern. • May be self-induced as in eating disorders

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