Fat_Malabsorption - obstructions progress to high kcal high...

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Fat Malabsorption Body loses kcals., FA, minerals, and fat-soluble vitamins. Fat Restricted Diet – (35g.) higher in protein; frequent small meals; may use MCT oil; use lean meats and fat free dairy foods; limit high oxalate foods; use water miscible vitamins; only 3 servings of fats daily; enzyme replacements may be given if pancreas is damaged. Malabsorption Conditions: Pancreatitis – most often from gallstones and alcoholism; fluids and electrolytes IV, progressing to liquid, low fat, and regular diets. Cystic Fibrosis – fatal genetic disorder; mucus impairs the pancreas and lungs; interferes with secretion of digestive enzymes and
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bile; need high kcal., high protein with enzyme replacement and liberal use of salt. Inflammatory Bowel Disease includes Crohn’s Disease and ulcerative colitis; may have PEM, weight loss, abdominal pain, diarrhea, malabsorption, and fluid loss; may need complete bowel rest or IV/tube feeding that bypasses
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Unformatted text preview: obstructions; progress to high kcal., high protein with fat restriction. Bacterial Overgrowth – happens when gastric acid decreases and bacteria from the colon gets into the small intestine; dismantles bile salts; treat with antibiotics & fat restricted diet. Short Bowel Syndrome – happens when part of small intestine removed due to cancer, inflammatory bowel disease; can result in weight loss, muscle wasting, malabsorption, anemia, and bone disease; depends on location and amount removed; IV fluids, then high complex carbohydrate, low fat, and low oxalate recommended. Celiac Disease – hereditary disorder where intestine is sensitive to gluten protein (found in wheat, rye and barley); can cause malabsorption of many nutrients, steatorrhea, diarrhea, weight loss, and malnutrition; treat with gluten free diet (reverses intestinal changes); can use rice, potato, and soybean flour, or cornmeal; watch food additives....
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