Large Intestine.ppt

Large Intestine Working knowledge of physiological changes during disease processes the effects of these on nutrition care. Large Intestine Calculate interpret nutrient composition of foods appropriate for diets used in MNT. Calculate define diets for common conditions. Large Intestine Parts of the colon haustra - sacculations in wall of colon, due to the circular muscle fibers tenia coli Large Intestine Parts of the colon tenia coli - three thickened bands of soft tissue 1/4” wide 1/6 shorter than the colon, longitudinal fibers that go from appendix to rectum Diagram of colon next Constipation Infrequent and difficult passage of stool Fewer than 3 stools/week while eating high residue diet What is the normal time it takes food to pass from the mouth to the anus? Constipation Etiology Not defecating when the urge happens Failure to establish a regular time to defecate Lack of fiber in the diet Constipation Etiology Insufficient fluid intake Loss of muscle tone in intestinal tract Side effects of medications Lack of exercise Pregnancy Constipation Nutr Care Fluids Fiber Laxatives Gradual reduction of laxatives - can become dependent Laxatives - Stimulants Senna (natural) Bisacodyl stimulates nerve endings to increase peristalsis Dulcolax - active ingredient is bisacodyl Laxatives - Bulking Agents What do you think are the bulking agents? Laxatives - Stool Softeners Colace active agent is docusafe sodium surface active agent Laxatives - Prunes Dihydroxyphenyl isatin stimulates intestinal motility Irritable Bowel Syndrome Cause unknown Exaggerated gastrocolic reflex Abnormal colonic sensitivity to stretching Anxiety stress IBS Contributing causes excessive use laxatives excessive use caffeine antibiotic therapy irregular sleep, rest, fluid intake, bowel movements IBS Abnormal stooling pattern associated with symptoms of intestinal dysfunction that persists May be some inflammation Slide of what colon looks like in irritable bowel syndrome next IBS Symptoms Dia