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Understanding Diverticular Disease and Ulcerative Colitis

Learn about diverticular disease of the colon and ulcerative colitis, their symptoms, risk factors, dietary advice, treatments, and nutrition support for ostomy patients. Find out how high fiber and specialized diets play a crucial role in managing these intestinal disorders.

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Understanding Diverticular Disease and Ulcerative Colitis

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  1. Large Intestine Disorders Divertcular Disease of the Colon Diverticulosis= out-pouching of the colonic diverticula through the muscularis mucosa layer. Often symptomless. Risk factors: aging low fiber diets Diverticulitis= localized inflammation and infection near the diverticula. Sx: diarrhea alternating with constipation, abdominal pain, dyspepsia, fever, flatus

  2. Dietary Advice? Complete 180˚ Now recommend high fiber, rather than low fiber High fiber? Emphasize plant foods: fruits vegetables, whole grains, legumes. Helps maintain proper GI function. Diverticular disease is NOT associated with malabsorption.

  3. Ulcerative Colitis Sx: diarrhea, rectal bleeding cramping, abdominal pain Anorexia Weight Loss Massive loss of fluid and electrolytes Malabsorption Treat with palliative medications High kcal, high protein diet (lo fat if malabsor.)

  4. Nutrition Support of Ostomy Pts Low Fiber, Bland diets to: Promote healing of stoma Prevent obstructions Prevent GI discomfort Promote fluid intake because absorption has Avoid foods that promote gas formation/flatus Thickening foods can help control diarrhea.

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