1. NUTRITIONAL DISEASES

2. Crohn’s Disease
inflammation of the small intestine (deep into the lining)
affects men and women equally – runs in families
the cause?
body’s immune system reacts to a virus or bacteria
tests show abnormal immune system – but is it caused by the disease or does the disease cause the abnormality?

3. Crohn’s Disease symptoms: abdominal pain diarrhea rectal bleeding
weight loss
fever
tests may show anemia (due to intestinal bleeding)

4. Crohn’s Disease tests treatment
blood work
colonoscopy
treatment
meds to control inflammation
nutritional supplements if needed
meds to relieve symptoms of diarrhea and abdominal pain
treatment controls the symptoms, not the disease – no cure
surgery to remove the inflamed part of the small intestine in severe cases

5. Ulcers open sores on the wall of the stomach or small intestine
1/10 people get an ulcer
the cause?
most ulcers are caused by a specific bacteria
many have the bacteria, but not all get ulcers
maybe due to the level of acids in the stomach of those with the bacteria
it is thought that the bacteria weakens the stomach mucus coating

6. Ulcers symptoms tests abdominal pain nausea frequent burping
weight loss
vomit or stools may have blood in sever cases
tests
medical history and exam
endoscopy
upper GI series

7. Ulcers increased risk with alcohol and cigarettes treatment
alcohol wears down the stomach lining
nicotine increases stomach acid
treatment
meds to kill the bacteria
meds to reduce stomach acid
changes in lifestyle

8. GERD gastro esophageal reflux disease
the esophagus becomes irritated or inflamed due to acid backing up from the stomach
affects about 1/3 of adults at least one time/month – 10% of adults affected daily

9. GERD gastro esophageal reflux disease
contributing factors
alcohol and cigarettes
medications
diet (fats, spicy, garlic, onions, caffeine, fried foods)
habits – large meals before bed
many new meds – over the counter and prescription

10. Obesity 1/3 of Americans are obese 2/3 of Americans are overweight
more men are overweight – more women are obese
300,000 preventable deaths each year in the US
strong familial component

11. Obesity increased risk of
high blood pressure, diabetes, heart disease, stroke, gall bladder disease, cancer (breast, prostate, colon)
why the increase of obesity?
decreased physical activity
accessible cheap, high calorie, fast food
processed and pre-packaged foods

12. Anorexia Nervosa teen girls obsessed with thinness
fat body image no matter how thin
starve themselves and exercise constantly
often perfectionists – has a strong emotional (psychological) component

13. Anorexia Nervosa related problems stopped menstrual period dry skin
hair loss
extreme weight loss
feeling cold
often sick
can be at risk for death from starvation

14. Bulimia similar to anorexia nervosa, but not as sever a weight loss
has binge and purge behavior – may use diuretics and laxatives