-
3 important behavior/dietary measures when treating constipation
- 1. Increasing fluid/fiber/bran diet
- 2. Understanding causes (fats, fear, behav. issues)
- 3. Behavioral meds: encouraging BM's, rewards
- 4. OTC Meds: use only when necessary and correct kind
-
OTC Producs of Diarrhea
- 1. Anti-diarrheals: slows down rate of passing stools
- -allows absorption of H2O and electrolyites into body through intesting
- -shorten duration of illness
- 2. Gastrointestinal Absorbants: acts as sponge and pulls bacteria, toxins, and digestive enzymes in GI tract
- 3. Bismuth Salts: coat the stomach surface to provide relief of most stomach complaints
- -bind bacterial toxins and decrease inflammation
-
Heartburn Treatment:
Antacids
- Ex: Tums/Calcium carbonate
- Works: chemically neutralizes acid
- Onset: 5-15min
- Duration: 30-60min up to 3hr after meal
- Side effects: diarrhea (^Mg), constipation (v AL), calcium (acid rebound), drug interactions
-
Heartburn Treatment:
Alginic Acid
- Ex: Gaviscon
- Works: foam at top of acid that floats-protects esophagus f/ acid if rises
- Onset: 5-15min
- Duration: 30-60min up to 3hr after meal
- Side effects: no major
-
Heartburn Treatment:
H2 Receptor Antagonist
- Ex: Tagmet, Zantec, Pepcid
- Works: decreases production of acid
- Onset: 1-2 hrs
- Duration: up to 12 hrs
- Side effects: mild headache, N/V/D, constipation, drug interactions
-
Heartburn Treatment:
Proton Pump Inhibitors
- Ex: Prilosec, Prevacid
- Works: stops stomach from prod. acid
- Onset: 3-4 hrs (max effect)
- Duration: 24 hrs
- Side effects: headache, N/V/D, dizzy, drowsy, constipation, V absorption of meds, metabolized by liver
-
2 major complications of heartburn
- 1. Strictures: restricting esophagus
- 2. Barrett's esophagus (inflamed)
-
Nausea/Vomiting Treatment:
Vitamin B6
use for nausea and vomiting during pregnancy
-
Nausea/Vomiting Treatment:
Antacid Buffers
reducing acid in the stomach to help relieve nausea
-
Nausea/Vomiting Treatment:
Bismuth Salts
coating stomach
-
Nausea/Vomiting Treatment:
Phosporated Carbohydtate solutions
reducing movement of stomach
-
Nausea/Vomiting Treatment:
Antihistamines
work on labyrinth of middle ear-prevent motion sickness
-
What evidence shows the ginger works to reduce nausea and vomiting?
Treatment after Chemotherapy
-
Risks associated with peppermint (IBS)
- -male fertility affected
- excessive:
- -nausea
- -loss of appetite
- -heart probs.
- -loss of balance
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