Digestive System Disorders 1. Crohn’s Disease (type of irritable bowel disease or IBD) Causes inflammation of parts of the digestive tract. Sores called ulcers cause the inflammation. It can cause pain and diarrhea. It is a chronic disease. 2. Acid Reflux A condition where gastric juices containing acid, travel back from the stomach into the esophagus. 3. Peptic Ulcer Breakdown of the stomach, esophagus or small intestine and it starts to bleed into the digestive system. Certain bacterial infections, smoking and some anti-inflammatory drugs can cause peptic ulcers. 4. Celiac disease An autoimmune disorder of the small intestine that occurs when the individual is allergic to a gluten protein found in wheat, rye and barley products. The gluten causes an allergic reaction, thereby destroying the villi and interfering with the normal absorption of nutrients in the small intestine. 5. Anorexia The person thinks they are overweight and severely limits their food intake and may become dangerously thin. People who have anorexia have an intense fear of gaining weight. 6. Hepatitis Is an inflammation of the liver caused by infection with a virus, that enters living cells and multiplies. Infection often results from ingesting contaminated drinking water or food. 7. Gallstones Crystals of bile form which can block the duct leading from the gall bladder to the intestine or may even pass through it. These can be very painful and the gall bladder may have to be removed if they continue. 8. Colon Cancer Cancerous cells (tumours) are present in the wall of the large intestine (colon). There are several risk-factors associated with colon cancer: diet high in fats, smoking, genetic predisposition (heredity) or having a relative that is suffering from the disease or who have polyps may increase your chances. The passage of bright red blood in the stool, or a change in frequency, consistency or thickness of stool are the most typical symptoms. Other symptoms may include tiredness. Colonoscopy can be used to diagnose (look for polyps). Case #1: Diana Twenty-six year old Diana suffered from abdominal pain, nausea and constipation alternating with periods of bloody diarrhea. She also had pain in her joints, skin lesions, tiredness and depression. She came to the clinic for blood tests and a physical examination. She began diet therapy and kept a record of the foods she ate and her body's reaction to foods. She found her condition got worse when she ate fried foods and some fruits and vegetables. She ate small, frequent meals and followed the advice of her doctor. Case #2: Maria Seventeen-year-old Maria has been on one diet or another since she was in junior high. She recently lost 10 pounds from an already slender frame after becoming a strict vegetarian. Her parents are concerned about the weight loss, but Maria insists that she’s just under stress at school. Meanwhile, her vegetarian diet is becoming stricter by the day. Maria obsessively counts calories, measures food portions, and weighs herself at least twice a day. She refuses to eat at restaurants, in the school cafeteria, or anywhere else in public, and she lives on salad dressed with vinegar, rice cakes, and sugar-free Jello. Case #3: Linda Twenty-four year old Linda has a history of sinus infections (including two sinus surgeries), asthma, diarrhea, headaches, chronic fatigue, and dizziness. Food allergy testing was positive for allergy to gluten. This patient also tested positive for hypothyroidism and iron deficient anemia. Removal of gluten-free foods from the diet and treatment of hypothyroidism and anemia has resulted in significant improvement in energy and the resolution of diarrhea and dizziness. Sinus infections have been greatly reduced, as have headaches, and her health continues to improve with time. Case #4: Harold Harold, a fifty-eight year old grocery store manager, had recently been waking up in the middle of the night with abdominal pain. This was happening several nights a week. He was also experiencing occasional discomfort in the middle of the afternoon. The pain finally becomes so severe that he comes into the ER. You listen as Harold describes his symptoms and then ask him some questions. You note that Harold’s appetite has decreased as a result of the pain he was experiencing and as a result of the fear that what he was eating may be responsible for the pain. He also states that his stools are extremely dark. You refer Harold to get an endoscopy. Case #5: George Forty-four year old George experiences a burning sensation after eating meals and physical activity. He has noticed that these symptoms are more common after he has eaten fried or fatty foods, chocolate and following his morning coffee. His discomfort has been so severe some days that he has been absent from work. A friend suggested that he take antacid to treat his condition and make changes to his diet, which has lessened his symptoms. Case #6: Adam Adam, a nineteen year old student just returned from Mexico during his winter break. Lately he has been experiencing muscle and joint pain and fatigue. His lymph glands are swollen and he has a sore throat, nausea, and occasional diarrhea. His mother noticed that the whites of his eyes were starting to turn yellow and decided he should go to the hospital. After listening to Adam’s symptoms, you decide to run blood tests to test for liver enzymes and viral antibodies and genetic material, which confirm your suspicions.