Define the terms prebiotic and probiotic. What does the current research indicate regarding their use for treatment of IBS? What guidance would you give Mrs. Clarke for choosing a probiotic?
What will be an ideal response?
• Prebiotics: food sources that contain substances that stimulate the beneficial flora of the large intestine. In other words, prebiotics are the food for the beneficial bacteria in the colon.
Examples: oligosaccharides, inulin
• Probiotics: microorganism-containing products that are manufactured and sold as food products and supplements. These foods contain actual live microorganisms that have proved to be beneficial for the gut flora. They help improve the microbial balance, which potentially is off balance in IBS patients.
• Currently, research supports the use of prebiotics and probiotics in IBS patients to help establish a population of beneficial microbial flora to help with fermentation. However, the ideal dosage or amount has not been determined through research because it is a newer therapy for IBS patients. These are not considered to be a primary treatment option or standard of care, but considering their general safety, supplementing the diet with probiotics may be considered.
Examples of recommended sources include: Yogurt, kefir, cheeses
• Suggesting Mrs. Clarke to continue consuming her yogurt if she enjoys it is appropriate. 3/4 cup of Greek yogurt can provide up to 1 billion bacterial colonies.
• If the patient does not like foods that contain probiotic cultures, a dietary supplement like Culturelle© or Align© may be suggested.
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Turgor is the word that describes the
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a. India b. China c. Middle East d. Eastern Europe e. Greece
Hannah Arther is a 53-year-old marketing executive who was recently diagnosed with uterine cancer. She had a complete hysterectomy and is currently undergoing radiation therapy. She is experiencing nausea, vomiting, and diarrhea as well as anorexia
Ms. Arther enjoys pudding and is able to tolerate it pretty well. To increase her caloric intake, you suggest that she make her pudding with: a. half-and-half. b. whole milk. c. 2% milk. d. powered milk.