The child has inflammatory bowel disease. During a discussion with the parents which of the following comments may be received? (Select all that apply.)
1. "It seems like he has more abdominal cramping and diarrhea after drinking milk.".
2. "We don't give him anything that contains wheat, rye, or barley.".
3. "Two years ago, he was in the 75th percentile for his height, and now he's in
the 25th percentile.".
4. "He knows that chewing gum and foods that contain sorbitol will make this condition worse.".
5. "It seems like after he developed this condition, he just continues to get thinner.".
1, 3, 5
Rationale: Many people who have inflammatory bowel disease develop lactose intolerance. They develop an increased level of discomfort after ingesting products that contain lactose. People with celiac sprue should not ingest anything that contains wheat, barley, or rye. People with inflammatory bowel disease do not have to avoid wheat, barley, and rye. Children who have inflammatory bowel disease often experience growth failure in response to treatment with corticosteroids. They lose weight and are not as tall as their peers. Corticosteroids are prescribed to people with inflammatory bowel disease to decrease inflammation in their intestine and colon. Chewing gum and eating foods that contain sorbitol, raffinose, and fructose should be avoided by people who have problems with intestinal gas.
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