Navegando por Palavras-chave "diarreia"

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    Avaliação do consumo alimentar de pacientes com síndrome do intestino irritável em acompanhamento ambulatorial
    (Universidade Federal de São Paulo (UNIFESP), 2014-12-16) Lopes, Suzana Soares [UNIFESP]; Miszputen, Sender Jankiel Miszputen [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Irritable Bowel Syndrome (IBS) is a chronic functional disorder characterized by abdominal pain and/or discomfort associated with changes in the bowel movements (constipation, diarrhea). Patients may present with abdominal distension, change in stool consistency and sense of incomplete evacuation. We need to do a review of dietary habits, directing a more adequate food, with special attention to that which increases the symptoms, such as lactose, sorbitol, fructose and fats. Increasing dietary fiber content may benefit the consistency and frequency of bowel movements in constipated patients, although some do not relieve the complaint of abdominal pain. In cases of predominant diarrhea, it is recommended to reduce the consumption of carbohydrate fermentation in particular the oligosaccharides, disaccharides, monosaccharides and polyols fermentable (FODMAPS). Objective: To evaluate the amount of carbohydrates, fiber and fats from the diet in individuals diagnosed with IBS. Patients and methods: Cross-sectional study conducted at the Clinic of Intestinal Diseases in the Department of Gastroenterology, Escola Paulista de Medicina/UNIFESP. Nutrients of interest selected for this study were: fibers, carbohydrates in general and those classified as FODMAPs, calculating the quantity in grams, in addition to fat products, analyzed through the portions consumed. The research instruments used were: nutrition monitoring and record Questionnaire Semi-quantitative Food Frequency (QSFF). Results: The sample included 63 adult patients diagnosed with Irritable Bowel Syndrome in constipated formats (C) (21), diarrheal (D) (21) and mixed (M) (21), with female people predominance . Foods that worsened the symptoms of the patients were: breads, cakes, pasta, potatoes, milk and dairy products, legumes and fatty foods. 79,3% of patients preferred not to modify or delete them from their diet. The carbohydrate intake was inadequate in 35 cases (55,6%); between those who had high intake, 8 subjects were of the diarrhea group (38,1%), 3 in the mixed (14,3%) and 8 in the constipated group (38,1%). Low consumption levels of this nutrient was identified in 6 cases of diarrhea (28,6%) and 10 (47,6%) of patients in the mixed group. We observed an average intake of 23 g fiber/day in patients of all groups, lower than recommended. With the exception of sugar and sweets patients had inadequate intake of all food groups, when compared with that recommended by the Brazilian Food Guide. Data from the dietary survey showed increased consumption of oils, fats and oilseeds. Conclusion: We concluded that 55,6% patients showed carbohydrate consumption above that recommended; 69,8% of patients of both genders were in poor condition in terms of fibers, below the recommendation. A total of 52,4% of patients with diarrheal manifestation of groups D and M reported excessive consumption of carbohydrates in general, as well as those classified as FODMAPs. Increased intake (76%) of oily food correlated with symptoms (diarrhea and/or strain) of patients in 3 groups. FODMAPs were responsible for symptoms of the disease in all groups. Sugars and sweets, vegetables, dairy products, and meats and eggs were consumed below recommended by the Brazilian Food Guide all other food groups were considered unsuitable for consumption in excess.
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    Diarreia persistente: ainda um importante desafio para o pediatra
    (Sociedade Brasileira de Pediatria, 2011-06-01) Andrade, Jacy Alves Braga de [UNIFESP]; Fagundes-Neto, Ulysses [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To provide recent guidelines to reduce the incidence of diarrheal diseases. We discuss the definition, clinical aspects, pathophysiology, diagnosis, management, and prevention of persistent diarrhea. SOURCES: Electronic search of the MEDLINE database, Google search. SUMMARY OF THE FINDINGS: Acute diarrhea may be caused by a variety of agents, including bacterial, viral, and protozoan pathogens. The top priority in treatment of diarrhea is replacement of fluid and electrolytes losses, particularly at the acute stage, and, under certain circumstances, eradication of the enteropathogenic agent. On the other hand, treatment of persistent diarrhea should focus on prevention and management of food intolerance and malnutrition. CONCLUSIONS: Promotion of breastfeeding, adequate interventions in the treatment of acute diarrheal episodes, introduction of safe dietary strategies for prevention of malnutrition, and improvements in sanitation and hygiene conditions, including sewage and clean water, are essential measures for the reduction of diarrheal morbidity and mortality rates in children under 5 years of age.