Gastrointestinal System Disorders Q 109 - Gyan Darpan : Learning Portal
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Thursday 14 April 2022

Gastrointestinal System Disorders Q 109

Which of the following interventions should be included in the medical management of Crohn’s disease?
    A. Increasing oral intake of fiber.
    B. Administering laxatives.
    C. Using long-term steroid therapy.
    D. Increasing physical activity.

Correct Answer: C. Using long-term steroid therapy

Management of Crohn’s disease may include long-term steroid therapy to reduce the inflammation associated with the deeper layers of the bowel wall. Most people with Crohn’s disease need to take steroids (such as prednisolone) from time to time. Steroids can relieve symptoms by reducing inflammation in the digestive system – they usually start to work in a few days or weeks. are usually taken as tablets once a day – sometimes they’re given as injections.

Option A: Other management focuses on bowel rest (not increasing oral intake). Provide colon rest by omitting or decreasing the stimulus of foods and fluids. Gradual resumption of liquids may prevent cramping and recurrence of diarrhea; however, cold fluids can increase intestinal motility.
Option B: Reducing diarrhea with medications, not giving laxatives, is the management of Crohn’s disease. Observe and record stool frequency, characteristics, amount, and precipitating factors. Helps differentiate the individual disease and assess the severity of an episode.
Option D: The pain associated with Crohn’s disease may require bed rest, not an increase in physical activity. Promote bedrest, provide a bedside commode. Rest decreases intestinal motility and reduces the metabolic rate when infection or hemorrhage is a complication. Urge to defecate may occur without warning and be uncontrollable, increasing the risk of incontinence or falls if facilities are not close at hand.

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