Gastrointestinal Diseases and

Diet plans
Michele Dickey HST Independent Study Mentorship
1st Semester- Fall 2018
Mrs. Click
Disclaimer !!!!!

• Some of this information that is used in this presentation

is from outside sources and they are cited at the end of
my presentation.
Thank You!!

This Photo by Unknown Author is licensed under

CC BY-NC-ND
 Dr. Peace Dike MD.
Dr. Peace Dike is a pediatric gastroenterologist at Texas Children's
Hospital. She received her Bachelors degree at the University of Texas
at Austin. Then she obtained her Doctorate of Medicine degree at
UTMB, an then completed her residency program at the Baylor College
of Medicine.
Mentorship site
• Texas Children’s Hospital is the worlds largest children's hospital.
• Texas Children’s Hospital has the only operating room in the country
who has an MRI scanner in the room
• Texas Children’ Hospital is the largest Pediatric transplant in the
country, and their Gastrointestinal team in 4 in the country.
What is ISM
• ISM also known as Independent Study Mentorship is a course that
allows students to shadow/observe a mentor in a field of study they
wish to pursue with the guidance from their instructor, Mrs. Click.
• The course requirements include: 3 hours of mentorship each week,
completing weekly journals and activity logs as well as given
assignments by instructor, along with creating a final project that is a
collection of knowledge obtained from mentorship that will be
presented in front of instructor and evaluators, and accounted for a
semester final grade .
Gastrointestinal Diseases and Diet
• My Project is going to focus on the most common intestinal and
stomach diseases, which are pancreatitis, celiac disease , and
Inflammatory Bowel disease. Also their specific diet plans for each
one of them.
• The reason I chose this topic was because while observing my mentor
many of her patients with the same 3 types of diseases (Pancreatitis,
Celiac disease and Inflammatory bowel disease). I wanted to look
further into theses common diseases, so I chose it as my project
topic.
 Introduction to key points:
Celiac Disease, Inflammatory Bowel disease:
➢Epidemiology
➢Signs and Symptoms
➢ Diagnosis
➢Therapies and Management
➢Diet Plans

This Photo by Unknown Author is licensed under CC BY-SA-NC

Background:
What is Celiac disease ?
This Photo by Unknown Author is licensed under CC BY-SA

➢Celiac disease also known as Coeliac disease is an auto-immune

disorder that cause your body to react abnormally, which results in
inflammation in the small intestine.
What is Inflammatory bowel disease ?
➢Inflammatory bowel disease includes Chron’s and ulcerative colitis
which is caused by an “overactive immune system”.
What is Pancreatitis ?
➢Pancreatitis is when the pancreas become inflamed
 Epidemiology:
Celiac Disease: This Photo by Unknown Author is licensed under CC BY

➢ Is common in the US and Europe, since it is prevalent in many countries who is pooled
with global virus/pathogens
➢ Women are more prone to celiac disease, and they make up two-thirds of diagnosed
patients.
➢ The first indication of celiac may be seen during childhood at the age of 6 or 7 but can be
seen at anytime gluten is introduced to the child. The most common age to be diagnosed
in the US is 40.
Inflammatory disease (Chron’s &Ulcerative colitis):
➢ 1.4 Americans suffer from Inflammatory bowel disease.
➢ If a relative has this condition, you are 10 times more acquire this diseases
➢ American Jews of European decent are 4 to 5 times to develop IBD
➢ IBD can occur any age , but at the age of 15-35 when it is more likely susceptible
Epidemiology continued…..
Pancreatitis
➢ African Americans are 2-3 times more at risk to get pancreatitis, due
to the distribution of lifestyle, drinking or smoking, diet, and genetics.
➢Pancreatitis in women is more likely related to gallstones, endoscopic
retrograde, or autoimmune diseases.
➢Pancreatitis in men is seen as acholic- related.
➢Pancreatitis is not common for people below the age of 20, though
pediatricians have seen it on an up rise.
Signs and Symptoms
Celiac Disease:
➢ Malnutrition ➢ Excessive Bruising
➢ Diminished Reflexes ➢ stomach distension (pot belly)
➢ Low blood pressure ➢ Skin Rashes (Knees, Elbow, legs,
stomach )
Inflammatory bowel Disease:
➢ Unrelenting diarrhea
➢ Blood and/or mucus in the stool
➢ Abdominal pain
➢ Fever
Pancreatitis
➢ Upper abdominal pain This Photo by Unknown Author is licensed under CC BY-NC-ND
➢ Abnormal weight loss
➢ Rapid Paulse ➢ Nausea/Vomiting
➢ Oily , smelly stool ➢ Fever
 Diagnosis
Celiac Disease
➢ Blood tests:
• Serology testing looks for antibodies in your blood, high level indicate an immune
reaction to glucose.
• Genetic testing for human leukocyte antigens can be used to rule out celiac disease
Inflammatory Bowel Disease:
➢ The CBC count checks the white blood cells (WBC) count and the red blood cell
(RBC) count. High WBC indicates that there is inflammation in body. Low RBC
indicates bleeding in the body.
➢ A sigmoidoscopy is an endoscopic procedure that is used to examine the last third
of the large intestine, which includes the rectum and sigmoid colon.
➢ A colonoscopy is an endoscopic procedure used to examine the inside of the colon
which can go beyond the areas a sigmoidoscopy cannot reach .
Diagnosis continued….
Pancreatitis:
➢Endoscopic ultrasound to look for inflammation and blockages in the
pancreatic duct or bile duct
➢Computerized tomography (CT) scan to look for gallstones and assess
the extent of pancreas inflammation
➢Stool tests in chronic pancreatitis to measure levels of fat that could
suggest your digestive system isn't absorbing nutrients adequately
➢An MRI, which is used to closely look at the gallbladder, pancreas,
and duct
 Therapies and Management
Celiac Disease:
➢ Strict Gluten –free diet
➢ Non- dietary research is ongoing
Inflammatory Bowel Disease:
➢ Anti- Inflammatory drugs :corticosteroids and amino
salicylates.
➢ Immune system suppressors: azathioprine,
mercaptopurine ,these drugs suppress the immune
response that releases inflammation-inducing
chemicals in the intestinal lining.
➢ Surgery :
• ulcerative colitis; proctocolectomy
• Surgeon removes a part of the digestive tract and
connects it to the healthy one.
Therapies and Management Continued…
Pancreatitis:
➢Fasting: This allows your pancreas to recover.
• Eating bland foods and drinking clear water

➢Enzymes to improve digestion

▪ Can help you body break down nutrients for foods you consume

➢Pancreas surgery.
▪ Drain fluid from pancreas or to remove diseased tissue
Diet Plans/Recommendations
Celiac Disease :
➢ Gluten-free diet

Inflammatory Bowel Disease:

➢ Low residue diet: helps relive abdominal pain and diarrhea.

➢ Avoid food that may increase stool output, such as fresh fruits, caffeinated beverages, fresh
vegetables ,and prunes.
➢ Incorporate Omega-3 fatty acids in your diet, these fats can be used as an anti-inflammatory effect.
They are found in fish, including mackerel, salmon ,herring, and sardines.
Pancreatitis:
➢ Low- fat diet: This diet wont tax or inflame the pancreas.
➢ Avoid trans-fatty acids: margarine butter, mayonnaise, fried foods, organ meats .
➢ Intake various vegetables, beans and lentils, whole grain and fruits.
 “Gluten-Free Craze Good, Bad for Celiac
Patients” by: Maureen Salamon
➢Maureen Salamon conducted various interviews on celiac patients who
constantly eat out ,and many expressed that they view their disease as a
blessing, because they are gifted with many more options on the menus. On
the other hand, some view there condition as a cursing because they fear
that people might perceive them as “high maintenance”.
➢Now that the famous gluten-free diet has became trend across the world, it
has caused waitress to not seen the diet as a medical condition.
➢Marilyn Geller a chief office of the Celiac Disease Foundation in California
expresses that better training in restaurants should take place to
acknowledge the severity of this disease. Geller express that training will
help, though she infers that until there is a medication for celiac disease, it
will not be taken seriously.
 Product Introduction:
• For my product I chose to Create a 3-D Model of the digestive system and label
This Photo by Unknown Author is
its specific organs. licensed under CC BY-NC

• To produce this model at a colligate level I had to plan vigorously and use
outside resources to help me build this product
• Below I have placed a picture of how I planned to finish this product and to the
right is an example of what I will show you on the following slide
Collegiate/Professiona Create a 3D model of the digestive system and its specific organs with labels.
l Level Product:

Three to Four (3-4) 1. Research different parts of the digestive tract,

Goals that must be the placement of the organs in their specific
Accomplished to quadrants, and their functions. Complete by
Create Final Product.
the week of Oct.8
Goals must be
measurable and have 2. Creation of visual rough draft of the 3D
a deadline: model. Complete by the week of Oct.22

3. Gather all materials such as white modeling

foam, colored paint, colored clay, etc.
Complete by the week of Nov.5
4.
Product
Highlight Weebly
• During this semester I was required to create and maintain a digital portfolio to showcase my
progress through the course this semester. It highlights various assignment that I completed, an
shoes the completed version of my product and final presentation.
 Artifacts
• For my final presentation, I had to collect 10 different artifacts to
showcase what I have been learning at my mentorship site.
Structure of
Intestines/ Organs:
Procedure Cart :
Standard Scope:
Conclusion :

Through the various mentorship days, when I shadowed Dr. Dike, I was
able to learn different medical procedures that occur in the operating
room, as well as obtaining information about the importance of the GI
Tracts and its role in our bodies. Though because of Dr. Dike
mentorship, I was able to learn about many gastrointestinal diseases
and vital information that went along with it, so that I was able to put
my presentation together. All this information was so helpful to me as I
seek to be apart “Doctors without Boarders” to help children in crisis
around the world.
Questions?
This Photo by Unknown Author is licensed under CC BY-SA
Closing Remarks
I would like to first thank God for all that he has done in my life, to my
mom and dad for supporting me in everything I do. A big thank you to
my mentor Dr. Dike for taking her time to mentor me and teach me
valuable information that I will surely never forget. Finally I would like
to thank Mrs. Click for encouraging me to be the best I can be, and to
the evaluators for taking their time out to listen to my presentation.
Citations
• Animated Student Thinking | Clipart Panda - Free Clipart Images.” Strength Clip
Art Free | Clipart Panda - Free Clipart Images,
www.clipartpanda.com/categories/animated-student-thinking.
• “Celiac Disease.” Community-Acquired Pneumonia - Symptoms, Diagnosis and
Treatment | BMJ Best Practice, bestpractice.bmj.com/topics/en-
us/636/epidemiology.
• “Crohn's & Colitis.” What Is Crohn's Disease | Causes of Crohn's | Crohn's
& Colitis Foundation,
www.crohnscolitisfoundation.org/resources/epidemiology.html.
• “Celiac Disease Diagnosis.” Sleep Disorder Overview - Sleep Disorders -
HealthCommunities.com, www.healthcommunities.com/celiac-
disease/diagnosis.shtml.
• “3D Male Digestive System.” Zygote, www.zygote.com/poly-models/3d-male-
systems/3d-male-digestive-system.
Citations Continued…..
This Photo by Unknown Author is
licensed under CC BY-NC

• “Donate to Doctors Without Borders.” The MSF RISK Kit | Doctors

Without Borders, donate.doctorswithoutborders.org/onetime.cfm.
• “Download the 7-Day Senior Gluten-Free Meal Plan.” Celiac Disease
Foundation, celiac.org/download-7-day-senior-gluten-free-meal-
plan/.
• Smith, Andrea. “Telemedicine for Gastroenterology - A Perfect
Match.” Chiron Health, 15 Feb. 2017,
chironhealth.com/blog/gastroenterology-and-telemedicine-a-perfect-
match
• “Texas Children's Hospital - Texas Medical Center.” TMC News,
www.tmc.edu/members/texas-childrens-hospital/.