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Part of the book series: Topics in Gastroenterology ((TGEN))

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Abstract

The topics of this chapter are grouped together because they often result in abdominal pain or cramps, increased flatus or eructation, or diarrhea or constipation. At times an etiology is found, but most often the patient is plagued and a nutritional approach to the symptoms is sought. The nutritional advice given such patients can be of enormous help or useless, but should always be on a sound physiologic basis. The following, I hope, is a rational approach to using the diet as the treatment of these patients.

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References

  1. Osier W:Principles and Practice of Medicine, ed Ó. Sidney, London: Appleton, 1906, p 527.

    Google Scholar 

  2. Hurst AF: Constipation and Allied Intestinal Disorders, ed 2. London: Oxford Press, 1921.

    Google Scholar 

  3. Bockus HL:Gastroenterology,ed 3. Philadelphia: WB Saunders, 1976, vol 2, p 936.

    Google Scholar 

  4. Schuster MM: Constipation and anorectal disorders. Clin Gastroenterol 6: 643, 1977.

    CAS  Google Scholar 

  5. Phillips SF, Giller J: The contribution of the colon to electrolyte and water conservation in man. J Lab Clin Med 81: 733, 1973.

    CAS  Google Scholar 

  6. Burkitt DP, Trowel! HC: Refined Carbohydrate Foods and Disease. New York: Academic Press, 1975, p 76.

    Google Scholar 

  7. Floch MH, Fuchs HM: Modification of stool content by increased bran intake. Am J Clin Nutr 31: 185, 1978.

    Google Scholar 

  8. Fuchs HM, Dorfman S, Floch MH: The effect of dietary fiber supplementation in man. II. Alteration in fecal physiology and bacterial flora. Am J Clin Nutr 29: 1443, 1976.

    Google Scholar 

  9. Davenport HW: Physiology of the Digestive Tract, ed 4. Chicago: Year Book Medical Publishers, 1977, p 72.

    Google Scholar 

  10. Hoppert CA, Clark AJ: Digestibility and effect on laxation of crude fiber and cellulose in certain common foods.J Am Diet Assoc 21: 157, 1945.

    CAS  Google Scholar 

  11. Olmstead WH, Williams RD, Buaerlein T: Constipation: The laxative value of bulky foods. Med Clin North Am 20: 449, 1936.

    Google Scholar 

  12. Cleave TL: Natural bran in the treatment of constipation. Br Med J 1: 461, 1941.

    Article  Google Scholar 

  13. Walker ARP: Crude fibre, bowel motility and pattern of diet. S Afr Med J 35: 114, 1961.

    CAS  Google Scholar 

  14. Kramer P: The meaning of high and low residue diets. Gastroenterology 47: 649, 1964.

    CAS  Google Scholar 

  15. Eastwood MA, Hamilton T, Kirkpatrick JR, et al: The effects of dietary supplements of wheat bran and cellulose on faeces.Proc Nutr Soc 32: 22A, 1973.

    Google Scholar 

  16. Heaton KW, Heaton ST, Barry RE: An in vivo comparison of two bile salt binding agents, cholestyramine and lignin. Scand JGastroenterol 6: 281, 1971.

    Article  CAS  Google Scholar 

  17. Eastwood MA, Girdwood RH: Lignin: A bile salt sequestrating agent. Lancet 2: 1170, 1968.

    Article  CAS  Google Scholar 

  18. Williams RD, Olmstead WH: The effect of cellulose, hemicellulose and lignin on the weight of stool. A contribution to the study of laxation in men. J Nutr 11: 433, 1936.

    CAS  Google Scholar 

  19. Bender WA, Whistler RL, Bemiller JN:Industrial Gum. New York: Academic Press, 1959, p 377.

    Google Scholar 

  20. Kelsay JL, Behall KM, Prather ES: Effect of fiber from fruits and vegetables on metabolic responses of human subjects. I. Bowel transit time, number of defecations, fecal weight, urinary excretions of energy and nitrogen and apparent digestibilities of energy, nitrogen, and fat.AmJClinNutr 31: 1149, 1978.

    CAS  Google Scholar 

  21. Binden HJ: Net fluid and electrolyte secretion: The pathophysiological basis of diarrhea. Viewpoints Dig Dis 12: 2, 1980.

    Google Scholar 

  22. Davenport W: Physiology of the Digestive Tract, ed 4. Chicago: Year Book Medical Publishers, 1977.

    Google Scholar 

  23. Phillips SF: Diarrhea-A broad perspective. Viewpoints Dig Dis 7: 5, 1975.

    Google Scholar 

  24. Phillips SF: Diarrhea: A current view of the pathophysiology. Gastroenterology 63: 495, 1972.

    CAS  Google Scholar 

  25. Sharp GWG: Action of cholera toxin on fluid and electrolyte movement in the small intestine. Ann Rev Med 24: 19, 1973.

    Article  CAS  Google Scholar 

  26. DuPont HL: Etiologic diagnosis of acute diarrhea. Ann Intern Med 88: 707, 1978.

    CAS  Google Scholar 

  27. Schwartz CJ, Kimberg DV, Sheerin HE, et al: Vasoactive intestinal peptide stimulation of adenylate cyclase and active electrolyte secretion in intestinal mucosa. J Clin Invest 54: 536, 1974.

    Article  CAS  Google Scholar 

  28. Ammon E, Phillips S: Inhibition of ilea) water absorption by intraluminal fatty acids. J Clin Invest 53: 205, 1974.

    Article  CAS  Google Scholar 

  29. Fawell WN, Thompson G: Nutmeg for diarrhea of medullary carcinoma of thyroid. N Engl J Med 289: 108, 1974.

    Google Scholar 

  30. Bennett A, Gradidge CF, Stamford IF: Prostaglandins, nutmeg and diarrhea. N Engl J Med 289: 110, 1974.

    Google Scholar 

  31. Barrowman JA, Hillenbrand P, Rolles K, et al: Nutmeg for diarrhea. N Engl J Med 289: 810, 1974.

    Google Scholar 

  32. Editorial: Oral glucose/electrolyte therapy for acute diarrhea. Lancet 1: 79, 1975.

    Google Scholar 

  33. Nalin DR, Cash RA, Rahman M, et al: Effect of glycine and glucose on sodium and water absorption in patients with cholera. Gut 11: 768, 1970.

    Article  CAS  Google Scholar 

  34. Hirschhorn N, Denny KM: Oral glucose-electrolyte therapy for diarrhea: A means to maintain or improve nutrition?Am J Clin Nutr 28: 189, 1975.

    CAS  Google Scholar 

  35. Moenginah PA, Suprapto, Soenarto J, et al: Oral sucrose therapy for diarrhea. Lancet 1: 323, 1975.

    Article  Google Scholar 

  36. Nalin DR: Oral sucrose therapy for diarrhea. Lancet 1: 1308, 1975.

    Article  Google Scholar 

  37. Mann GV: Diarrhea. Am J Clin Nutr 28: 804, 1975.

    CAS  Google Scholar 

  38. Sack RB, Pierce NF, Hirschhorn N: The current status of oral therapy in the treatment of acute diarrheal illness. Am J Clin Nutr 31: 2252, 1978.

    CAS  Google Scholar 

  39. Hirschhorn N, McCarthy BJ, Ranney B, et al: Ad libitum oral glucose-electrolyte therapy for acute diarrhea in Apache children.J Pediatr 83: 562, 1973.

    CAS  Google Scholar 

  40. Blair HA, Derm RJ, Bates PL: The measurement of volume of gas in the digestive tract. Am J Physiol 149: 688, 1947.

    CAS  Google Scholar 

  41. Davies PJ: Influence of diet on flatus volume in human subjects. Gut 12: 713, 1971.

    Article  CAS  Google Scholar 

  42. Steggerda FR, Dimmick JF: Effect of bean diets on concentration of carbon dioxide in flatus. Am J Clin Nutr 19: 120, 1966.

    CAS  Google Scholar 

  43. Bond JH, Levitt MD: A rational approach to intestinal gas problems. Viewpoints Dig Dis 9: 2, 1977.

    Google Scholar 

  44. Bond JH, Engel RR, Levitt MD: Factors influencing pulmonary methane excretion in man.] Exp Med 133: 572, 1971.

    Article  CAS  Google Scholar 

  45. Levitt MD: Production and excretion of hydrogen gas in man. N Engl J Med 281: 922, 1969.

    Article  Google Scholar 

  46. Levitt MD: Volume and composition of human intestinal gas determined by means of an intestinal washout technique. N Engl J Med 284: 1394, 1971.

    Article  CAS  Google Scholar 

  47. Kirk E: The quantity and composition of human colonic flatus. Gastroenterology 12: 782, 1949.

    CAS  Google Scholar 

  48. Calloway DH: Respiratory hydrogen and methane as affected by consumption of gas-forming foods.Gastroenterology 51: 383, 1966.

    CAS  Google Scholar 

  49. Hickey CA, Calloway DH, Murphy EL: Intestinal gas production following ingestion of fruits and fruit juices. Am J Dig Dis 17: 383, 1972.

    Article  CAS  Google Scholar 

  50. Haber GB, Heaton KW, Murphy D, et al: Depletion and disruption of dietary fiber-Effects on satiety, plasma-glucose, and serum-insulin. Lancet 2: 679, 1977.

    Article  CAS  Google Scholar 

  51. Hungate RE: Microbial activities related to mammalian digestion and absorption of food, in Spitler GA, Amen RA (eds): Fiber in Human Nutrition. New York: Plenum Press, 1976.

    Google Scholar 

  52. Drasar BS, Hill MJ:Human Intestinal Flora. New York: Academic Press, 1974.

    Google Scholar 

  53. Pauling L, Robinson AB, Teranishi R, et al: Quantitative analysis of urine vapor and breath by gas-liquid partition chromatography.Proc Nat Acad Sci USA 68: 2374, 1971.

    Article  CAS  Google Scholar 

  54. Chen S, Mahadevan V, Zieve L: Volatile fatty acids in the breath of patients with cirrhosis of the liver. J Lab Clin Med 75: 622, 1970.

    CAS  Google Scholar 

  55. Chen S, Zieve L, Mahadevan: Mercaptans and dimethyl sulfide in the breath of patients with cirrhosis of the liver. Effect of feeding methionine. J Lab Clin Med 75: 628, 1970.

    CAS  Google Scholar 

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© 1981 Plenum Publishing Corporation

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Floch, M.H. (1981). Constipation, Diarrhea, Gas, and the Intestine. In: Nutrition and Diet Therapy in Gastrointestinal Disease. Topics in Gastroenterology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-3791-1_14

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  • DOI: https://doi.org/10.1007/978-1-4684-3791-1_14

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-3793-5

  • Online ISBN: 978-1-4684-3791-1

  • eBook Packages: Springer Book Archive

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