Case Study -Digestive System Mr. Pope is complaining of headache a gnawing epiga

Question

Case Study -Digestive System Mr. Pope is complaining of headache a gnawing epigastric pain, and the diarrhea. His care-provider asks him the following questions Have you had these symptoms previously? Response: yes but not as bad Are you allergic to any foods Response: 'Shellfish does not like me and milk gives me 'the runs') His care-provider recommends a lactose-free diet. Q.1 - Why is this diet prescribed? (What is believed to be the problem?) Despite the new diet, Mr. Pope's problems persist. In fact the symptoms and diarrhea get worse and by the end of the next day, he is in severe abdominal pain. He is asked some more questions to probe his condition. One is whether he has travelled outside the county recently, which he has not, reducing the possibility of Shigella bacteria, which is associated with sanitation conditions. .Do you drink alcohol and how much? Response - "little or none." Have you recently eaten raw eggs or a salad containing raw eggs at a gathering? Response - "No" Do you have acid reflux/ heartburn? Response: "No" Are there certain foods that seem to precipitate these attacks? Response: "Yes, whenever I have a sandwich'" Q2. On the basis of these responses, can anything else be ruled out?

Explanation / Answer

Q1) Mr.Pope is seems to have lactose intolerance. Which means he does not have the enzyme to digest the lacotse, a sugar found in milk and other dairy products, and must avoid milk, cheese, sour cream, yogurt, cream cheese and ice cream. Some people can safely consume small amounts of lactose while others cannot consume any.

Lactose intolerance is due to the lack of enzyme lactase in the small intestines to break lactose down into glucose and galactose.

Symptoms of lactose intolerance include as mentioned above, nausea, gas, bloating, cramps and diarrhea.

Q2) He has lactose intolerence for sure. But when he consume sandwich, symptoms precipitate because he is consuming bread made with milk OR that sandwich has cheese in it. So, he must look for lactose free sandwich to eat and avoid diary product in any form to get rid of these symptoms.

Related Questions

Navigate

• Browse (All)
• Browse C
• Subjects

---

---

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.