Q 1. Food is known to cause the release of gastric solutions in phases the first phase is the cephalic phase that occurs in instant of seeing or smelling food. It’s responsible for the release of hydrochloric acid and pepsinogen. Entering of food in the stomach then marks the beginning of gastric phase. Gastric juices are release as a result of the two phases. Contributing factors to the release of gastric juices could include presence of food rich in protein and stomach extension. The last phase is intestinal and in nature it is inhibitory to the first two phases. It’s responsible for preparing the small intestine to receive acidic chyme from the stomach. The parietal chief cells in the stomach are thus limited in action by the hormone cholecystokinin and secretin hence no release of gastric juices. Q 2. Lower esophageal sphincter is the occlusion lying between the esophagus and 19. A). Mr.Gupta has high cholesterol. This can be attributed unhealthy diet and decreased physical exercise as demonstrated by 24-hour diet recall plus laboratory diagnosis values showing high low density lipoproteins and Triglycerides levels and low high density lipoprotein cholesterol. B). Heartburn and chest pain identified with poor food choices absence of physical exercise stress and over the top weight as proved by 24-hour dietary review physical exam and laboratory obtained values. Q 20. The patient should be educated on the health effects of excessive cholesterol and be advised on change of diet so as to lower the amount of cholesterol intake. Patient should do physical exercises. He should also avoid diets that aggravate GERD Q 21. Prolonged use of proton pump inhibitors leads to lowered absorption of calcium iron and vitamin B12. Remedy to such shortcoming may be supplementation of calcium iron and vitamin B12 to the patient. [...]
NUTRITION Case Study. Please confirm experience with Medical Nutrition, or reply will be ignored. Paper MUST meet standards AND receive a low score of 25 or below on TurnItIn site. If all goes well, there are 3 more to follow. Attached are the medical details and the instructions. Page length is approximate given similar assignments.