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Digestive System Disorders

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Hepatitis

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Symptoms: Jaundice, fatigue, abdominal pain. Treatment: Antiviral medications, rest, supportive care. Nursing interventions: Monitor liver function tests, educate on transmission prevention, support patient during treatment.

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Acute Liver Failure

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Symptoms: Jaundice, encephalopathy, coagulopathy. Treatment: Supportive care, N-acetylcysteine for acetaminophen toxicity, liver transplant. Nursing interventions: Monitor neurological status, manage hepatic encephalopathy, assist in intensive care management.

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Gastroesophageal Reflux Disease (GERD)

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Symptoms: Heartburn, regurgitation, dysphagia. Treatment: Antacids, PPIs, lifestyle modifications. Nursing interventions: Elevate head of bed, educate on dietary changes.

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Peptic Ulcer Disease

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Symptoms: Epigastric pain, bloating, nausea. Treatment: PPIs, H2 blockers, antibiotics if H. pylori positive. Nursing interventions: Administer medications, monitor for signs of bleeding, teach about ulcer prevention.

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Acute Pancreatitis

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Symptoms: Upper abdominal pain, nausea, vomiting. Treatment: NPO, IV fluids, pain relief. Nursing interventions: Monitor vital signs, pain management, fluid balance.

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Appendicitis

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Symptoms: Right lower quadrant pain, nausea, fever. Treatment: Surgery (appendectomy). Nursing interventions: Pain management, pre-operative care, monitor for signs of rupture.

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Inflammatory Bowel Disease (IBD)

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Symptoms: Diarrhea, abdominal pain, weight loss. Treatment: Immunosuppressants, biologics, surgery. Nursing interventions: Monitor nutritional status, educate about disease management, recognize signs of complications.

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Celiac Disease

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Symptoms: Diarrhea, bloating, malabsorption. Treatment: Gluten-free diet. Nursing interventions: Educate on gluten-free diet, monitor for nutritional deficiencies, support patient coping mechanisms.

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Primary Biliary Cholangitis (PBC)

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Symptoms: Fatigue, pruritus, jaundice. Treatment: Ursodeoxycholic acid (UDCA), liver transplant for advanced cases. Nursing interventions: Administer UDCA, manage pruritus, monitor liver function.

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Gastroenteritis

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Symptoms: Diarrhea, vomiting, abdominal cramps. Treatment: Rehydration, anti-emetics, sometimes antibiotics. Nursing interventions: Fluid replacement, monitor for signs of dehydration, educate on infection control.

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Cholecystitis

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Symptoms: Right upper quadrant pain, nausea, vomiting. Treatment: Antibiotics, cholecystectomy. Nursing interventions: Pain management, monitor for signs of infection, patient education pre- and post-surgery.

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Non-alcoholic Fatty Liver Disease (NAFLD)

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Symptoms: Often asymptomatic, possible right upper quadrant pain. Treatment: Weight loss, management of comorbid conditions. Nursing interventions: Educate on healthy lifestyle, monitor liver enzymes, assist in managing comorbidities like diabetes.

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Lactose Intolerance

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Symptoms: Diarrhea, bloating, abdominal cramps after consuming lactose. Treatment: Lactase supplements, dietary lactose restriction. Nursing interventions: Dietary education, monitor for symptoms after lactose ingestion, support with alternatives.

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Irritable Bowel Syndrome (IBS)

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Symptoms: Abdominal pain, bloating, changes in bowel habits. Treatment: Dietary changes, antispasmodics, SSRIs. Nursing interventions: Support dietary modifications, stress management techniques, and monitor response to therapy.

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Crohn's Disease

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Symptoms: Abdominal pain, diarrhea, weight loss. Treatment: Anti-inflammatory drugs, immunosuppressants, surgery. Nursing interventions: Monitor nutritional status, symptom management, educate on disease process.

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Ulcerative Colitis

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Symptoms: Bloody diarrhea, abdominal pain, urgency to defecate. Treatment: Aminosalicylates, corticosteroids, surgery. Nursing interventions: Monitor for signs of bleeding, educate on disease management, assist in stress reduction techniques.

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Whipple Disease

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Symptoms: Weight loss, diarrhea, joint pain. Treatment: Long-term antibiotics. Nursing interventions: Monitor treatment response, nutritional support, educate on the importance of adherence to antibiotic therapy.

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Hemochromatosis

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Symptoms: Fatigue, joint pain, bronze skin tint. Treatment: Phlebotomy, chelation therapy for non-responders. Nursing interventions: Coordinating phlebotomies, monitoring iron levels, patient education on genetic nature.

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Acute Cholangitis

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Symptoms: Charcot's triad (fever, jaundice, right upper quadrant pain). Treatment: Antibiotics, biliary drainage. Nursing interventions: Monitor vitals, administer antibiotics, prepare for endoscopic procedure.

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Gastritis

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Symptoms: Upper abdominal pain, nausea, vomiting. Treatment: PPIs, H2 blockers, antacids. Nursing interventions: Administer medications, monitor for worsening symptoms, dietary education.

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Anal Fissures

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Symptoms: Pain during bowel movements, bright red blood on stool. Treatment: Topical anesthetics, stool softeners, surgery for chronic fissures. Nursing interventions: Encourage high-fiber diet, fluid intake, and proper anal hygiene.

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Gallstones (Cholelithiasis)

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Symptoms: Biliary colic, jaundice, cholecystitis. Treatment: Expectant management for asymptomatic, surgery (cholecystectomy), ERCP. Nursing interventions: Pain assessment, patient education for surgery, post-operative care.

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Gastroparesis

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Symptoms: Nausea, vomiting, early satiety. Treatment: Dietary modifications, prokinetics, gastric pacing. Nursing interventions: Educate on dietary management, administer prokinetic medications, monitor nutritional status.

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Esophageal Varices

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Symptoms: Signs of bleeding, hematemesis, melena. Treatment: Endoscopic band ligation, medications to reduce blood pressure in the portal vein. Nursing interventions: Monitor for signs of bleeding, prepare for potential endoscopy, administer prescribed medications.

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Chronic Pancreatitis

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Symptoms: Chronic abdominal pain, malabsorption, diabetes. Treatment: Enzyme replacement, pain management, insulin. Nursing interventions: Administer pancreatic enzymes, manage pain, teach about lifestyle changes.

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Portal Hypertension

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Symptoms: Ascites, varices, splenomegaly. Treatment: Medications to lower blood pressure, shunt surgeries, manage complications. Nursing interventions: Surveillance for signs of variceal bleeding, ascites management, beta-blockers administration.

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Peritonitis

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Symptoms: Abdominal pain, tenderness, fever. Treatment: Antibiotics, surgery if indicated, possibly peritoneal dialysis for patients on dialysis. Nursing interventions: Pain assessment, administer antibiotics, prepare for potential surgery.

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Diverticulitis

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Symptoms: Left lower quadrant pain, fever, changes in bowel habits. Treatment: Antibiotics, dietary changes, surgery for complications. Nursing interventions: Administer antibiotics, encourage fluid intake, educate on high-fiber diet.

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Esophagitis

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Symptoms: Dysphagia, odynophagia, chest pain. Treatment: Antacids, PPIs, managing underlying conditions. Nursing interventions: Administer meds, monitor for complications like stricture formation, dietary education to avoid irritants.

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Bowel Obstruction

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Symptoms: Abdominal pain, vomiting, constipation. Treatment: NPO, NG tube for decompression, possibly surgery. Nursing interventions: Monitor bowel sounds, fluid and electrolyte management, prepare for surgery if indicated.

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Cirrhosis

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Symptoms: Ascites, bruising, jaundice. Treatment: Treat underlying cause, diuretics, liver transplant. Nursing interventions: Monitor fluid status, manage symptoms of complications, educate about alcohol abstinence.

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Hemorrhoids

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Symptoms: Rectal bleeding, anal itching, pain. Treatment: High-fiber diet, topical treatments, surgery for severe cases. Nursing interventions: Instruct on proper bowel habits, apply prescribed creams, educate about diet changes.

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Wilson's Disease

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Symptoms: Liver dysfunction, neurological symptoms, Kayser-Fleischer rings. Treatment: Chelation therapy, zinc, liver transplant for severe cases. Nursing interventions: Administer medications, monitor for symptoms worsening, educate about the genetic nature of the disease.

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Barrett's Esophagus

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Symptoms: Often silent, possible chronic heartburn. Treatment: Regular monitoring with endoscopy, PPIs, esophagectomy for severe dysplasia. Nursing interventions: Patient education about cancer risk, monitor response to treatment, support during surveillance procedures.

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Zollinger-Ellison Syndrome

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Symptoms: Peptic ulcers, diarrhea, abdominal pain. Treatment: High-dose PPIs, surgery for tumor removal. Nursing interventions: Monitor for GI bleeding, administer medications, patient education on the syndrome.

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Alcoholic Hepatitis

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Symptoms: Jaundice, hepatomegaly, anorexia. Treatment: Abstinence from alcohol, nutritional support, corticosteroids if severe. Nursing interventions: Alcohol withdrawal monitoring, administer medications, nutritional counseling.

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Short Bowel Syndrome

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Symptoms: Diarrhea, malnutrition, weight loss. Treatment: Nutritional support, oral rehydration solutions, possibly small intestine transplant. Nursing interventions: Monitor and support nutritional health, manage total parenteral nutrition, educate on condition management.

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Hepatic Encephalopathy

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Symptoms: Altered mental status, confusion, asterixis. Treatment: Lactulose, rifaximin, reduce dietary protein. Nursing interventions: Monitor mental status, administer medications, educate family on potential triggers.

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Ascites

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Symptoms: Abdominal distention, increased abdominal girth, discomfort. Treatment: Sodium restriction, diuretics, paracentesis. Nursing interventions: Monitor abdominal girth, weight, administer diuretics, manage complications.

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