GASTRONINTESTINAL TRACT
The gastrointestinal tract includes the mouth, throat, oesophagus, stomach, small intestine, large intestine and anus. The gastrointestinal tract issues are highly diverse in cystic fibrosis (CF). Some of these conditions are specific to CF (e.g. meconium ileus and distal intestinal obstruction syndrome) while others are not but are more frequent and/or worsened by CF itself or as part of treatments for CF (e.g. gastroesophageal reflux and constipation).
Some of the gastrointestinal conditions that affect individuals with CF include:
· Obstructive issues largely due to mucus build-up
– Meconium ileus
– Constipation, including rectal prolapse, anal fissures and haemorrhoids
– Distal intestinal obstruction
– Intussusception (telescoping of bowels)
· Gut inflammation and abnormal microbiome
· Cancer
– Small and large intestines
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The gastrointestinal tract is also susceptible to modifiable and lifestyle factors such as:
· Insufficient exercise
· Traveling and other disruptions to your routine
· Stress
· Low quality diet
· Withholding bowel movements
· Certain medicines (antidepressants, iron pills, strong narcotics)
· Pregnancy
· Antacids containing aluminium or calcium.
Individuals with CF who have difficult gastrointestinal issues may benefit from seeking help from a gastroenterologist.
Additional Resources
CF and the Gastrointestinal Tract:
Gastrointestinal manifestations of CF – National Library of Medicine
Gastrointestinal complications of CF – CGH Journal
CF and the digestive system – Stanford Medicine
Gastrointestinal manifestations of CF: a primer for paediatricians – Contemporary Paediatrics
Digestive system and CF – CF Trust
CF and Colorectal complications:
Approach to chronic abdominal pain in CF – CF Journal
Meconium ileus in CF – CF Journal
CF & disorders of the large intestine: DIOS, constipation, and colorectal cancer – CF Journal
Practical approach to the gastrointestinal manifestations of CF – Wiley Online Library
Our Colons Need Your Help – CF News Today
New Comorbidities in the changing face of CF Care – CF Journal
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