Home » Mary Treat is a 68­year­old woman who reports a recent history of persistent diarrhea and stomach cramps.

Mary Treat is a 68­year­old woman who reports a recent history of persistent diarrhea and stomach cramps.

Case StudyMary Treat is a 68­year­old woman who reports a recent history of persistent diarrhea andstomach cramps. She is 64 inches tall and her usual body weight is 150 pounds. She takes adaily multi­vitamin supplement and over­the­counter antacids for occasional heartburn. Herusual diet includes fresh vegetables from her garden and fruit in season from her fruit tree. Shepreserves much of her produce so she has year­round fruits and vegetables. Her diet is limitedin meat and cheese although she eats yogurt frequently. Her favorite breakfast is homemadegranola with yogurt and fruit. She has had a recent flare­up of diarrhea and stomach crampsafter spending the Labor Day weekend at a family reunion. Meals for the past 3 days have beenhigher in fat and protein than her usual intake, with notable family favorites such as cheesequiche, barbeque ribs, potato salad, and homemade ice cream. She complains of heartburn,cramps, and diarrhea.1. According to information in Highlight 3, what are some general causes of diarrhea?2. Based on her history, name at least two reasonable explanations for Mary’s suddenonset of diarrhea and cramps.3. How would you explain Mary’s symptoms of heartburn?4. If food poisoning is suspected, what may have been an effect from her regular use ofantacids?5. What immediate treatment would you suggest for her current symptoms?6. What advice would you offer Mrs. Treat to avoid this type of gastrointestinal discomfortin the future?7. At what point would you advise her to seek medical care?

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