How would you explain Mary’s symptoms of heartburn?

Case Study Mary Treat is a 68­year­old woman who reports a recent history of persistent diarrhea and stomach cramps. She is 64 inches tall and her usual body weight is 150 pounds. She takes a daily multi­vitamin supplement and over­the­counter antacids for occasional heartburn. Her usual diet includes fresh vegetables from her garden and fruit in season from her fruit tree. She preserves much of her produce so she has year­round fruits and vegetables. Her diet is limited in meat and cheese although she eats yogurt frequently. Her favorite breakfast is homemade granola with yogurt and fruit. She has had a recent flare­up of diarrhea and stomach cramps after spending the Labor Day weekend at a family reunion. Meals for the past 3 days have been higher in fat and protein than her usual intake, with notable family favorites such as cheese quiche, 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 sudden onset 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 of antacids? 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 discomfort in the future? 7. At what point would you advise her to seek medical care?

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