Department of Nutrition and Dietetics

Gastroenterology

Our Community Gastroenterology Dietitians offer support for adults in Lanarkshire with Irritable Bowel Syndrome (IBS) & Coeliac Disease via face to face or telephone or video call appointments (or group sessions in some cases).

For reliable information on these conditions including treatment and how we can support you please see the NHS Inform website and Coeliac UK website:

• IBS –  https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/irritable-bowel-syndrome-ibs/
• Coeliac Disease – https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/coeliac-disease/
• Coeliac UK – https://www.coeliac.org.uk/home/

 If you have any questions contact by

• Telephone 01355 585445
• Email: gastro.dietitians@lanarkshire.scot.nhs.uk

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I’m fed artificially

Contact Information

Some important contact numbers that you may find useful:

• Abbott Hospital 2 Home Helpline – call on 08000183799
• Dietetic Office – call us on 01698 754 800
• NHS24 – call on 111

It may be useful to record these somewhere easy to access for future reference.

Who to contact and when

Contact your Dietitian in the first instance if you have issues with:

• Your feed is making you feel unwell
• You’re losing or gaining too much weight
• You’re worried you may be dehydrated
• You need more giving sets, syringes or feed.

Contact your treatment room/district nurse or GP if you have issues with:

• Your tube site e.g. leakage, overgranulation, pain, bleeding,
• Suspected infection or thrush in your tube or tube site

Contact your pharmacist if you have issues with –

• Your Medication

Contact the company nutrition nurses if you have issues with:

• Blocked or broken feeding tubes
• You, a family member or carer requires help or support with training, looking after your tube or information on changing tubes.
• You’re having issues with your pump

If you have concerns about a specific medical query please contact your GP in the first instance. If you are having chest pains or other emergency – please contact 999.

Video Resources

Gravity Bolus Feeding – https://www.youtube.com/watch?v=ab5fj3z8AiU

This video shows you how to give feed through bolus feeding. This is a method of feeding that uses the syringe and gravity (Rather than plunging) to provide your feed.

Enplugs are provided to patients that require them, on discharge from hospital. This video shows you how to use them appropriately.

Using Enplug – https://www.youtube.com/watch?v=1fYhc1SXKhY

Useful Weblinks

• MND Website – https://mytube.mymnd.org.uk/
  Although your diagnosis may not be that of MND, this website is a really good resource for showing you different types of tubes, types of feeding methods through your tube and how other people manage their tubes.
• Oral health – https://mytube.mymnd.org.uk/
  Even if you’re not eating and drinking, it’s really important to look after your teeth and mouth health. This website gives some links and advice on looking after your oral health. This is general advice, and you should always follow advice provided by your dentist, nurse or doctor first and foremost.
• Abbott pump training videos – https://www.freegopump.co.uk/training-videos.aspx
  This website has 10 short videos to show you how to use your Abbott Freego pump. If you have any urgent issues with your pump or need some support – contact your Abbott nurse or Abbott H2H helpline.
• PINNT – https://pinnt.com/Home.aspx
  This website provides help and support for those who are artificially fed, as well as a wealth of information regarding feeds and tubes. They can help you get in contact with other individuals who are tube fed if you’d like to link in and get some support.

Patient Information Leaflets

• Balloon Gastrostomy Guide – PIL.BALGAS.0011.L
• Button Gastrostomy Guide – PIL.BUTTON.33583.L

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Eating Well Post COVID-19

Patient Information Leaflet

• COVID-19 Nutrition Advice for Your Recovery – https://www.nhslanarkshire.scot.nhs.uk/download/pil-dietic-20_08971-m-covid-19-nutrition-advice-for-your-recovery-patient-information-download/

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Eating Disorder

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Diet and Cancer

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Mental Health

Useful Websites

Obsessive-Compulsive Disorder (OCD)

• http://www.ocduk.org     OCD UK
• http://www.ocdaction.org.uk/   OCD Action

Depression

• http://www.moodjuice.scot.nhs.uk/depression.asp – Self help guide for depression
• http://www.depressionalliance.org/information
• http://www.actionondepression.org/information/depression/symptoms-of-depression?gclid=COT2i5nw1MMCFWfJtAodaAkAXA – Scottish Depression Charity
• http://www.pandasfoundation.org.uk/help-and-information/pre-ante-and-postnatal-illnesses/postnatal-depression.html?gclid=COCs-9f11MMCFYsEwwod5R8A2w

Eating Disorders

• http://www.b-eat.co.uk

Addictions

• https://www.drinkaware.co.uk/check-the-facts/health-effects-of-alcohol/mental-health/alcohol-dependence
• http://www.drugabuse.gov/publications/drugfacts/understanding-drug-abuse-addiction
• http://www.talktofrank.com

Anxiety

• http://www.moodjuice.scot.nhs.uk/anxiety.asp
• https://www.anxietyuk.org.uk

National Mental Health websites

• http://www.mentalhealth.org.uk
• http://www.mind.org.uk
• http://www.sane.org.uk
• http://www.rethink.org
• http://www.rcpsych.ac.uk/expertadvice.aspx
• https://www.seemescotland.org
• http://breathingspace.scot
• http://www.samh.org.uk

Self Help

• http://breathingspace.scot
• http://www.samh.org.uk
• http://www.chooselife.net

Legislation

• http://www.mwcscot.org.uk/the-law/mental-health-act
• http://www.legislation.gov.uk/asp/2003/13/contents – Mental Health Care and Treatment Act (Scotland) (2003)

eTraining Links

• http://www.nes-mha.scot.nhs.uk/elearning  – NES MHA eLearning
• http://www.northlanmindset.org.uk/index.php?pageID=78  – MindSET (introduction to mental health)
• https://www.dementiafriends.org.uk/

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Children and Young Peoples Dietetic Service

What is Dietetics?

Dietetics is the application and translation of the science behind how nutrition and diet effects our health and wellbeing. Dietitians translate the science of nutrition into everyday information about food and advise people on their food and nutrition choices.

Dietitians are qualified and regulated health professionals that assess, diagnose and treat dietary and nutritional problems at an individual and wider public-health level. Dietitians treat both healthy and sick people.

What do Paediatric Dietitians do?

Paediatric dietitians carry out assessments on children and young people (usually up to 16 years of age) in order to help treat and manage many conditions and lifestyles. Paediatric dietitians will see children across Lanarkshire in a wide variety of locations and clinics.

We work closely with doctors, nurses, midwives, allied health professionals as well as social workers and schools to ensure that the needs of the child are met.

Some of the conditions we see are allergies, coeliac disease, cystic fibrosis, diabetes, weight management, prematurity, faltering growth and nutrition support.

How can my child be referred to a dietitian?

In order for a child or young person to be seen by a dietitian in Lanarkshire a referral needs to be made by a health professional, nursery, school or social worker.

What to expect at your dietetic clinic appointment

• General clinics
• Dietitian led gastroenterology service – Patient Information Leaflet

Where can I go for help without a referral?

• Speak with a health professional known to your family who may be able to signpost you to relevant resources
• Look at our Information and advice page
• Check out these resources
  • Babies/ Pregnancy – http://www.nhs.uk/start4life
  • Breastfeeding – https://www.nationalbreastfeedinghelpline.org.uk/
  • Babies – http://www.readysteadybaby.org.uk/
  • Toddlers – http://www.readysteadytoddler.org.uk/
  • School age children – https://www.bda.uk.com/resource/healthy-eating-for-children.html
  • Teenagers
    – https://www.healthforteens.co.uk/
    – https://www.nhs.uk/live-well/eat-well/healthy-eating-for-teens/
  • Other – https://www.mygov.scot/best-start-grant-best-start-foods

Information and Advice

 Get help with:

• Weaning – Patient Information Leaflet
• Feeding Children 1-5 years – Patient Information Leaflet
• Healthy eating – Patient Information Leaflet
• Packed Lunch Ideas – Healthy packed lunches (bda.uk.com)
• Fluids – Fluid (water and drinks) and hydration (bda.uk.com)
• Using star charts – Patient Information Leaflet
• Eating and autism – Patient Information Leaflet
• Iron Deficiency in children – Patient Information
• Vitamin D – Vitamin D (bda.uk.com)
• Sources of calcium – Calcium (bda.uk.com)
• Constipation advice for children – Patient Information Leaflet
• Milk allergy – Milk allergy (bda.uk.com)
• Guidance on following a Vegan diet with young children – Patient Information Leaflet

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Renal

Patient Information Leaflets

• Christmas Diet Sheet – https://www.nhslanarkshire.scot.nhs.uk/download/pil-xmsdit-36236-m-christmas-diet-sheet-patient-information-download/

• Protein Tips for People with Chronic Kidney Disease (CKD) – https://www.nhslanarkshire.scot.nhs.uk/download/pil-protin-02858-l-protein-tips-for-people-with-chronic-kidney-disease-ckd-patient-information-download/

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