CELIAC DISEASE:
Gluten-Sensitive EnteropathyThe Gluten-Free Diet
WHAT IS CELIAC DISEASE?
Autoimmune disorder affecting the intestines.
Caused by an immunological reaction to the ingestion of gluten.
Ingestion of gluten damages the villi in the mucosal surface of the small intestine.
Damaged villi can not properly absorb nutrients.
ETIOLOGY
Exact cause unknownResearch linked it to genes on
chromosome six. Those genes are involved in the
body’s immune response to the protein gluten.
PROGNOSIS
If left untreated, it can cause chronic life-threatening conditions:iron deficiency anemiaosteoporosis vitamin deficiencies central nervous system/peripheral
nervous system disorders intestinal lymphomas, and other
gastrointestinal cancers
ONSET
Can present itself at anytime during a person’s life.
Triggered by
surgery pregnancy viral infectionother
trauma
SYMPTOMS
Multisymptom/multisystem disorder
Vary from person to personSometimes mimicking other GI
disordersSymptoms may include:
bloating, gas, abdominal pain, chronic diarrhea, chronic constipation, pale/foul smelling stool, anemia, bone pain, behavior changes, fatigue weakness, delayed growth or onset of puberty, failure to thrive in infants, missed periods, infertility, miscarriages, canker sores.
DIAGNOSIS
3-step process 1. Thorough physical exam(including blood tests)
with special emphasis on emaciation, pallor (due to anemia), hypotension, skin lesions, bone pain, and easy bruising.
2. Biopsy of multiple areas in the small intestine.
DIAGNOSIS
3. Gluten free diet is implemented. If symptoms subside, then a diagnosis of Celiac Disease is confirmed.
TREATMENT
Lifelong gluten free diet. Gluten is found in wheat, barley, oats, and
rye. Can be hidden in cold cuts, hard candy, soy
sauce, soups and many low-fat products. By removing gluten from the diet, the small
intestine can heal and overall health improves. Medication is not required for those with Celiac disease, however, a medical follow up to assess the response to the gluten free diet is recommended.
THE GLUTEN FREE DIET
Allowed foods: amaranth arrowroot buckwheat cassava corn flax Indian rice grass Job’s tears legumes millet nuts potatoes quinoa rice sago seeds sorghum soy tapioca teff wild rice yucca
Foods to avoid: wheat, wheat products, barley, rye
Foods that may contain gluten: bouillon cubesbrown rice syrup candy chips/potato chipscold cuts, hot dogs, salami, sausagecommunion wafers, French fries gravy imitation fish matzo rice mixes sauces
TREATMENT
http://www.youtube.com/watch?v=yGmWf0et4hg
REFERENCES Unknown (2008, October 17). Celiac disease.
Retrieved November 11, 2008 from , Celiac Disease Foundation Web site: http://www.celiac.org/cd-
main.php Unknown (September, 2008). Digestive Diseases.
Retrieved November 11, 2008 from , National Digestive Diseases Information Clearing House Web site: http://digestive.niddk.nih.gov/ddiseases/pubs/celiac/
Unknown (November 11, 2008). Celiac disease. Retrieved November 11, 2008 from , Web site: http://en.wikipedia.org/wiki/Celiac_disease
Unknown (2008, October 8). Celiac disease. Retrieved November 11, 2008 from National Institute of Health, Medline Web site: http://www.nlm.nih.gov/medlineplus/celiacdisease.html#cat5
CELIAC DISEASE:
The Gluten-Free Diet
The End!The End!