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.

PROGNOSISIf 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

disorderVary 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!