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Provided Courtesy of RD411.com Where dietitians go for information. Celiac Disease. Review Date 4/08 G-0605.

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Provided Courtesy of RD411.com

Where dietitians go for information

Celiac Disease

Review Date 4/08 G-0605


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This presentation provides general information about celiac disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.


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Symptoms and Side Effects disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.

  • No classic profile for celiac disease, unlike hypertension, cancer, or other diseases that have biomarkers

  • Often mistaken for Crohn’s disease, parasites, skin disorders, etc

  • Often surfaces after trauma


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Symptoms and Side Effects disease. Consult with your health care professional if you have any questions or for additional information because each case is unique. (cont’d)

  • Strong genetic disposition:

    • Pale

    • Irritable

    • Fails to grow

    • Potbelly

    • Flat tush

    • Stinky stools


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Diarrhea disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.

Gas

Bloating

Irritability

Depression

Joint pain

Muscle cramps

Skin rash (elbows, knees, and buttocks)

Mouth sores

Anemia

Bone disorders

Neuropathy

Symptoms and Side Effects (cont’d)


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Testing disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.

  • Antibody test/blood test

  • Biopsy


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Villi disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.

  • Think of stomach lining as a carpet/tile or mop/broom

  • Digestive enzymes

  • Foods pass through with nutrients not absorbed/digested


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Associated Conditions disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.

  • Iron deficiency anemia

  • Osteoporosis

  • Vitamin K deficiency associated with risk for hemorrhaging

  • Vitamin and mineral deficiencies

  • Central and peripheral nervous system disorders, usually because of unsuspected nutrient deficiencies


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Associated Conditions disease. Consult with your health care professional if you have any questions or for additional information because each case is unique. (cont’d)

  • Pancreatic insufficiency

  • Intestinal lymphomas and other GI cancers

  • Lactose intolerance

  • Neurological manifestations


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Malnutrition disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.

  • Vitamins A, D, E, K

  • Vitamin B12

  • Folate

  • Iron

  • Most severe for children–may result in failure to thrive


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Calcium and Vitamin D disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.

  • Osteomalacia, rickets, kidney stones

  • Secondary lactose intolerance (usually reversible)


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Additional Medical Consequences disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.

  • Intestinal lymphoma and bowel cancer, if gluten-free diet is not followed

  • Seizures and peripheral neuropathy often manifest


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Treatment disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.

  • Avoid gluten–arguable as to whether to limit all intake, regardless of symptoms

  • See a dietitian/physician for vitamin supplementation recommendations

  • Once gluten-free diet is implemented, absorption of all nutrients, vitamins, and minerals will return when GI tract is repaired


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Ingredients to Avoid disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.

  • Grains–barley, wheat, triticale, rye, farina, graham, semolina, durum, bulgur, kamut, kasha, matzo meal, and spelt

  • Oats?

    • Many people with celiac disease have celiac disease symptoms when they eat oats

    • Possibly because many oats are processed on equipment that processes wheat

  • Amaranth, buckwheat, and quinoa–take care because of cross contamination


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Breads disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.

Cereals

Crackers

Pasta

Cookies

Cakes

Pies

Gravies

Sauces

Snack foods

Medications

Stamps/stickers

Cosmetics

Avoid


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Choose disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.

  • Corn

  • Potatoes

  • Arrowroot

  • Tapioca

  • Rice


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What to Do disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.

  • August 2008 new FDA “gluten-free” regulations come out

  • Sit with a registered dietitian at least annually

  • Be diligent about checking ingredients and preparation methods


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What to Do disease. Consult with your health care professional if you have any questions or for additional information because each case is unique. (cont’d)

  • Vitamin and mineral supplementation

    • Still controversial

    • Not necessary for general wellness if celiac disease patient is eating a healthful diet

    • Supplementation of B vitamins, magnesium, and a few others still too questionable to make definitive recommendations


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What to Do disease. Consult with your health care professional if you have any questions or for additional information because each case is unique. (cont’d)

  • Decide to become proactive!


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References and Resources disease. Consult with your health care professional if you have any questions or for additional information because each case is unique.

  • Visit http://www.rd411.com/forms/68138_sheet_2.pdffor a listing of valuableresources:

    • Education and research

    • Articles and references

    • Books

    • Cookbooks

    • Pamphlets and brochures

    • Magazines and newsletters


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