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Celiac Disease

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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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slide1

Provided Courtesy of RD411.com

Where dietitians go for information

Celiac Disease

Review Date 4/08 G-0605

slide2

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.

symptoms and side effects
Symptoms and Side Effects
  • 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
symptoms and side effects cont d
Symptoms and Side Effects (cont’d)
  • Strong genetic disposition:
    • Pale
    • Irritable
    • Fails to grow
    • Potbelly
    • Flat tush
    • Stinky stools
symptoms and side effects cont d5
Diarrhea

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)
testing
Testing
  • Antibody test/blood test
  • Biopsy
villi
Villi
  • Think of stomach lining as a carpet/tile or mop/broom
  • Digestive enzymes
  • Foods pass through with nutrients not absorbed/digested
associated conditions
Associated Conditions
  • 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
associated conditions cont d
Associated Conditions (cont’d)
  • Pancreatic insufficiency
  • Intestinal lymphomas and other GI cancers
  • Lactose intolerance
  • Neurological manifestations
malnutrition
Malnutrition
  • Vitamins A, D, E, K
  • Vitamin B12
  • Folate
  • Iron
  • Most severe for children–may result in failure to thrive
calcium and vitamin d
Calcium and Vitamin D
  • Osteomalacia, rickets, kidney stones
  • Secondary lactose intolerance (usually reversible)
additional medical consequences
Additional Medical Consequences
  • Intestinal lymphoma and bowel cancer, if gluten-free diet is not followed
  • Seizures and peripheral neuropathy often manifest
treatment
Treatment
  • 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
ingredients to avoid
Ingredients to Avoid
  • 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
avoid
Breads

Cereals

Crackers

Pasta

Cookies

Cakes

Pies

Gravies

Sauces

Snack foods

Medications

Stamps/stickers

Cosmetics

Avoid
choose
Choose
  • Corn
  • Potatoes
  • Arrowroot
  • Tapioca
  • Rice
what to do
What to Do
  • 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
what to do cont d
What to Do (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
what to do cont d19
What to Do (cont’d)
  • Decide to become proactive!
references and resources
References and Resources
  • 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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