CELIAC DISEASE:

1. CELIAC DISEASE: Gluten-Sensitive Enteropathy The Gluten-Free Diet

2. 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.

3. ETIOLOGY • Exact cause unknown • Research linked it to genes on chromosome six. • Those genes are involved in the body’s immune response to the protein gluten.

4. PROGNOSIS • If left untreated, it can cause chronic life-threatening conditions: • iron deficiency anemia • osteoporosis • vitamin deficiencies • central nervous system/peripheral nervous system disorders • intestinal lymphomas, and other gastrointestinal cancers

5. ONSET • Can present itself at anytime during a person’s life. • Triggered by • surgery • pregnancy • viral infection • other • trauma

6. SYMPTOMS • Multisymptom/multisystem disorder • Vary from person to person • Sometimes mimicking other GI disorders • Symptoms 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.

7. 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.

8. diagnosis • 3. Gluten free diet is implemented. If symptoms subside, then a diagnosis of Celiac Disease is confirmed.

9. 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.

10. 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

11. treatment • http://www.youtube.com/watch?v=yGmWf0et4hg

12. 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

13. CELIAC DISEASE: The Gluten-Free Diet The End!