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

Autoimmune disorder affecting the intestines. 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 unknown Research 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 anemia osteoporosis vitamin deficiencies central nervous system/peripheral nervous system disorders intestinal lymphomas, and other gastrointestinal cancers 4

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

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.

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 cubes brown rice syrup candy chips/potato chips cold cuts, hot dogs, salami, sausage communion 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#cat 5

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