Nutrition Exam #3: Celiac Disease

Adulthood

Celiac disease with atypical symptoms such as infertility, fewer GI symptoms, fatigue, and anemia are common in what age group of people?

Stomach growling (symptom of celiac disease)

What is borborygmus?

6 months

How long does it take to achieve full improvement after removing gluten from diet?

1. Increase risk for intestinal lymphoma 2. Increase risk of osteoporosis and anemia 3. More symptoms (decrease QOL)

What are 3 problems of not diagnosing celiac disease?

1. Serological Tests (IgA and IgG) 2. Bowel Biopsy 3. Look at response to gluten free diet

What are 3 things done to check for celiac disease diagnosis?

1. Permeability Blocker 2. Enzymes 3. DQ2 Blockers 4. tTG Blockers

What are 4 non-dietary therapies in the treatment of celiac disease?

1. Genetic 2. Chronic 3. Digestive 4. Auto-immune 5. Malabsorptive 6. Multi-Systemic (not just from GI system)

What are 6 characteristics of celiac disease?

1. Gluten Sensitive Enteropathy 2. Celiac Sprue

What are two other names for Celiac Disease?

Extent and severity of damage

What does the degree of malabsorption depend on in celiac disease?

Malabsorption of macronutrients, vitamins, supplements, etc

What is a consequence of celiac disease?

Celiac Disease

What is an autoimmune disease triggered by gluten and can cause damage to intestinal mucosa?

Asymptomatic but will still have GI changes

What is silent celiac disease?

Decreased Absorptive Surface

What is the major cause of malabsorption in celiac disease?

False (any trace of gluten can produce symptoms)...patients need to be aware of cross contamination ex: toasting gluten free bread after regular bread

For patients with celiac disease can handle small amounts of gluten because it will not cause symptoms?

1. Damaged endothelial cells 2. Decreased absorptive surface 3. Decreased mucosal enzymes (disaccharidases/peptidases)

Patients with Celiac Disease have a reduced absorptive surface. What are 3 things that can cause this?

Wheat, Rye, Barley, etc

Patients with celiac disease might also have to eliminate what else from their diet?

Intestinal Lymphoma

Patients with celiac disease who eat gluten (even if they don't produce symptoms) are at risk of what?

Nothing- normal small intestine

Patients with latent celiac disease are probably not at too much of a risk, but will have a positive blood test and have DQ2/DA8. What is wrong with their small intestine?

False (Gluten FREE)

True or False: Fresh fruits/veggies, corn, rice, fresh meat, plain nuts, coffees, juices, sodas, and plain dairy are examples of foods with gluten and should be avoided in patients with celiac disease.

False (do NOT have celiac disease probably just an intolerance)

True or False: Patients with a gluten intolerance have celiac disease.

False ( Have inflamed small intestine)

True or False: Patients with silent celiac disease have a normal small intestine but they can still present with some symptoms because gluten is affecting them.

False (really teach patients the importance of reading labels)

True or False: Products are always clearly labeled that they are gluten free.

False (But they will relapse when gluten is introduced into their diet again)

True or False: Symptoms do not disappear when gluten is removed from their diets?

1. Unnecessary diet restriction 2. Miss diagnosis of other conditions

What are 2 problems of diagnosing celiac disease incorrectly?