What is Celiac Disease?
-Systemic autoimmune digestive disorder affecting women more than men
-"Gluten insensitivity"
-The ingestion of gluten-containing products (such as wheat, rye, and barley) causes small intestinal mucosa damage, which impairs the absorption of nutrients.
-"Gluten insensitivity"
-The ingestion of gluten-containing products (such as wheat, rye, and barley) causes small intestinal mucosa damage, which impairs the absorption of nutrients.
Gluten-Containing Products:
-Breads, bagels, pasta
-Pizza
-Pretzels
-Crackers
-Cookies, cakes
-Regular oats
-Commercial cereal
-Wheat germ
*Some of these foods can be found gluten-free*
(See Gluten-Free Products Page)
-Pizza
-Pretzels
-Crackers
-Cookies, cakes
-Regular oats
-Commercial cereal
-Wheat germ
*Some of these foods can be found gluten-free*
(See Gluten-Free Products Page)
Gluten-Free Products:
-Fresh fruits, vegetables
-100% meat, eggs
-Beans
-Legumes, peanut butter, almond butter
-Almond meal flour, coconut flour, pea flour, potato flour, sorghum flour, soy flour, white rice flour
-Amaranth, buckwheat, corn, cornstarch, guar gum, potatoes, quinoa, rice, xanthan gum
-Butter, margarine, vegetable oil, shortening, salt, pepper, herbs
-Sweet potatoes
-Jelly, jam, honey
-100% meat, eggs
-Beans
-Legumes, peanut butter, almond butter
-Almond meal flour, coconut flour, pea flour, potato flour, sorghum flour, soy flour, white rice flour
-Amaranth, buckwheat, corn, cornstarch, guar gum, potatoes, quinoa, rice, xanthan gum
-Butter, margarine, vegetable oil, shortening, salt, pepper, herbs
-Sweet potatoes
-Jelly, jam, honey
What are the symptoms?
-Symptoms of malabsorption: Weight loss, diarrhea, abdominal distention, anemia, weakness, growth retardation
-Dyspepsia (indigestion), flatulence (gas)
-Dermatitis herpetiformis: Skin rash
-"Atypical manifestations": Amenorrhea (absence of menstrual bleeding), reduced fertility
-Dyspepsia (indigestion), flatulence (gas)
-Dermatitis herpetiformis: Skin rash
-"Atypical manifestations": Amenorrhea (absence of menstrual bleeding), reduced fertility
Retrieved August 21, 2011, from: http://emedicine.medscape.com/article/1062640-overview
What tests can be ordered?
-Serologic (blood) tests: IgA endomysial antibody, IgA tTG antibody tests
-Small bowel biopsy via endoscopy with positive serologic test
-General lab work-up: CBC, iron studies, Vitamin D/Folate/B12 levels, TSH (thyroid stimulating hormone)
-Bone mineral density test 12 months after starting gluten-free diet
-Small bowel biopsy via endoscopy with positive serologic test
-General lab work-up: CBC, iron studies, Vitamin D/Folate/B12 levels, TSH (thyroid stimulating hormone)
-Bone mineral density test 12 months after starting gluten-free diet
What is the treatment?
-Strict life-long gluten-free diet
-Appointment with dietitian
-Talk to your doctor about dietary supplements
-Appointment with dietitian
-Talk to your doctor about dietary supplements
Dennis, M. (2011). Maximizing Nutrition for Pregnancy. National Foundation for Celiac Awareness. Retrieved July 27, 2011, from http://www.celiaccentral.org/Education/Women-s-Health/Nutrition-Pregnancy/439/
McPhee, S., & Papadakis, M. (2010). Gastrointestinal Disorders. CURRENT Medical Diagnoses & Treatment (49 ed., pp. 559-560). New York: McGraw-Hill Companies, Inc.
NDDIC (2008). The Gluten-Free Diet: Some Examples. National Digestive Diseases Information Clearinghouse. Retrieved July 27, 2011, from http://digestive.niddk.nih.gov/ddiseases/pubs/celiac/#examples
