Coeliac Disease Flashcards
Most common symptoms of GI diseases
ADRs
Abdominal pain
Diarrhoea
Rectal bleeding
What is coeliac disease
Allergy to gluten - triggers immune response
Foods containing gluten
Wheat
Barley
Rye
Pasta
Cakes
Bread
Cereal
In coeliac disease, when you eat gluten, what happens?
Your body fights it because it thinks its a foreign organism
Autoimmune condition associated with chronic inflammation if the small intestine and so cant absorb nutrients
How does coeliac disease affect the small intestine
What does this lead to
Gluten triggers immune response which causes chronic inflammation of the small intestine and so it cant absorb nutrients
- calcium (osteoporosis)
- vit D
- folic acid (folid acid deficiency anaemia)
- iron (anaemia risk)
Lack of iron in the body puts you at risk of
Anaemia
Symptoms of coeliac disease
ABCD
Abdominal pain
Bloating
Constipation
Diarrhoea
Non drug treatment for coeliac disease
Strict lifelong gluten free diet
- can use gluten free food- bread
Drugs used in coeliac disease
Supplements - calcium, vit D, folic acid BY healthcare professional
Bisphosphonates- osteoporosis and bone disease
Prednisolone sometimes- short term use to reduce intestine inflammation
A patient wants to buy OTC vitamins and minerals for their coeliac disease, what would you do?
Cant self medicate OTC, they need to see a healthcare professional to get supplements
When would you refer a coeliac disease patient to a specialist
Refractory coeliac disease - risk of cancer
Whats refractory coeliac disease
Unresponsive to gluten free at least 12 months diet
- refer may be cancer
