coeliac disease

Question 1

what is it

Answer 1

autoimmune condition associated with chronic inflammation of small intestine

Question 2

gluten is present in….

Answer 2

wheat
barley
rye

Question 3

What happens in coeliac disease

Answer 3

dietary proteins known as gluten activate an abnormal immune response in the intestinal mucosa, which can lead to malabsorption of nutrients

Question 4

symptoms

Answer 4

• bloating
• diarrhoea
• abdominal pain

Question 5

treatment of coeliac disease

Answer 5

strict, life long gluten free diet

Question 6

pt with coeliac disease are at increased risk of malabsorption of which key nutrients?

Answer 6

calcium and vit D

Question 7

pt are at increased risk of which disease

Answer 7

osteoporosis and bone disease

Question 8

should pt self medicate with OTC vitamins or minerals

Answer 8

No
Initiation of supplementation should involve discussion with a member of the pt’s health care team to identify their individual needs and allow for appropriate ongoing monitoring

Question 9

refractory coeliac disease

Answer 9

persistent or recurrent malabsorption symptoms and atrophy despite strict adherence to a gluten free diet and in the absence of other causes or overt malignancy

Question 10

management of refractory coeliac disease

Answer 10

• confirmed cases should be referred to specialist
• treatment with prednisolone may be considered for initial management whilst awaiting specialist advice