Nutrition: Celiac Disease Flashcards
what is celiac disease
disorder of malabsorption caused by autoimmune response to consumption of products that contain the protein GLUTEN
does celiac disease have a familial component?
yes
what tissues become inflamed in celiac disease
epithelial tissues that line the small intestine especially the proximal portion where most absorption occurs
manifestations of celiac disease
diarrhea abdominal pain and distention flatulence weight loss fatigue depression hypothyroidism headaches anemia seizures
Diagnosis of celiac disease
keep eating gluten during testing or there could be false negative
IgA anti tissue transglutamine
management of celiac
lifelong disease so no drugs induce remission
take years for vili restoration
what is GERD
gastroesophageal reflux disease
back flow of gastric or duodenal contents into the esophagus: may cause mucosal injury
why would GERD occur
incompetent lower sphincter
pyloric stenosis
hiatal hernia
motility disorder
who has an increase incidence of GERD
aging IBS obstructive airways peptic ulcer disease tabacco angina h.pylori
manifestations of GERD
heart burn, indigestion, regurgitation, dysphagia, pain on swallowing, hyper salivation, increase respiratory rate
side effects of GERD
dental decay ulceration laryngeal damage esophageal ulceration pulmonary complications
how to diagnose GERD
endoscopy to evacuate the damage to esophageal mucosa
ambulatory 12-36hr monitoring esophageal pH to evaluate degree of acid reflux
management of GERD
avoid situations that decrease lower esophageal sphincter pressure or cause esophageal irritation
low fat diet
avoid caffeine, tobacco, beer, milk, food with peppermint
maintain body weight
avoid tight clothes
elevate head and upper body
before introducing medications, what should you do first?
always change diet
What is iron deficiency anemia
lack of absorption of iron from bad diet
