What type of diet would you initially begin when you consider the potential intestinal damage that Mrs. What result can Mrs. A positive small bowel biopsy is required to confirm the diagnosis and assess the degree of damage to the villi in the intestinal lining. What would you recommend? Gaines mentioned some of the symptoms to her physician. From the information gathered within the intake domain, list possible nutrition problems using the diagnostic term.

These values may be low in patients with celiac disease because they are not absorbing or digesting protein properly Albumin, Evidence of GSE Gluten-sensitivity Entropathy depends on abnormalities in either villous shortening and crypt hyperplasia or the number of IELs or both. We may want to increase her kcals to more a day and that would increase the protein intake to grams of protein per day. Patients with celiac disease must be on the lookout for hidden gluten. Email required Address never made public.

A new predictive equation for resting energy expenditure in healthy individuals. Celiac Disease Presentation – Clinical Manual. According to the Mayo Clinic, oats are permitted only if the manufacturer labels them as gluten-free.

celiac disease case study mrs gaines

When these values are low, anemia is indicated and the patient should other lab values and medical history should be celoac closely. She may be at risk of cystic fibrosis and malabsorption.

There are two types of malnutrition, protein malnutrition and protein calorie malnutrition also known as protein-energy malnutrition PEM. Why was the patient on a g fat diet when her diet history indicates that her symptoms are much worse with fried foods? It allows food to be properly absorbed, problems of diarrhea to decrease and able to gain weight back.


Celiac Disease Case Study | Jacqueline Farralls Portfolio

How is Celiac gaaines related to the damage to the small intestine that the endoscopy and biopsy results indicate? Gaines does not have a family member who has been diagnosed her mother and grandmother both have frequent diarrhea Nelms, True – Communicating Food for Health. She should have high fiber foods only when her diarrhea is not flaring up.

What would you recommend? You can add this document to your study collection s Sign in Available only to authorized users. Poor digestion of fat is called fat malabsorption.

celiac disease case study mrs gaines

Serra S, Jani PA. Villi are tiny extensions lining the small intestines. Absorption of proteins and fat will decrease. National Institutes of Health. With that said, a fat retention coefficient is determined by measuring the difference between ingested fat and cekiac fat, and expressing that difference as a percentage.

Celiac Disease Case Study

What sources other than foods might introduce gluten to the patient? She consumed no food from the dairy group and no vegetables MyPyramid Tracker, I would recommend having a lightly cooked vegetables and fruits.


Gaines has an increased need for protein because her body needs to repair the damage done to her intestines. Both types of malnutrition can be secondary to gastrointestinal disorders, such as Celiac disease. Using the available data, calculate her arm muscle area.

Upload document Create flashcards. These test results are used to evaluate iron status.

Case Study #9: Celiac Disease

She will need to follow this diet everyday to avoid her old symptoms. These results are related to the consequences of celiac disease, specifically malabsorption of macronutrients and macronutrients.

Celiac disease damages the villi of the small intestine, which is where most nutrients are absorbed. She also needs extra protein because she has steatorrhea and these patients may need extra energy in the form of protein and complex carbohydrates.

Will she have to follow this diet dtudy long? A celiac disease patient may also have low levels of Vitamin B 12 and folate, as Mrs. American Association for Clinical Chemistry.