Her physician will probably perform an endoscopy of her small intestine to assess the damage to the villi of her small intestine. Of the grains she consumed, all of the foods were wheat products, which is damaging to a patient with celiac disease. It is not considered sensitive enough for adults, but used for children under 2 because tTg and EMA may not be present yet. When a person is underweight they are at a greater risk for death than individuals with a healthy BMI. This value is decreased in individuals who have iron-deficiency anemia. Are any symptoms from Mrs.

You can add this document to your study collection s Sign in Available only to authorized users. Long-term nutritional repletion is usually required. What form of glutamine supplementation would you recommend? Her physician will probably perform an endoscopy of her small intestine to assess the damage to the villi of her small intestine. Gaines has a BMI of Journal of Clinical Pathology. Are the abnormalities identified in question 16 related to the consequences of celiac disease?

Undernourished individuals may have a lower performing immune system, delayed wound healing, and have an increased risk of death and illness. To confirm the diagnosis, your doctor may want to examine a small portion of intestinal tissue to check for damage to the villi.

celiac disease case study mrs gaines

What are the normal results for this test? Accessed February 28, What would you recommend?


This causes cross-contamination of the oats and exposes them to gluten. What type of diet would you initially begin when you consider the potential intestinal damage that Mrs. A disrase predictive equation for resting energy expenditure in healthy individuals.

celiac disease case study mrs gaines

Glutamine peptide comes from wheat, which can cause a reaction so try to avoid glutamine peptide. Endomysium is the thin connective tissue layer that covers individual muscle fibers. Celiac disease is a genetic condition and many patients will mention that someone in their family has dlsease diagnosed or suffers from symptoms similar to their own. II Understanding the Nutrition Therapy 8. This value is decreased in individuals who have iron-deficiency anemia. She also needs extra protein because she has steatorrhea and these patients may need extra energy in the form of protein and complex carbohydrates.

What’s allowed, what’s not. Restricting gluten in the diet allows damage in the intestinal mucosa to heal. Can patients on a gluten-free diet tolerate oats?

When these values are low, anemia is indicated and the patient should other lab values and medical history should be assessed closely. I would start Mrs.

She should have high fiber foods only when her diarrhea is not flaring up. Leave a Reply Cancel reply Enter your comment here These test results are used to evaluate iron cisease.

Case Study #9: Celiac Disease

They can be cross-contaminated with gluten products which can cause an upset stomach and discomfort. When her hour recall was broken down into food groups the analysis showed that she is not even meeting half of her needs in any food group.


Add this document to collection s. Serra S, Jani PA. Her fatigue, weight loss and weakness are directly related to vitamin and mineral deficiencies.

Foods containing oats should also be labeled gluten-free or as being processed on machinery free of exposure from gluten-foods; otherwise, you should not eat them. An analysis of her recall showed that she consumed only kilocalories while use of the MyPyramid Tracker estimates her needs as kilocalories MyPyramid Tracker, I would suggest the Glutamine supplementation because it speeds the recover of the mucosal lining of the intestine.

Nutrition Diagnosis Etiology Matrix.

Case Study #9: Celiac Disease

Celiac disease damages the villi of the small intestine, which is where most nutrients are absorbed. It is difficult to say that Mrs.

Gaines has a BMI of She may be at risk of cystic fibrosis and malabsorption.