Diagnostic Study:
Diagnostic Study
Rational
Result
CBC with deferential
-CBC is an inexpensive, frequently used test to complement the clinical history and physical examination in the patients with gastrointestinal diseases.
-Gastrointestinal diseases: Though iron is absorbed throughout the intestine, it is maximally absorbed in the duodenum. Diseases involving the duodenum – Celiac disease, Crohn’s disease and giardiasis, thereby are important etiologies. Increased gastrointestinal loss as seen in inflammatory bowel disease (IBD), cow’s milk protein induced colitis and chronic use of nonsteroidal anti-inflammatory drugs are also associated with iron deficiency (Subramaniam and Girish, 2015).
All the results within normal
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Not done at this time
Iron panel
To check iron storage in patient with celiac. In addition, Iron and folate anemia are seen more often in people with celiac disease because these nutrients are absorbed in the upper two parts of the intestine where damage can occur in earlier stages of celiac disease (Reop, 2017).
Not done at this time
Thyroid function test
To rule out thyroid problems, which is usually associated with celiac disease. The prevalence of autoimmune thyroid disease in patients with celiac disease is four times greater than that in the general population, and this may be due to the common genetic predisposition (Kurlen, 2016).
Not done at this time
Small bowel biopsies
Gold standard to diagnose celiac disease in patient. An intestinal (duodenal) biopsy is considered the “gold standard” for diagnosis because it will tell you (1) if you have celiac disease, (2) if your symptoms improve on a gluten-free diet due to a placebo effect (you feel better because you think you should) or (3) if you have a different gastrointestinal disorder or sensitivity which responds to change in your diet (Kabbani, 2014).
Not done at this time
Assessment:
Celiac disease: This is a 5years old boy presented with a history of periumbilical pain for two months associated with bloating, gasses and change in appetite. Also, bowel motion alternating between diarrhea and constipation since that time.
Anyone can develop celiac disease at any age and the reason for this is still unknown. 1. Child Symptoms are different than most adult symptoms. Digestive symptoms are the most common in infants and children. The most common symptoms are abdominal bloating and pain, chronic diarrhea, vomiting, constipation, weight loss, fatigue, behavioral issues, delayed growth or even Attention Deficit Hyperactivity Disorder, ADHD.
A report from Reuters states that draft guidelines presented by U.S. doctors say there isn’t enough evidence yet to prove that widespread screening for celiac disease is necessary.
Celiac disease is primarily a digestive condition triggered by consumption of the protein gluten resulting in an immune reaction in the small intestine, which leads to inability to absorb certain
Iron deficiency anemia, one of the most common types of anemia, is a blood disorder where
The most prominent cause of Iron Deficiency Anemia is bleeding. Blood loss from the Gastrointestinal Tract is a significant cause of anemia for both men and women. When blood is present in excrement, a gastrointestinal problem exists. Many times, people are unaware of these problems with their waste products. When they begin to feel the symptoms of anemia and undergo tests that determine that they are anemic, it begins the process of discovering more health problems. Anemia can serve as the precursor of certain diseases. There are many instances when it is merely a sign of severe disease such as a peptic ulcer disease, gastritis, hemorrhoids, angiodysplasis of the colon, and colonic adenocarcinoma (http://www.physsportsmed.com/issues/sep_96/browne.htm).
Celiac disease (CD) is marked by an inability to absorb gluten. Gluten, also known as glutenin, is a protein found in “wheat, rye, barley, spelt, and triticale” (Turner and Torkos). The problem with the disease is that it is an “autoimmune disorder in which the immune system responds to gluten by damaging the small intestine” (Turner and Torkos). This damage to the small intestine is “characterized by villous atrophy” in people who are “genetically susceptible” (Parnell and Ciclitira). The disorder may latent for years and then suddenly cause horrendous symptoms that may be misdiagnosed as irritable bowel syndrome. There is danger in a misdiagnosis because many high fiber foods used to help control irritable bowel syndrome are gluten
Celiac disease seems to be on an up rise today. You now walk into grocery stores and restaurants and see gluten-free food everywhere. Thankfully, for the celiac disease community, life has become a little easier with these accommodations. When most people hear celiac disease many just think gluten-free diets, but they do not realize that celiac disease can affect all parts of the body and mind, or that the disease has a higher prevalence in women. It is a new lifestyle that many have to take on. In the next few pages, I will discuss the affects that this disease has on the body systems, the lifestyle changes many make when diagnosed with celiac disease, and the importance of educating those who are dealing with the disease on a day to day basis. I also will discuss information from two articles which focus in on the direct affects that the disease takes on women living with it, and the lifestyle changes that are necessary to manage the symptoms.
Celiac disease is an immune reaction to eating gluten, a protein found in wheat, barley and rye ("Celiac Disease," n.d.). When the body's immune system overreacts to gluten in food, the immune reaction damages the tiny, hair-like projections (villi) that line the small intestine ("Celiac Disease," n.d.). Over time, this reaction produces inflammation that damages the small intestine's lining and prevents absorption of some nutrients (malabsorption) ("Celiac Disease," n.d.). Excessive damage to the bowel can cause abdominal bloating, watery stool and weight loss.
This article is focused around Celiac Disease and how the autoimmune disorder affects athletes that suffer from this disease. This article goes over several difficulties that come along with Celiac Disease (CD) such as, Etiology, exercise prescription, and diet management. The purpose of this article is to inform athletes with CD and even healthcare professionals that sometimes the signs are not clear and professionals have to take the correct steps and test to find the appropriate solution. The summary of this article would have to be that the number of CD cases are increasing rapidly throughout the United States. And with the rapid growth of athletes with CD, healthcare professionals had to become more educated with this disease because it was so hard to spot in individuals.
Celiacs disease (gluten-sensitive enteropathy) is a condition where in some people, gluten cannot be digested and causes an immune response. Gluten is a protein found in wheat, barley, oats, and rye. In some people who take in and ingest gluten, an enzyme named transglutaminase transforms the gluten into a chemical that triggers an immune reaction, causing irritation and inflammation of the lining of the small intestine (Wedro, 2016). The microvilli that make up the inside surface of the intestine are destroyed, causing nutirents to pass without being, like our body needs from our diet. This can cause damage to other organs in the body due to malabsorption. (Wedro, 2016) Organs that depends the most on nutrients to function properly consist of the liver, bones and the brain. This is crucial especially in children because malnutrition can lead to abnormal growth and development. (Wedro, 2016) Celiacs disease can also be known by Coeliac Disease. Roughly 8,000 years after its first appearence, celiacs disease was identified and named. A Greek physician named Aretaeus of Cappadocia who lived in the first century AD, wrote about “The Coeliac Affection.” Also, he called it “koiliakos” after the Greek word “koelia” meaning abdomen. (Guandalini, 2007) Another 17 centuries passed, and in the early 19th century Dr. Mathew Baillie, presumably unaware of Aretaeus, published his observations on a chronic diarrheal disorder regarding adults, causing malnutrition and characterized by a
Celiac Disease affects the digestive system by the ingestion of gluten through foods like barley, rye, or wheat. Specific characteristics of this disease are weight loss, bloating, and in some cases diarrhea can even occur. Certain nourishment can be deprived from the brain and the liver as well eventually. For children, stomach pain can be an issue and vomiting may have a chance at occurring. The other signs and symptoms that come with celiac disease vary among person to person. However the most common are anemia which is iron deficiency, bone deficiency, itchy or blistering skin, and bad dental hygiene. Along with that celiac disease can also cause joint pain, headaches, fatigue, acid reflux, and spleen function that is greatly reduced. Chemically,
Adults and children have different symptoms when it comes to celiac disease. Children under 2 years old like me have symptoms like vomiting, swollen belly, failure to thrive, poor appetite, muscle wasting,weight loss, and diarrhea, i had all of these symptoms except diarrhea. But more than half of older children and adults with celiac disease have had symptoms that are not related to the digestive system these include ADHD, learning disabilities, irritability, seizures, loss of bone density, softening of bone, itchy or blistery skin, damage to dental enamel, headaches, fatigue, joint pain, acid reflux, heartburn, and nervous injury, including numbness and tingling in the feet and hands, possible problems with balance, and cognitive
If a person is not absorbing nutrients adequately, a blood test will detect this lack of nutrient absorption resulting in the decreased of iron absorption. Also, this inability to absorb certain nutrients may cause vitamin deficiencies. These deficiencies deprive the brain, peripheral nervous system, bones, liver and other organs of vital nourishment (Dugdale III, Longstreth, & Zieve, 2010).
Celiac disease is an autoimmune disorder that damages the villa in the small intestine. (“what is celiac disease” n.d. para 1). Villa are finger like vacuums that absorb nutrients in the small intestine and when they are damaged because the body attacks the gluten in the body as they enter the villa, they villa are incapacitated to absorb more nutrient. People are unable to take in the nutrients they need to live and must stop eating gluten in order to reverse they damage and eat gluten free food for nutrients. It is estimated that the likely hood of having the disease is one out of hundred people worldwide. The number goes up if a relative has celiac disease because it is hereditary, if a parent or sibling has it the likely hood you may have it goes from 1out off 100 to 1 out of 10. (“what is celiac disease” n.d. para 1). How do they find out if you have the disease, the doctor can perform a blood test to find out if someone has high levels of antibodies that are associated with the disease then the doctor will perform a biopsy were they take a sample of small intestine and look for damage related to celiac disease. The difference between gluten sensitivity and celiac disease is that for sensitivity you have the symptoms but not the high level of antibodies or damage to the large
Celiac disease, which is also called coeliac disease, is a genetic autoimmune disease that injures the small intestine. Gluten is a protein that is in some wheat, barley, and rye. It is also a new fad diet and being gluten intolerant is something a majority of the population may claim. However, for those who really have celiac disease it is more serious. In fact, "Despite popular belief, celiac disease is a serious genetic autoimmune disease, not the latest fad diet", according to the organization Beyond Celiac(What is Celiac Disease, 2016). This article also gives a great explanation about what gluten does to the small intestine on a cellular level. The definition on the webpage goes on to include "When people with celiac disease eat foods containing gluten, their immune system responds by damaging the finger-like villi of the small intestine. When the villi become damaged, the body is unable to absorb nutrients into the bloodstream, which can lead to malnourishment" (What is Celiac Disease, 2016). It also mentions that when celiac is left untreated, other autoimmune diseases are very common such as thyroid disease, osteoporosis and other cancers. Migraines, diabetes, and infertility are a few more illnesses that go hand in hand with celiac. (What is Celiac Disease, 2016).