Celiac Disease Amar Araneta Final

CELIAC
DISEAS
E
Jophet L. Amar
Mae Joy C. Araneta
What is Celiac
Disease?
Celiac disease, sometimes

called celiac sprue or gluten-
sensitive enteropathy, is an
immune reaction to eating
gluten, a protein found in
wheat, barley and rye.
What are the symptoms of celiac disease?
Symptoms of celiac disease vary widely, and a person may have multiple
symptoms that come and go. If you have celiac disease, you may have digestive
problems or other symptoms. Digestive symptoms are more common in children
than in adults.
Digestive symptoms of celiac disease may include:
•bloating
•chronic diarrhea
•constipation
•gas
•lactose intolerance due to damage to the small intestine
•loose, greasy, bulky, and bad-smelling stools
•nausea or vomiting
•pain in the abdomen
For children with celiac disease, being unable to absorb nutrients at a time when
they are so important to normal growth and development can lead to
•damage to the permanent teeth’s enamel

•delayed puberty
•failure to thrive, meaning that an infant or a child weighs less or is gaining less
weight than expected for his or her age
•mood changes or feeling annoyed or impatient
•slowed growth and short height
Some people with celiac disease have symptoms that affect other parts of the
body. These symptoms may include
•dermatitis herpetiformis
•fatigue, or feeling tired
•joint or bone pain
•mental health problems, such as depression or anxiety
•reproductive problems in women and girls which may include infertility
•delayed start of menstrual periods missed menstrual periods, or repeated
miscarriages and male infertility symptoms involving the mouth, such as canker
sores a dry mouth; or a red, smooth, shiny tongue
Most people with celiac disease have one or more
symptoms before they are diagnosed and begin
treatment. Symptoms typically improve and
may go away after a person begins eating a
gluten-free diet. Symptoms may return if a
person consumes small amounts of gluten.
CAUSES
The exact cause of celiac disease is not known
Risk Factors
The list of risk factors mentioned for CeliacDisease in various sources
includes:
•Family history of celiac
•Family history of autoimmune diseases
•Italian race - celiac is common in Italy anddescendents.
PHARMACOLOGIC INTERVENTION
Medications to control intestinal inflammation

If your small intestine is severely damaged or you have refractory celiac disease, your
doctor might recommend steroids to control inflammation. Steroids can ease severe
signs and symptoms of celiac disease while the intestine heals.
Other drugs, such as azathioprine (Azasan, Imuran) or budesonide (Entocort EC,

Uceris), might be used.
DIAGNOSTIC LABORATORIES
Two blood tests can be performed to determine the presence of

celiac disease. It is recommended that gluten still be included in
the diet until the diagnosis is made. Removing gluten in the diet
can cause false negative results.
Serology testing- to identify the presence of antibodies
indicating autoimmune reaction to gluten.
Genetic testing – to test for human leukocyte antigen (HLA-DQ2
and HLA-DQ8) which is helpful in ruling out celiac disease.
If blood tests suggest celiac disease, further diagnostic
procedures are then ordered.
Endoscopy – involves the insertion of a camera to the stomach
and intestines through the mouth. It allows the clinician to
visualize the internal structures. The clinician usually takes a
sample of the intestines to test for the damage to the villi.
Capsule endoscopy – a more sophisticated procedure than
traditional endoscopy; used to visualize the entirety of the
intestines. A capsule containing a camera takes pictures as it is
ingested.
NURSING DIAGNOSIS
Here are the following nursing diagnoses that would be appropriate for Celiac
Disease:
 Risk for Imbalanced
 Nutrition: less than body requirements
 Risk for Fluid volume deficit
 Anxiety
 Risk for Infection
 Ineffective Coping
The nursing diagnosis that would be most applicable to Celiac Disease is Risk for Fl
Volume Deficit related to poor gastrointestinal absorption of nutrients related to
diarrhea.
Nursing Intervention
1. Monitor dietary intake, fluid intake and output, weight, serum electrolytes, and hydration status.
2. Make sure that the diet is free from causative agent, but inclusive of essential nutrients, such as
protein, fats, vitamins, and minerals.
3. Maintain NPO status during initial treatment of celiac crisis or during diagnostic testing.
4 Provide parenteral nutrition as prescribed.
5. If patient is having persistent diarrhea, check for skin turgor and dry mucous membrane
6. Encourage small frequent meals, but do not force eating if the child has anorexia.
8. Assess for fever, cough, irritability, or other signs of infection.
9.Teach patient about Celiac Disease and the importance of maintaining a strict gluten free diet. 10.
Stress that the disorder is lifelong; however, changes in the mucosal lining of the intestine and in general
clinical conditions are reversible when dietary gluten is avoided.

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CELIAC

Celiac disease, sometimes

•damage to the permanent teeth’s enamel

Medications to control intestinal inflammation

Other drugs, such as azathioprine (Azasan, Imuran) or budesonide (Entocort EC,

Two blood tests can be performed to determine the presence of

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