Celiac disease


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Celiac disease

  1. 1. Celiac disease intervention through gluten-free products Prof. Nizar Hamad Prof. Louay Labban Dept. Of Nutrition and Food Sciences University of Kalamoon
  2. 2. <ul><li>What is celiac disease? </li></ul><ul><li>Also called coeliac disease </li></ul><ul><li>Or celiac sprue </li></ul><ul><li>Celiac disease is a digestive disease that damages the small intestine and interferes with absorption of nutrients from food. </li></ul>
  3. 3. <ul><li>People who have celiac disease cannot tolerate gluten, a protein in wheat, rye, and barley. </li></ul><ul><li>Gluten is found mainly in foods but may also be found in everyday products such as medicines, vitamins, and lip balms. </li></ul>
  4. 4. <ul><li>When people with celiac disease eat foods or use products containing gluten, their immune system responds by damaging or destroying villi—the tiny, fingerlike protrusions lining the small intestine. </li></ul>
  5. 6. <ul><li>Celiac disease affects people in all parts of the world. Originally thought to be a rare childhood syndrome, celiac disease is now known to be a common genetic disorder. </li></ul>
  6. 7. <ul><li>More than 2 million people in the United States have the disease, or about 1 in 133 people. Among people who have a first-degree relative—a parent, sibling, or child—diagnosed with celiac disease, as many as 1 in 22 people may have the disease. </li></ul>
  7. 8. <ul><li>Villi normally allow nutrients from food to be absorbed through the walls of the small intestine into the bloodstream. Without healthy villi, a person becomes malnourished, no matter how much food one eats. </li></ul>
  8. 11. <ul><li>Symptoms of celiac disease vary from person to person. Symptoms may occur in the digestive system or in other parts of the body. Digestive symptoms are more common in infants and young children and may include: </li></ul>
  9. 12. <ul><li>abdominal bloating and pain </li></ul><ul><li>chronic diarrhea </li></ul><ul><li>vomiting </li></ul><ul><li>constipation </li></ul><ul><li>pale, foul-smelling, or fatty stool </li></ul><ul><li>weight loss </li></ul>
  10. 13. <ul><li>Retarded growth </li></ul><ul><li>Intestinal bleeding </li></ul><ul><li>Dehydration </li></ul><ul><li>Mouth canker </li></ul>
  11. 14. <ul><li>شكل البطن لطفل مصاب بالداء الزلاقي </li></ul>
  12. 19. <ul><li>Blood Tests </li></ul><ul><li>Intestinal Biopsy </li></ul><ul><li>Symptoms </li></ul>
  13. 20. <ul><li>Dermatitis Herpetiformis </li></ul><ul><li>Dermatitis herpetiformis (DH) is an intensely itchy, blistering skin rash that affects 15 to 25 percent of people with celiac disease. The rash usually occurs on the elbows, knees, and buttocks. Most people with DH have no digestive symptoms of celiac disease </li></ul>
  14. 22. <ul><li>Medical treatment: </li></ul><ul><li>Application of steroids like cortisones , cyclosporine, Azathioprine or any other medication that are used in inflammatory and immunological reactions </li></ul>
  15. 23. <ul><li>The only treatment for celiac disease is a gluten-free diet </li></ul>
  16. 24. <ul><li>For most people, following this diet will stop symptoms, heal existing intestinal damage, and prevent further damage. Improvement begins within days of starting the diet. </li></ul>
  17. 25. <ul><li>The small intestine usually heals in 3 to 6 months in children but may take several years in adults. A healed intestine means a person now has villi that can absorb nutrients from food into the bloodstream. </li></ul>
  18. 26. <ul><li>Lifestyle change. </li></ul><ul><li>Supplements of vitamins, minerals and extra protein to remedy deficiencies. </li></ul><ul><li>.In case of anemia, treat with iron, folate, or vitamin B12. </li></ul>
  19. 27. <ul><li>Vitamin D and calcium administration maybe necessary to correct osteoporosis. </li></ul><ul><li>Vitamin K should be given if there was any bleeding. </li></ul><ul><li>Electrolytes and fluid replacement should be given for dehydrated from diarrhea </li></ul>
  20. 28. <ul><li>A gluten-free diet means not eating foods that contain wheat, rye, and barley. The foods and products made from these grains should also be avoided. </li></ul>
  21. 29. <ul><li>Plain” meat, fish, rice, fruits, and vegetables do not contain gluten, so people with celiac disease can freely eat these foods. In the past, people with celiac disease were advised not to eat oats. </li></ul>
  22. 30. <ul><li>B uckwheat </li></ul><ul><li>Cassava, Tapioca </li></ul><ul><li>Corn </li></ul><ul><li>Flax </li></ul><ul><li>Indian rice grass </li></ul><ul><li>Millet </li></ul><ul><li>Nuts </li></ul>
  23. 31. <ul><li>Potatoes </li></ul><ul><li>Rice </li></ul><ul><li>Sorghum </li></ul><ul><li>Soy </li></ul><ul><li>Wild rice </li></ul>
  24. 32. <ul><li>الاغذية التي لايمكن تناولها </li></ul><ul><li>Bulgur wheat </li></ul><ul><li>Breads , pasta or any product made out of: </li></ul><ul><li>D urum flour </li></ul><ul><li>Enriched flour </li></ul><ul><li>Plain flour self-rising flour </li></ul><ul><li>Semolina </li></ul>
  25. 33. <ul><li>Bouillon cubes </li></ul><ul><li>Brown rice syrup </li></ul><ul><li>Candy </li></ul><ul><li>Chips/potato chips </li></ul><ul><li>Cold cuts, hot dogs, salami, sausage </li></ul><ul><li>Gravy </li></ul>
  26. 34. <ul><li>Imitation fish </li></ul><ul><li>Rice mixes </li></ul><ul><li>Sauces seasoned tortilla chips </li></ul><ul><li>Soups </li></ul><ul><li>Soy sauce </li></ul><ul><li>Vegetables in sauce </li></ul><ul><li>P izza </li></ul><ul><li>F ried chicken </li></ul><ul><li>P asta </li></ul>
  27. 35. <ul><li>People with celiac disease cannot tolerate gluten </li></ul><ul><li>Celiac disease damages the small intestine and interferes with nutrient absorption. </li></ul><ul><li>Without treatment, people with celiac disease can develop complications such as osteoporosis, anemia, and cancer. </li></ul>
  28. 36. <ul><li>Diagnosis involves blood tests and, in most cases, a biopsy of the small intestine. </li></ul><ul><li>Since celiac disease is hereditary, family members of a person with celiac disease may wish to be tested. </li></ul>
  29. 37. <ul><li>Celiac disease is treated by eliminating all gluten from the diet. The gluten-free diet is a lifetime requirement. </li></ul><ul><li>A dietitian can teach a person with celiac disease about food selection, label reading, and other strategies to help manage the disease. </li></ul>