Why is weight loss a symptom of celiac disease

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Reference no: EM133506741

Assignment:

Celiac Case Study

Patient: Louise

Gender: Female

Ethnicity: Caucasian

Age: 25

Height: 62"

Current weight: 105 lbs.

Usual weight: 135 lbs.

Louise attends an appointment with her primary care physician complaining of fatigue and unintended weight loss. She is trying to get pregnant and contributes some of these symptoms to stress and anxiety but wanted to get her symptoms checked out. She reports that in addition to fatigue, she also experiences intermittent bouts of diarrhea. She is always hungry, despite eating 3 x meals per day, and rarely feels good after eating, often experiencing stomach pain and nausea. Louise considers herself an energetic person, but recently, as her symptoms have worsened, she no longer has time to go to her favorite yoga class or run in the park. She reports her mother also had GI issues and trouble maintaining her weight and her niece just got diagnosed with celiac disease.

Typical daily intake:

Breakfast: Coffee with half & half creamer 1 English muffin or 2 slices of toast with peanut butter

Mid-morning snack: Wholegrain crackers with avocado

Lunch: Packaged tomato soup (she always buys the low sodium variety) Grilled cheese sandwich made on whole wheat bread

Snack: Handful of pretzels

Dinner: Breaded chicken with wild rice and grilled broccoli

Dessert: 1 chocolate chip cookie

Task:

1. If Louise does have celiac disease, list the items from her typical daily intake that she will need to replace due to their gluten ingredients.

2. Provide 3 snack healthy options that do not contain gluten.

3. Why is weight loss a symptom of celiac disease

4. Upon review of her labs, Louise's iron is low. Why does celiac disease cause low iron?

5. What grains is gluten found in? (Please only list grains - no other ingredients or food will be accepted)

6. How do you test adherence to a gluten-free diet?

Reference no: EM133506741

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