An immune-mediated reaction to dietary gluten (found in wheat, barley, rye) primarily affecting the small intestine in genetically predisposed individuals
Diarrhea, cramping are the most common GI symptoms.
Steatorrhea (fatty stools)
Abdominal pain or distension
Nausea, vomiting, flatulence
Weight loss, weakness, fatigue
Remove gluten from the diet.
Rice, corn, and nut flour are safe and palatable substitutes (1)[C].
Grains: uncontaminated oats, rice, corn, tapioca, quinoa, amaranth, sorghum
Consultation with registered dietitian
Screen for osteoporosis and treat accordingly.
Follow-up with GI at 3 to 6 months for serology and 12 months for repeat biops...
Husby S, Koletzko S, Korponay-Szabó IR, et al; for ESPGHAN Gastroenterology Committee, European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. European Society f...
396331005 Celiac disease (disorder)
61715008 Celiac disease with diffuse intestinal ulceration
Screen for celiac disease in patients with non-specific GI symptoms, presumed IBS, dermatitis herpetiformis, unexplained transaminitis, or unexplained iron deficiency anemia.
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