10 year old James was brought to the pediatric out patient department by his mother with complaints of poor growth, poor appetite, frequent episodes of diarrhoea, bloating of abdomen, irritability and recurrent abdominal pain…
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On enquiry, the mother told that sometimes his stools were bulky and fou lsmelling. Family history was insignificant. In the past, James was taken to pediatricians for poor weight gain and they treated him for malnutrition. Examination revealed growth retardation and bloated abdomen. Stools examination revealed carbohydrate and fat malabsorption. Blood investigations revealed anti-tissue transglutaminase antibodies. Intestinal biopsy confirmed celiac disease. Teaching plan Patients with celiac disease have sensitivity to gluten which is a protein found in foods like barley, malt, oats, wheat and rye (Klapproth, 2009). Hence, patients with celiac disease must consume gluten free diet for healing of intestine and also to prevent various complications of celiac disease like bone disease. There are several foods which are gluten free and they are grains like corn, millet, ragi, rice and wild rice and other plant foods like amaranth, Indian rice grass, nuts, legumes, potatoes, sago, soy, tapioca and yucca. The patients must consume any food after ruling out the presence of gluten substances in the food by reading the constituent information of the particular food. It is strongly recommended by the U.S.Department of Health and Human Services (2010) that Medical Nutrition Therapy (MNT) be provided by a dietician who is registered for patients with a diagnosis of celiac disease.
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(“Celiac Disease: Nutrition Teaching Plan Case Study”, n.d.)
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(Celiac Disease: Nutrition Teaching Plan Case Study)
“Celiac Disease: Nutrition Teaching Plan Case Study”, n.d. https://studentshare.org/other/1424948-a-client-with-celiac-disease.
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