Living with a Medical Regimen for Celiac Disease Essay

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Living with a Medical Regimen for Celiac Disease Lisa Wallace Samuel Merritt University Case Management Theory N620 April 12, 2013 Living with a Medical Regimen for Celiac Disease Celiac Disease (CD) is a chronic condition caused by sensitivity to gluten proteins, whereby when gluten is ingested, the gluten proteins can’t be fully digested by gastric, pancreatic, or intestinal enzymes and thus an inflammatory response is provoked within the small intestine (Jacobsson, Hallert, Milberg, & Friedrichsen, 2012; Ryan & Grossman, 2011). Gluten consumption causes atrophy of the villous of the small intestine and can lead to malabsorption of nutrients and can lead to a variety of gastrointestinal problems such as abdominal pain and distention, chronic diarrhea, dyspepsia, flatulence, iron deficiency anemia, folate deficiency, and weight loss. Other extraintestinal symptoms may also occur, such as dermatitis herpetiformis, peripheral neuropathy, ataxia, epilepsy, arthralgia, or infertility, (Jacobsson et al., 2012; Ukkola et al., 2012). If this disease remains untreated, very serious complications such as lymphoma may develop (Gainer, 2011). Description of Medical Regimen Because the consumption of gluten is the major instigator of symptoms, the main treatment for CD is adherence to a gluten free diet. The foundation for this diet is to eliminate the grains of wheat, rye, and barley. Also any foods made from those ingredients must be avoided, and that can include beer, malt, processed foods, some candy, deli meats, hot dogs, gravies, sauces, soups, salad dressings, and condiments (Ryan & Grossman, 2011). Therefore, the basis of the case management medical regimen plan is adherence to a strict gluten free diet. Because gluten can be a ‘hidden’ ingredient in many foods, the case manager suggested that the purchase of a book on following a gluten free diet

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