NUTR 4040 Lecture Notes - Lecture 14: Iron-Deficiency Anemia, Inflammatory Bowel Disease, Lactose Intolerance

• School: University of Guelph
• Department: Nutrition
• Course: NUTR 4040
• Professor: Forbs

Document Summary

Autoimmune disorder of the small intestine, sensitivity to certain amino acids found in prolamin fraction of wheat barley and rye. Results in damaging to mucosa of small intestine. Reducing absorption surface. (more common in people with type 1 diabetes, thyroid disease, and down syndrome. Takes 12 hours for symptoms to appear after consuming gluten. Diarrhea, failure to thrive, anorexia, gas, weight loss, abdominal distention. Frequently accompanied with iron deficiency anemia, hypoalbuminemia, hypocalcemia, & lactose intolerance. Biopsy of small intestine mucosa is the reference standard (must still be eating gluten) gold. Dapsone (antimicrobial agent) or sulphapyridine (sulfa drug) may be used to relieve itching & rash to dermatitis herpetiformis (blistering from watery fluid) La(cid:272)tose i(cid:374)tolera(cid:374)t (cid:894)you (cid:272)a(cid:374)"t (cid:373)ake la(cid:272)tose i(cid:374) the (cid:271)rush (cid:271)oarder(cid:895) Promote healing of small intestine to allow nutrition and absorption. On diagnosis, start with low residue, low fat, lactose free, gluten free diet. Croh(cid:374)"s disease (cid:894)cd(cid:895) inflammatory disease, gi tract decrease functionality.