Iron deficiency anemia and celiac disease

Celiac disease

Absense of enzyme in mucosa of the small intestine. Decreases abroptive capacity of intestine especially in foods containing gluten

1. wheat

2. rye

3. oats

4. barley

gluten is found in [4]

Celiac disease: lacks the enzyme to break down gluten. Body overreacts and vili in the small intestine are damaged. lots of inflammation

Gluten intolerance: all the S+S but don’t have damage to small intestine

Difference between gluten intolerance and celiac disease:

steatorrhea

fat in stool

bigger, frothier, may have undigested food particles

stool for pt with celiac:

Cannot absorb vitamins and the iron

why can celiac patients become anemic?

The digestive system loses rotein

why can celiac patients have low albumin?

Vitamin K deficiency

why might celiac patients have prolonged prothrombin time?

mucosal biopsy via colonoscopy

invasive diagnosis of celiac:

cut out gluten for 2 weeks, then slowly reintroduce. If S+S come back, then celicac.

non-invasive diagnosis for celiac:

2 weeks

how long does it take for gluten to completely leave the body?

1. no gluten

2. eat lots of fresh fruits and vegetables

3. protein

4. low fiber starting off

5. high calorie

diet for celiac:

The intestine is swollen. Don’t want everything rushing out until inflammation goes down

why should ppl w celiac do low fiber first?

Periods of rapid growth

what period is iron deficiency anemia more lkely to occur?

Iron-deficiency anemia

anemia caused by inadequate supply of dietary iron

1. indigenous populations

2. low birth weight/premature infants

3. adolescents (rapid growth, poor eating)

higher instances of iron deficeincy anemia occur in:

amount and duration of the deficiency

severity of iron deficiency anemia symptom relies on:

milk can bind with iron. take two hours after. milk is NOT a good source of iron (some formulas are okay)c

iron and milk:

1. pallor

2. fatigue

3. irritability

4. weak

5. cold hands and feet

6. nail bed deformities (prolonged)

7. tachycardia

8. heart murmur

symptoms of iron deficeincy anemia;

1. hbg

2. mcv

3. serum ferritin

4. serum iron-binding capacity

lab values that can diagnose iron deficiency anemia: [4]

relying on memory and honesty from parents/kids

why is dietary history not accurate to diagnose iron deficiency anemia?

it helps convert iron from ferritin to hemoglobin

how can folic acid treat iron deficiency anemia?

1. more protein

2. more vitamin c (helps iron absorption)

3. high iron

what to increase in diet with iron-deficiency anemia:

1. dark greens

2. red meat

3. beans/lentils

4. nuts

5. seeds

6. eggs

7. seafood

foods high in iron: [7]

over a 4h period (slowly)

administer packed red blood cells over how long?

Can stain teeth. give through a straw or brush teeth right after

side effect of liquid iron supplimentation:

1. black stool

2. constipation

3. stomach pains

4. nausea and vomiting

Side effects of iron pills:

on an empty stomach to help with absorption

when to take iron supps

it gets stored in organs

• heart (heart rhythm issue, heart attack)

• pancreas (diabetes)

• liver (jaundice)

what happens when there is too much iron in the body?

every few weeks/ month

how often to get bloodwork for iron deficiency anemia

twice daily

how often to take iron pills