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Celiac Disease
Sensitivity to a flour protein (gluten)
Tends to run in families
Link to Type 1 DM Biopsy is essential
for diagnosis
www.advgastro.com/Celiac_Disease.htm
Symptoms of Celiac Disease
Diarrhea Steatorrhea 2-4 bowel movements daily Loss of appetite and weight Emaciation FTT in children (bloated belly)
http://www.pigur.co.il/imgceliac/celiac.jpg
Diet Therapy with Celiac Disease
Diet is only treatment. There is no cure.
The basic principle of diet therapy for celiac disease is to exclude all foods containing gluten-chiefly buckwheat, malt, oats, rye, barley, and wheat.
Table 25-1 and 25-2 for a sample food list and menu plan.
Other Helpful Information for Parents
Consider purchase of bread machine Separate toaster Separate preparation area (not always
needed if clean up is sufficient) Some restaurants have gluten free menu (PF
Changs) but also ensure no cross contamination possible
Just because there are no symptoms does not mean there is no damage being done. MUST FOLLOW DIET!
For more information… http://www.celiac.com/ some information http://www.glutenfreemall.com/ Has cookbooks, self-help books, food products Check out your local health food/natural food
stores (Like Whole Foods, Trader Joes, etc)
Food AllergiesPrevalent in
childhood2-8% of Americans
has some form of food allergy
Food allergy versus food intolerance
Difficulties in Allergy Management
Even a small amount of the allergy food can cause a reaction
Some patients allergic to one item at one time are not at another
Some react to an allergen only when they are tired, frustrated, or emotionally upset.
People can be allergic to almost any food chemical
Let’ s look up some different allergies
Cow’s Milk AllergyKola Nut ProductsEggsPeas / LegumesCitrus FruitsSoyTomatoesWheat and other GrainsSpicesArtificial Food Colors
Phenylketonuria (PKU)
Phenylketonuria (PKU) is a genetic disorder in which a baby lacks or has very low levels of the enzyme phenylalanine hydroxylase (PAH).
www.webmd.com
Symptoms…Symptoms usually develop within a few
months after birthEarly symptoms of PKU include a musty
odor to the skin, hair, and urine. Babies may lose weight from vomiting and frequent diarrhea, and may be irritable, have skin problems, and be sensitive to light.
If not treated the child can become developmentally delayed (DD)
Diagnosis The Guthrie test –
involves analyzing the blood drawn from a child’s heel
46 states mandate that all newborns be screened for PKU. The remaining states practice voluntary screening.
Treatment
Diet!!!! Infant formulas: Lofenalac Age-Related: Analog, Maxamaid, Maximum See Table 28-1 Table 28-2 for 1 year olds suggested
phenylalanine, energy, and protein intake Exchange Lists for Young Children
developed Table 28-4 Has Menu Plan for 9 Month Old
For more PKU information• www.pkunews.org
• http://ghr.nlm.nih.gov/condition=phenylketonuria
• www.pku.com