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Nutrition Through The Life Cycle

7th Edition
Brown + 1 other
ISBN: 9781337919333

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FindFindarrow_forward

Nutrition Through The Life Cycle

7th Edition
Brown + 1 other
ISBN: 9781337919333
Textbook Problem

Chloe, age 30, has not had a period for over two years. Her gynecological exam turns up no abnormalities, but the hormones she is given to stimulate her menstrual periods do not work. Since the age of 10, Chloe has had painful stomach cramps, frequent diarrhea or constipation, and periodic iron-deficiency anemia. Multiple visits to doctors have failed to find the cause of Chloe’s health problems. At around the age of 20, Chloe had begun to wonder if she was a medical anomaly or a hypochondriac.

  Still bothered by her health problems and about to be married, Chloe seeks care again. This time she is seen by a nurse practitioner who has just read an article on celiac disease. The nurse sends Chloe to a registered dietitian, who advises Chloe on a gluten-free diet. After faithfully following the diet for a week, Chloe feels better. The cramps, diarrhea, and constipation arc much improved, and later on, her menstrual cycles return. She returns to her doctor for a checkup and requests a test for celiac disease. By that time, however, her intestinal biopsy comes back normal because she has been on the diet for months.

Questions

1.    What should have been the first clue that Chloe might have celiac disease?

Summary Introduction

To explain: The first clue that Person C might have celiac disease.

Introduction: Celiac disease (gluten-sensitive enteropathy) is also known as sprue or coeliac. People suffering from this disease are allergic to gluten, which is found in wheat, rye, and barley. Gluten elicits an immune response which affects other functions.

Explanation

Person C, aged 30, did not have menstrual cycle for two years. A gynecological exam showed no abnormalities. However, Person C, since the age of 10, suffers from painful stomach cramps, frequent diarrhea or constipation, and periodic iron-deficiency anemia. Person C consults a registered dietician who diagnoses her for celiac disease and suggests a gluten-free diet. After following the diet, her cramps, diarrhea, and constipation improved as well as her menstrual cycles resumed its normal course. She visits the doctor for a follow-up and requests for celiac disease test. However, her intestinal biopsy shows no abnormalities, as she has been following a gluten-free diet for months.

Since the age of 10, Person C has had painful stomach cramps, frequent diarrhea or constipation, and periodic iron-deficiency anemia...

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