Making a diagnosis of celiac disease is complicated


Making a diagnosis of celiac disease is complicated. Unfortunately, there is no "typical presentation" that healthcare providers can rely on to make a quick and accurate diagnosis. Gastrointestinal symptoms such as bloating, flatulence, and diarrhea can be related to many different diseases. Undiagnosed celiac disease can be confused with many other disorders that affect the gastrointestinal tract. Crohn's disease is one such disorder that clinicians would consider a possible culprit when they make a list of potential diseases (called a differential diagnosis) which might be causing a particular symptom or group of symptoms.

Crohn's disease, like celiac disease is an autoimmune disease of the GI tract that involves chronic inflammation. Typically this type of inflammatory bowel disease (IBD) affects the last segment of the small intestine and first segment of the colon, but it may affect any part of the alimentary canal. Persistent diarrhea, abdominal pain, and bloating are among the symptoms that patient's with Crohn's disease experience. Other symptoms that are similar between Crohn's and celiac disease include weight loss and fatigue. Having similar symptoms as other diseases of the digestive system makes the diagnosis of celiac disease complicated.

Persistent diarrhea is a common complaint of both celiac disease and Crohn's disease. Which of the following statements best describes how large intestine motility and diarrhea are related?

Making a diagnosis of celiac disease is complicated. Unfortunately, there is no "typical presentation" that healthcare providers can rely on to make a quick and accurate diagnosis. Gastrointestinal symptoms such as bloating, flatulence, and diarrhea can be related to many different diseases. Undiagnosed celiac disease can be confused with many other disorders that affect the gastrointestinal tract. Crohn's disease is one such disorder that clinicians would consider a possible culprit when they make a list of potential diseases (called a differential diagnosis) which might be causing a particular symptom or group of symptoms.

Crohn's disease, like celiac disease is an autoimmune disease of the GI tract that involves chronic inflammation. Typically this type of inflammatory bowel disease (IBD) affects the last segment of the small intestine and first segment of the colon, but it may affect any part of the alimentary canal. Persistent diarrhea, abdominal pain, and bloating are among the symptoms that patient's with Crohn's disease experience. Other symptoms that are similar between Crohn's and celiac disease include weight loss and fatigue. Having similar symptoms as other diseases of the digestive system makes the diagnosis of celiac disease complicated.

Persistent diarrhea is a common complaint of both celiac disease and Crohn's disease. Which of the following statements best describes how large intestine motility and diarrhea are related?

a. Any event that decreases large intestine motility allows more time for water absorption.

b. Any event that increases large intestine motility can lead to excess water absorption from fecal material.

c. Any event that decreases large intestine motility can lead to excess water absorption from fecal material.

d. Any event that increases large intestine motility does not allow enough time to absorb excess water from fecal material.

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Biology: Making a diagnosis of celiac disease is complicated
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