Coeliac Disease

A gastroenterology dietitian plays a vital role in educating and supporting a client with coeliac disease as it is solely managed by a gluten free diet.

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What is Coeliac Disease?

Coeliac disease is an autoimmune disease caused by an immune reaction to gluten, a protein found in wheat, rye and barley. Some people may also be sensitive to oats. Consumption of gluten causes damage to the lining of the gut where food and nutrients are absorbed.

Symptoms range from mild to severe and can include bloating, diarrhoea, nausea, wind, constipation, tiredness, mouth ulcers, unexpected weight loss and anaemia.

The symptoms of coeliac disease are similar to other gastrointestinal conditions and it is frequently misdiagnosed as IBS.

Topics that will be covered in your appointment with the dietitian

Newly diagnosed coeliac disease

What is Coeliac disease? (symptoms, diagnosis, clinical condition)
Explain the importance of a gluten free diet
Information on which types of food contain gluten and suitable alternatives
Explanation of food labelling
Information sources about gluten free diets, recipe ideas and cookbooks
Avoiding cross contamination in the home
Gluten free foods on prescription
Minimising the risk of accidental gluten intake when eating out and on holidays
Important nutrients for people on a gluten free diet
Identify and treat possible nutritional deficiencies
Check vaccination status
Coeliac UK member benefits

Annual coeliac review

Measure weight, height, BMI
Review symptoms
Review nutritional status (including dietary calcium and iron intakes or supplements)
Assess adherence to the gluten free diet
Assess the need for specific bloods (request via referrer)
Check vaccination status
Consider mental health assessment
Consider referral to another healthcare professional
Membership of Coeliac UK

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The low FOMAP diet

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