Patient/caregiver was educated on gluten sensitivity as follows:

  1. Gluten is a mixture of proteins found in cereal grains, such as, wheat, rye, & barley.
  2. Various food products made of these cereal grains, such as, bread and bakery products, breakfast cereals, pasta, soups, sauces, beer, and whiskey can also carry significant amounts of gluten.
  3. Cross contact with gluten may also occur when other cereals such as, oats, are grown or processed in facilities along with gluten containing grains.
  4. Some individuals present with inability or difficulty to digest the gluten protein and consequently, develop intolerance to gluten.
  5. Individuals with history of intolerance or allergy to gluten, upon consumption of gluten, can present with an allergic response that can cause damage to the inner lining of small intestine.
  6. In severe cases of intolerance to gluten, patients can present with celiac disease with gluten consumption.
  7. Small intestine is the major site of nutrient absorption and integrity of inner lining of small intestine is essential for needed nutrient absorption from the diet.
  8. Damage to the inner lining of small intestine in individuals with gluten sensitivity, upon consumption of gluten, can result in severe abdominal pain, fullness, and bloating.