A 2-year-old boy is admitted to the hospital with celiac disease. Which of the following symptoms should be present upon assessment?

Explanation

• When children with celiac disease ingest gluten, changes occur in the intestinal mucosa that prevent absorption of foods across the intestinal mucosa.

• Children with celiac disease may develop an inability to absorb fat. As a result, they develop steatorrhea (bulky, foul-smelling, fatty stools), deficiency of fat-soluble vitamins, malnutrition, and a distended abdomen from bulky stools.

Incorrect options:

• Regurgitation is found in children with GERD.

• Pyloric stenosis causes projectile vomiting.

• Currant jelly stool is seen in intussusception.

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