June 2026
Nutritional Management of Celiac Disease and Chronic Gastritis – A Clinical Case Study
Dietitian Suchana · Reviewed by Clinical Nutrition Team
What changedAfter 10–12 Weeks
- Reduced acidity and bloating
- Improved digestion and stool pattern
- Better hemoglobin levels
- Increased energy levels
Patient Profile
- Name
- Pratima Dutta
- Age / Gender
- 49 years / Female
- Occupation
- Homemaker
- Diagnosis
- Celiac Disease and Chronic Gastritis
Medical Background
Mrs. Pratima Dutta, a 49-year-old homemaker, was referred for nutrition counseling after being diagnosed with Celiac Disease and Chronic Gastritis. She reported acidity, upper abdominal burning, bloating, early fullness, occasional loose stools, and fatigue. Ongoing intestinal damage and gastric irritation had led to nutrient deficiencies and poor digestive tolerance, affecting her overall health and quality of life.
Key Challenges
- Celiac Disease requiring strict gluten-free diet
- Chronic Gastritis with acidity and nausea
- Iron deficiency anemia
- Vitamin B12 and Vitamin D deficiencies
- Bloating, loose stools, and fatigue
She was referred to Dytoclick for structured nutrition counseling and therapeutic dietary management.
Clinical Data
Clinical Findings
| Parameter | Finding | Interpretation |
|---|---|---|
| Anti-tTG IgA | Positive | Celiac Disease Confirmed |
| Endoscopy | Villous atrophy | Intestinal Damage Present |
| Hemoglobin | 10.5 g/dL | Low |
| Vitamin B12 | Low | Deficient |
| Vitamin D | Deficient | Deficient |
| Iron | Low | Iron Deficiency Anemia |
| Gastritis | Chronic | Gastric Inflammation Present |
Progress After 10–12 Weeks
| Parameter | After 10–12 Weeks | Interpretation |
|---|---|---|
| Acidity & Bloating | Reduced | Improved |
| Digestion & Stool Pattern | Improved | Improved |
| Hemoglobin | Better | Improved |
| Energy Levels | Increased | Improved |
| Gluten-Free Diet Adherence | Improved | Improved |
Nutritional Assessment
- Energy requirement: 1,700–1,900 kcal/day
- Protein requirement: 60–75 g/day
- Strict gluten-free diet required
- Small, frequent meals advised
- Low-spice, gastritis-friendly foods
Diet Protocol
- Eliminated gluten-containing foods
- Included rice, millet, and other gluten-free grains
- Recommended soft, easy-to-digest meals
- Added iron-rich and protein-rich foods
- Supported correction of Vitamin B12, Vitamin D, and iron deficiencies
- Restricted spicy, fried, and irritating foods
Dietary Objectives
Manage Celiac Disease
Implement a strict, lifelong gluten-free diet to prevent intestinal damage, reduce inflammation, and restore villous integrity.
Treat Chronic Gastritis
Adopt a low-spice, gastritis-friendly meal pattern with small frequent meals to reduce acidity, burning, and upper abdominal discomfort.
Correct nutrient deficiencies
Address iron deficiency anemia and low Vitamin B12 and Vitamin D levels through targeted dietary inclusion and supplementation.
Restore digestive tolerance
Introduce soft, easy-to-digest gluten-free foods to reduce bloating, loose stools, and fatigue while improving overall gut health.
Nutrition Intervention
Gluten-Free Nutrition Plan
Designed a 1,700–1,900 kcal/day strict gluten-free diet incorporating rice, millet, and other safe grains with soft, easily digestible meal options.
Gastritis Management
Structured small, frequent meals using low-spice, gastritis-friendly foods to minimize acidity, bloating, and upper abdominal irritation.
Targeted Micronutrient Correction
Incorporated iron-rich and protein-rich foods to correct anemia, along with dietary support for Vitamin B12 and Vitamin D deficiency correction.
Symptom Monitoring and Dietary Adjustment
Provided ongoing monitoring of symptoms and food tolerance with real-time dietary adjustments and practical, easy-to-follow meal options.
How Dytoclick Helped
- Personalized Plans
- Creating personalized gluten-free meal plans
- Nutrient Tracking
- Tracking calorie, protein, and micronutrient intake
- Symptom Monitoring
- Monitoring symptoms and food tolerance
- Real-time Adjustments
- Adjusting diets based on recovery progress
- Patient Guidance
- Providing practical and easy-to-follow meal options
Clinical Outcomes (After 10–12 Weeks)
- Reduced acidity and bloating
- Improved digestion and stool pattern
- Better hemoglobin levels
- Increased energy levels
- Improved adherence to a gluten-free diet
Final Thoughts
This case highlights how structured nutrition therapy can significantly improve outcomes in patients with Celiac Disease and Chronic Gastritis. DytoClick supported the dietitian through personalized meal planning, nutrient tracking, symptom monitoring, and real-time dietary adjustments, helping improve nutritional status and patient quality of life.