Introduction:
Celiac disease, a common autoimmune condition, affects approximately 1% of the population. Celiac disease affects the small intestine (the Duodenum). It is most common in those carriers of celiac genes who eat gluten-containing foods. Gluten is a protein found in wheat, barley and rye, and gluten can cause irritation in the stomach and make it challenging to digest nutrients. Celiac disease can be treated by avoiding gluten from all foods (strictly gluten-free).
Non-Celiac gluten sensitivity, also known as Non-Celiac Wheat Intolerance, is another problem. It occurs when people have digestive issues after eating gluten foods, and they have not had any tissue or blood tests to indicate a celiac disorder. They don’t have the classic wheat allergy symptoms (i.e. They do not have skin reactions or difficulty breathing. Non-Celiac Gluten Sensitivity can be helped by avoiding gluten (or any wheat) containing food.
What is Celiac Disease?
To have a better knowledge & What is Celiac Disease exactly, The Celiac Disease Center of the University of Chicago estimates that celiac affects approximately 1 in 133 Americans. This condition is an inherited autoimmune disorder that affects the small intestine’s digestive process. This disease occurs when a person with this condition eats gluten-containing foods, and the immune system attacks gluten and damages the healthy cells in the small intestine.
Celiac disease-related autoimmune activity can cause a slowing of the small intestine’s ability to absorb nutrients from food. It can lead to many symptoms such as chronic fatigue, brain fog and bone or joint pain. It can also cause tingling sensations in the hands and feet. Celiac disease-related autoimmune activity can cause damage to the digestive system. A gluten-free celiac disease diet for life is the best and only effective treatment for celiac disease.
Celiac Disease Symptoms:
Many Celiac Disease Symptoms are directly linked to an inability to digest foods properly. These are:
• Diarrhoea
• Weight loss
• Bloating and gas
• Abdominal pains
• Constipation
• Vomiting
You may not associate these Celiac Disease Symptoms because they are not directly related. Other symptoms of the celiac illness include:
• Itchy skin
• Fatigue and headaches
• Joint and bone pain
• Acid reflux and heartburn
• Mouth ulcers
• Seizures
Celiac disease can be a severe condition, and celiac disease is a painful condition. The best way to manage it is to eliminate gluten from your celiac disease diet.
Celiac Disease Diagnosis:
Adults with celiac disease are diagnosed using a combination of blood tests, clinical history and an endoscopy, which includes an intestinal biopsy. Patients who show signs or symptoms of celiac should consult their doctor for a blood test. The body can detect specific antibodies in blood as a reaction against gluten.
Tissue Transglutaminase (tTG), IgA, IgG, Deamidated Gliadin Peptide (DGP), IgA, IgG and anti-Endomysial antibodies IgA are some of the most common blood tests.
Suppose this bloodwork is abnormal in someone who has symptoms of celiac disease. In that case, the next step is to see a gastroenterologist (GI doctor) have an esophagogastroduodenoscopy (EGD), also called an upper endoscopy, to check the small intestine with a camera scope and take biopsies of the small intestine to confirm the celiac disease diagnosis. The doctor will usually perform this test with medication to provide comfort during the endoscopy.
While testing for celiac, it is crucial to eat gluten every day, and this is equivalent to 2 slices of wheat bread per day for 2-6 months. A false negative could be returned if a gluten-free diet is started before the diagnosis of celiac disease. The celiac disease testing may not reveal celiac, but someone could have it.
Non-Celiac Gluten Sensitivity is not diagnosed with a test. Instead, a doctor will look at the symptoms of celiac disease and negative celiac disease testing to determine if there has been any improvement.
Treatment for celiac disease:
After a biopsy confirms that the patient has celiac disease, the patient will be instructed to start a gluten-free celiac disease diet. It can be challenging at first, as many foods contain gluten. Many newly diagnosed celiacs find that they can get help and guidance from skilled dietitians and experienced celiac patients.
However, it is possible to make great tasting food with the help of a skilled dietitian.
Celiac disease can be treated by following a gluten-free celiac disease diet, and this means that you should avoid gluten and all other foods. This celiac disease diet will most likely stop the symptoms of celiac disease, repair any damage to the intestinal system, and prevent future ones. Within weeks, you will notice a difference.
Research has shown that although most children heal their intestinal linings completely, many adults may experience symptoms and relapse.
A gluten-free celiac disease diet is mandatory for all life. Regardless of how small, any amount of gluten can cause damage to the small intestine. Even people without visible symptoms are genuine for everyone with the disease. After a person stops eating gluten, the antibody levels can take up to a year to return to normal.
Based on the rate of decline in antibody levels, the doctor will determine if intestinal damage has improved satisfactorily. Some problems, such as tooth discolouration and delayed growth, can not be corrected depending on age.
Gluten-free means avoiding all wheat products (including triticale, Kamut, and spelt). Despite these restrictions, celiac patients can still eat a balanced celiac disease diet that includes gluten-free bread and pasta. Instead of wheat flour, you can substitute potato, rice, soybean, or bean flour.
People with celiac disease can eat plain meat, fish, vegetables, fruits, and rice that do not contain gluten. A gluten-free diet can change a person’s life. Celiac disease patients must be careful what they eat at lunch, dinner, and night. Celiac disease can make eating out difficult.
The patient must be careful to look at the menu and ask the waiter or chef questions about hidden gluten sources. It becomes second nature to identify potential gluten sources, and people can recognize safe foods and unsafe foods with practice.
A dietitian is a health professional who specializes in nutrition and food. They can help people adjust to their new diet. Support groups can be beneficial for people who have just been diagnosed and their families to help them adapt to a new way of life. The diet will become second nature over time. If the diet proves to be difficult after several months or you feel still sick, consult your doctor and your dietitian.
You may be accidentally eating gluten and need to seek out an outside opinion to determine which foods may be preventing your recovery.
Wheat allergy:
An estimated 0.2%-1%Trusted Source percentage of children have a wheat allergy. It could be due to digestive problems caused by gluten, and adults can resolve these issues as 65%.
Wheat allergy sufferers may still eat other gluten-containing foods, such as barley and rye, but they will not experience an adverse reaction.
Research also shows that some people with schizophrenia may benefit from a gluten-free diet. Other researchTrusted Source offers possible benefits for autism and a condition called gluten ataxia.
What is a Wheat Allergy, and how can it be treated?
Gluten is only one of many proteins found in wheat, and a wheat allergy refers to an immune reaction to any one of these proteins. A specific group of white blood cells, called B-cells, begin to make immunoglobulin E antibodies that attack wheat molecules when someone with a wheat allergy eats it.
Other issues within the body also send chemical messages to alert the rest of the body about the threat. This reaction can occur in a matter of minutes to hours. It can be accompanied by symptoms, including nausea, vomiting, stomach pain, swelling, tongue or lips swelling, difficulty breathing and anaphylaxis.
An allergic person to wheat must stay away from all forms of wheat, and it is the only treatment for celiac disease & a wheat allergy. However, they may be able to eat gluten from other sources like barley and rye. You can have a wheat allergy and celiac disease.
Additional testing may be necessary if you are diagnosed with a wheat allergy. Wheat allergy is one of the eight most common food allergies. While children may be able to get rid of it, adults with wheat allergies are usually permanent.
Celiac Disease vs gluten intolerance:
Similar symptoms, different severity
While two people may experience the same symptoms following eating gluten (bloating, stomach pain and diarrhoea), they can also have different GI diseases. These include Celiac disease, gluten intolerance (NCGS), or non-celiac Gluten Sensitivity (NCGS).
“Celiac disease can be described as an autoimmune disorder. Gluten intolerance is a sensitivity.” Bethany Doerfler (HT0_ Northwestern Memorial Hospital Clinical dietitian), MS, RD and LDN, states that gluten intolerance can be described as an autoimmune disorder. “NCGS doesn’t usually have an adverse effect on your overall health in the same way that celiac disease does.”
NCGS and celiac disease can be treated by not eating gluten. Celiac disease patients must abstain from gluten for the rest of their lives. NCGS sufferers can improve symptoms by reducing gluten intake and carbohydrate intake.
Doerfler says, “Removing gluten in your diet if there is no celiac disease or gluten intolerance will not give you any health advancements.”
Gluten-Free:
It’s impossible to walk into a restaurant or grocery store without seeing the term “gluten-free.” In 2018, the global market for gluten-free products was valued at $17.5 million. It hasn’t been proven that gluten-free diets can help you lose weight, and many grains that have gluten are fortified with vitamins, iron, and other nutrients.
Doerfler says that gluten-free products do not have to be fortified. People living with Celiac disease must ensure adequate vitamin D, vitamin A12, vitamin magnesium, zinc and iron in their diets.
Gluten-free diets can affect your gut microbiome. It helps you digest food and destroys harmful bacteria, and it also helps to control your immune system. Gluten-free products may contain more refined sugars and carbohydrates than gluten-free products, such as tapioca or potato starch.
Doerfler says, “That’s why only we recommend gluten-free diet therapy when really necessary.”
Gluten Intolerance:
Gluten intolerance is also known as non-celiac gluten sensitivity and has similar symptoms to celiac disorder. Both conditions can cause a body to react negatively to gluten, and however, they do not have the same duration or consequences. Gluten can cause an immune system attack on the body’s tissue.
Gluten intolerance is when a person’s stomach can become bloated and irritable. Gluten intolerance, unlike celiac disease and other celiac diseases, doesn’t often cause long-term damage to the body.
Symptoms Of Gluten Intolerance:
Gluten intolerance can manifest in many ways, but most commonly, it is gastrointestinal symptoms. Gluten intolerance is when you experience symptoms after eating gluten-containing foods. These are some of the most common signs that you may have gluten intolerance.
• Diarrhoea
• Fatigue
• Bloating
• Stomach pain
• Nausea
• Gas
• Constipation
Other signs, such as celiac disease or gluten intolerance, may not be expected. These symptoms are:
• More severe stomach pain (not just upset stomach). This kind of pain is unusual and may need medical attention.
• Headache
• Muscle and joint pain
• Confusion
There are subtle differences in the symptoms of celiac and gluten intolerance. Mouth ulcers, seizures and itchy skin are all possible signs, but they are unlikely to be caused by gluten intolerance.
Gluten intolerance sufferers may be able to find relief by taking digestive enzymes or reducing their intake of gluten.
Gluten-Free Living:
Effectively treating celiac disease is possible only by eating a gluten-free diet, and it is not as difficult as it seems. As long as you know the basics of what foods and beverages you can and can’t eat, you won’t have any problems maintaining a gluten-free diet.
It can be challenging to diagnose celiac disease if you eat a gluten-free diet.
Although you should always seek medical advice from your doctor, this section can help you make lifestyle choices to live a happier and healthier life.
Gluten-free diet:
After a celiac disease diagnosis of celiac disease, patients are directed to follow a gluten-free diet. It can be challenging at first because many foods contain gluten. Many newly diagnosed with celiac disease will find support and guidance from others and a skilled dietitian. However, it is possible to make great food without gluten.
Celiac disease can be treated by following a gluten-free diet. It means that you should avoid gluten and all other foods. This diet will most likely stop the symptoms, repair any intestinal damage and prevent future damage. The diet is easy to follow, and results are visible within weeks. Small intestines usually heal in 6 to 18 months. Villi remain intact and usually work. For older adults, it may take up to two years. If left untreated, celiac illness can lead to:
• Vitamin and mineral deficiencies
• Osteoporosis
• Anaemia
• Increased chance of miscarriage or infertility
• Lymphoma
• Adenocarcinomas in the intestinal tract
• Depression
A gluten-free diet should be a lifelong requirement. Any gluten-containing food can cause damage to the intestinal lining, regardless of how small. It is valid for everyone with celiac disease, even people without visible symptoms. After a person has celiac disease, it can take several weeks for antibodies (which indicate intestinal damage) to return to normal. Some problems, such as tooth discolouration and delayed growth, can not be corrected depending on age.
Gluten-free means that you avoid all wheat products (including triticale, spelt, and Kamut), and you should also avoid rye and barley. Celiac patients can still eat a balanced diet that provides gluten-free bread and pasta despite these restrictions. Instead of wheat flour, you can substitute potato, rice, soybean, or bean flour.
Gluten-free foods include unprocessed meats, fish, vegetables, fruits, and rice. People with celiac disease can eat these foods, and a gluten-free diet can change a person’s life. Celiac disease patients must be careful what they eat at lunch, dinner, and night, and celiac disease can make eating out difficult.
The patient must be cautious to looking at the menu and ask the waiter or chef questions about hidden gluten sources. It becomes second nature to identify potential gluten sources, and people can recognize safe foods and unsafe foods with practice.
A dietitian is a professional in nutrition and food, and they can help people understand their new diet. A dietitian who is trained in celiac disease is essential. One can be found at www.EatRight.org. Support groups can be beneficial for people newly diagnosed and their families adjusting to a new way of life. Talk to your doctor if you continue to have difficulty eating or are experiencing symptoms. You may be accidentally eating gluten and need outside help to find out what foods may keep your body from recovering its health.
Conclusion:
You should immediately switch to a gluten-free diet if you have celiac disease or a wheat allergy. Gluten intolerance and gluten sensitivity can be treated with regular gluten intake, provided your symptoms are manageable. However, it may not be worth the side effects.
No matter where you are on the spectrum, you will be happy to know that more gluten-free food is available than ever before. It doesn’t mean you have to stop eating your favourite foods, and you can switch to gluten-free alternatives.
