The Delaware Gazette

Celiac disease, gluten sensitivity are no longer rare

Many more restau­rants are offer­ing gluten free menu items because celiac (pro­nounced ‘silly-yak’) dis­ease was once con­sid­ered rare — what once affected one in 10,000 peo­ple now affects one in 144 peo­ple. On aver­age, 10 per­cent of the pop­u­la­tion deals with this autoim­mune dis­ease and 95 per­cent of those with the dis­ease do not know it yet.

Celiac dis­ease is con­sid­ered to be the most under­diag­nosed com­mon dis­ease today. New research has revealed that this dis­ease can have a broad range of symp­toms that can vary with the age of the patient, dura­tion and extent of the dis­ease, and the pres­ence of other conditions.

The usual symp­toms include bloat­ing, chronic diar­rhea, weight changes and ane­mia that becomes worse as a per­son ages. Abdom­i­nal pain, gas, nau­sea, reflux, mouth ulcers, chronic fatigue, bone and joint pain are other com­mon symp­toms. Some patients may only have one or two symp­toms, such as diar­rhea or chronic fatigue. How­ever, many patients may be with­out symp­toms or have entirely dif­fer­ent symptoms.

It can occur at any age and often is trig­gered after a viral infec­tion, surgery, preg­nancy or severe stress. It runs in fam­i­lies and if one per­son deals with it; sus­pect that another rel­a­tive may also have it. A large per­cent­age of patients have seen many doc­tors and have been mis­di­ag­nosed with irri­ta­ble bowel syn­drome or a whole host of other prob­lems except Celiac.

There are more than 80 autoim­mune dis­eases. An autoim­mune dis­ease occurs when someone’s body attacks its own cells, tis­sues and/or organs caus­ing dam­age. Patients with other autoim­mune dis­or­ders or syn­dromes are at a higher risk to have celiac dis­ease or to develop it in the future.

How­ever, with a greater aware­ness of the var­i­ous symp­toms of celiac dis­ease, more research and new blood screen­ing tests (tis­sue trans­g­lu­t­a­m­i­nase and endomysial anti­body tests) more peo­ple are finally being diag­nosed. The most reli­able for diag­no­sis is the intesti­nal biopsy. It is very impor­tant to get the blood tests and biopsy done BEFORE start­ing on a gluten-free diet.

Many peo­ple do not have celiac dis­ease but may be sen­si­tive to gluten and the treat­ment is the same. For more infor­ma­tion on celiac dis­ease and the gluten-free diet, visit gluten.net, celiac.org, celiac.ca, celiac.com, celiaccenter.org or glutenfreediet.ca.

The best and only treat­ment for this ail­ment is a gluten-free diet. A per­son with this dis­ease can­not process the gluten pro­teins found in grains like wheat, rye, bar­ley and farina. The villi in the small intes­tine absorb impor­tant nutri­ents. The small intes­tine is an inte­gral part of the body’s diges­tion sys­tem, but for some­one with celiac dis­ease, it can­not func­tion prop­erly when gluten is ingested. Grad­u­ally, gluten dam­ages the villi to the point that they are unable to absorb required nutri­ents and poor health results.

Celiac and gluten sen­si­tiv­ity is no longer a rare dis­ease. The aware­ness and avoid­ance of gluten prod­ucts has helped many dis­turbed tum­mies to set­tle down to enjoy­ing life again. It is not easy in a processed food life-style but it can be done.

May is National Celiac Month. Becom­ing aware of poten­tial prob­lems can help those who must live a gluten free lifestyle. Gluten is in many foods, as well as, health and beauty prod­ucts. Ask ques­tions, bet­ter safe than sorry.

Bob­bie Ran­dall is a cer­ti­fied dia­betes edu­ca­tor and a reg­is­tered, licensed dietit­ian. She super­vises a dia­betes self-management train­ing pro­gram at Aultman-Orrville Hos­pi­tal in Orrville, Ohio. Con­tact her at bobbie.randall@aultmanorrville.org or 330–684-4776.

Bobbie Randall Posted by on May 23 2012. You can follow any responses to this entry through the RSS Feed. Comments can be made below.

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