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A 31-year-old member asked:

What is refractory celiac disease?

4 doctor answers11 doctors weighed in
Dr. David Miller
Dr. David Milleranswered
Family Medicine 11 years experience
Hard to treat: "refractory" is a fancy medical term for something that is hard to treat. In other words, the disease is not getting any better using standard treatment. In this case, it's talking about celiac disease, or gluten intolerance.
Dr. Amy Deeken
Pathology 21 years experience
Symptoms return: Refractory celiac disease is when symptoms of celiac disease return and are persistent even on a gluten free diet. Patients should be evaluated by their gastroenterologist to make sure the symptoms are not related to unknown gluten exposure from "hidden gluten" or the early signs of intestinal lymphoma.
Dr. Robert Kwok
Pediatrics 34 years experience
Therapy not working: The treatment for celiac disease is a gluten-free diet. Refractory celiac disease is when a patient still has symptoms after being on a strictly gluten-free diet for one year. The patient may or may not have initially improved on the diet.
Dr. Jack Mutnick
Allergy and Immunology 18 years experience
Celiac Disease: It means that the patient is still experiencing symptoms and side effects of the celiac disease despite disease modifying changes in diet (avoidance of gluten), lifestyle and possibly medication.

Similar questions

A 31-year-old member asked:

What are the treatment options for refractory celiac disease?

2 doctor answers8 doctors weighed in
Dr. Mark Mattar
Gastroenterology 18 years experience
Compliance is key: The first step is to make sure you are truly following a gluten-free diet. Gluten can hide in substances like beer and some pills. Consult with a dietician to make sure. If this is still a problem, consult with a gastroenterologist to perform other tests to make sure there's no other inflammatory process going on or other causes. There's a medicine called "budesonide" they may try.
A 40-year-old member asked:

What can I do if I have celiac disease ?

4 doctor answers12 doctors weighed in
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
A few things...: See your doctor: -Might need to meet with a nutritionist to learn where gluten is found (or hidden) in food. -Bone density testing is recommended. -Nutrient levels like iron, B12 and Vitamin D may be checked. -Certain vaccines are indicated compared to normal population (specifically pneumococcal). -A GI doctor should discuss need for endoscopy as well.

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Last updated Apr 16, 2018

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