Top
20
Doctor insights on: Celiac Disease

Share
Dr. John Chiu
619 doctors shared insights

Celiac Disease (Overview)

An immune reaction to eating gluten, a protein found in wheat, barley, and rye.


1

1
What sort of disease is celiac disease?

What sort of disease is celiac disease?

Celiac Disease: Celiac disease is an auto-immune IgA antibody problem where your own antibodies are attacking the enzymes that break down the products of gluten. It is not a food allergy! that is why mayo clinic labs check IgA levels before even running the other tissue specific tests. ...Read more

See 1 more doctor answer
Dr. John Chiu
619 doctors shared insights

Celiac Disease (Overview)

An immune reaction to eating gluten, a protein found in wheat, barley, and rye.


2

2
What is the official definition of celiac disease and what is the range of symptoms?

What is the official definition of celiac disease and what is the range of symptoms?

Celiac disease: Also called gluten intolerance or gluten-sensitive enteropathy is a disease in which the villi of the small intertines are damaged by an abnormal immune response to a grain protein (gluten) present in wheat, rye, barley and oats. Damage to villi results in malabsorbtion of nutrients and result in belly pain, vomiting, constipation, diarrhea, wgt. Loss, poor growth, dermatitis herpetiformis & more. ...Read more

3

3
How does celiac disease cause nutrient absorption?

How does celiac disease cause nutrient absorption?

Harms sm. intestine: Celiac disease leads to inflammation and damage of the lining of the small intestine, which causes decreased absorption of nutrients, vitamins, iron, etc... The intestinal lining loses its microscopic "villi", which are tiny protrusions that maximize the absorptive surface area needed to absorb nutrients. A patient gets diarrhea, anemia, lactose intolerance, tummy aches, irritable bowels, etc... ...Read more

See 1 more doctor answer
4

4
How can you get tested for celiac disease?

How can you get tested for celiac disease?

Small bowel biopsy: Celiac disease is suspected when individuals have signs or symptoms of malabsorption or malnutrition. Small intestinal biopsy is considered the most accurate test for celiac disease. Small intestinal biopsies can be obtained by performing an esophagogastroduodenoscopy (egd). ...Read more

5

5
Is fatigue a symptom of celiac disease?

Is fatigue a symptom of celiac disease?

Fatigue & celiac.: The quick answer is yes, fatigue can be caused by celiac disease as the malabsorption of carbohydrates causes dehydration and reduces the intake of the body's main energy substrate. But many other things can cause fatigue, too. ...Read more

See 1 more doctor answer
6

6
Celiac disease. How do you get diganosed?

Celiac disease. How do you get diganosed?

Blood tests: In symptomatic patients with a suspicion of celiac disease, i order a tissue transglutaminase blood test. It has a very good sensitivity and specificity. ...Read more

See 1 more doctor answer
7

7
What are the symptoms of celiac disease?

What are the symptoms of celiac disease?

Usually diarrhea: Celiac disease, among its many manifestations, may result in diarrhea. Simplistically, exposure of intestine to gluten causes inflammation of affected gut lining, with a decrease in absorptive surface of that gut, & resulting malabsorption of food. The best & most enduring fix is to avoid eating gluten. Serum tissue transglutaminase antibody can help determine how successfully gluten is avoided. ...Read more

8

8
How do symptoms of celiac disease differ from age of onset?

How do symptoms of celiac disease differ from age of onset?

Varied: The symptoms of celiac disease are quite varied. However, failure to thrive (failure to gain weight) is a common symptom in child who are diagnoses with celiac disease. Other symptoms of and pain, diarrhea and nutrient deficiencies can be seen in different age groups. ...Read more

See 1 more doctor answer
9

9
How can you treat gluten intolerance and celiac disease?

How can you treat gluten intolerance and celiac disease?

Avoidance: Currently, the only treatment for celiac disease and gluten issues is to eliminate gluten containing foods (wheat and other grains) from the diet completely and indefinitely. ...Read more

See 1 more doctor answer
10

10
Is it possible for itching to be a sign of celiac disease?

Is it possible for itching to be a sign of celiac disease?

Yes: There's an itchy skin condition called dermatitis herpetiformis that occurs in about 1/4 of the people with celiac disease. Of all the people with dermatitis herpetiformis, about 85% have celiac -- and it may be the only symptom of celiac they have. When gluten is removed from the diet, the skin problem often goes away. ...Read more

11

11
What types of foods contain gluten?

What types of foods contain gluten?

Wheat, rye, barley: Wheat, rye, barley, and conventional oats contain gluten. Some hidden sources of gluten may be pizza, dressings, seasoning, spices, muffins, baked goods, gravy, pasta, bread and bread crumbs, waffles, semolina, soups and some potato chips. ...Read more

12

12
Would CT scan of chest abdomen and pelvis with contrast help diagnosis of celiac disease?

Would CT scan of chest abdomen and pelvis with contrast help diagnosis of celiac disease?

Doubt it: If any irregularities in the intestinal wall were found, it would be just that, irregularities. Their presence would suggest a problem but the overlap with other possible conditions would make the information inconclusive. A normal study would also not rule out the condition. ...Read more

14

14
If I have celiac disease, does that mean my baby will, too?

If I have celiac disease, does that mean my baby will, too?

No: Celiac disease does run in some families, but that does not mean every member of the family will get the disease. If a parent has celiac disease, the baby's doctor can follow the baby's growth at the regular check-ups, and may do occasional blood tests to look for celiac disease. ...Read more

See 9 more doctor answers
15

15
What is the best way to test for celiac disease?

What is the best way to test for celiac disease?

Blood + biopsy: There are good blood tests to assess for the possibility of celiac disease, but the gold standard is a biopsy. ...Read more

See 1 more doctor answer
16

16
What are the tests for celiac disease? Blood?

What are the tests for celiac disease? Blood?

Anti-tTG first: In suspected celiac disease / gluten enteropathy / sprue, the cheap screening test is the anti-ttg (tissue transglutiminase); followup may include the more costly IgA anti-endomysial antibdies (ema), biopsy of the gut, and/or a trial of a gluten-free diet. No one knows how common celiac disease really is; what matters is whether gluten elimination ultimately helps you. ...Read more

17

17
How do you know if you have celiac disease? What are obvious signs?

How do you know if you have celiac disease? What are obvious signs?

No absolute signs: There are some symptoms of celiac that can suggest it enough to start a work-up. The most common ones that i see are: bloating, diarrhea, weight loss, anemia. ...Read more

18

18
Can anyone tell me what causes celiac disease to begin in the first place?

Can anyone tell me what causes celiac disease to begin in the first place?

Genetics: If you are born with genetic mutations, hla types dq2 or dq8, this predisposes you to develop celiac disease. Then it is usually an environmental trigger, like abnormal gut microbes or infection that triggers it from being a genetic predisposition into an active condition. The condition starts with damage the the microvilli that line the gut and eventually ends with total villous atrophy. ...Read more

19

19
What does it mean to have celiac disease? My aunt wants to know.

What does it mean to have celiac disease? My aunt wants to know.

Gluten sensitivity: Celiac disease is an autoimmune disease where the body reacts to proteins found in various grain products - principally in barley, rye, wheat, spelt. In children we can see failure to thrive, rashes and abdominal complaints. Recognition in adults has been increasing and can include various abdominal/gi complaints in addition to anemia, weakness and many other issues. ...Read more

See 1 more doctor answer
20

20
How can I treat celiac disease?

How can I treat celiac disease?

Gluten Free diet: The treatment for celiac disease is to avoid all foods containing gluten. Gluten is most commonly found in barley, wheat and rye grains. You must be a very careful label reader and check for these items in the ingredients list. There are many more gluten free options available in the supermarkets now. If you have been diagnosed with celiac this is a lifelong diet plan. ...Read more