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Doctor insights on: Celiac Disease

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Dr. John Chiu
632 Doctors shared insights

Celiac Disease (Overview)

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


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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

Dr. John Chiu
632 Doctors shared insights

Celiac Disease (Overview)

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


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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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Any good commercially available halloween treats for child with celiac disease?

Any good commercially available halloween treats for child with celiac disease?

Many brands: A good site with brand name manufactures lists is http://celiacdisease. About. Com/od/glutenfreefoodshopping/a/gfcandies. Htm. ...Read more

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What happens to someone who doesn't get their celiac disease treated?

Many complications: Celiac disease leads to destruction of the lining of the small intestine. Therefore, it is associated with abdominal pain, bloating diarrhea, some times to the point of malnutrition. "irritable bowel syndrome" is sometimes actually un-diagnosedceliac disease. Rashes that look like herpes "dermatitis herpetiformis" may occur. Sometimes joint and tendon inflammation. ...Read more

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What are the treatment options for celiac disease?

What are the treatment options for celiac disease?

Gluten-free diet: The treatment for celiac disease is a gluten-free diet. A person's symptoms should go away and stay away if he remains gluten-free. Gluten-free grains include corn, rice, millet, quinoa, sorghum, buckwheat, etc... ...Read more

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What are good pharmacological treatments for celiac disease?

None: There are no medications to treat celiac. The only treatment is avoidance of gluten. ...Read more

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Is there a cure for celiac disease?

Is there a cure for celiac disease?

NO: Celiac disease is a disease where the presence of gluten - a product of wheat causes inflammation in the gut. Although there is no cure for celiac disease eating gluten free foods, which in this day and age are readily found in most supermarkets, aleviates the symptoms. ...Read more

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Does it happen that people get rid of celiac disease after just 4 months gluten free?

Possible: It is entirely possible as long as you continue to stay off of gluten. ...Read more

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I have celiac disease and had my thyroid removed (benign goiter). Do I need to go for genetic testing before getting pregnant?

I have celiac disease and had my thyroid removed (benign goiter). Do I need to go for genetic testing before getting pregnant?

Counselling helps: I think anyone who has concerns about planing a pregnancy should consider consulting a geneticist. Every pregnancy has about 4% risk of an unexpected event, that includes prematurity, cleft lip, & others. Within your family tree there may be issues on either side that deserve discussion. With that data in hand you can approach the process with less worry on most occasions. See www. Nsgc. Org for list. ...Read more

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I did 23andme screening. It says I have a reduced chrons disease risk but 5x risk for celiac disease. I'm diagnosed with chrons. Can these be confused?

I did 23andme screening. It says I have a reduced chrons disease risk but 5x risk for celiac disease. I'm diagnosed with chrons. Can these be confused?

No, but imperfect: 23andme analyzes about 1/3000 of your genes. The resultant information is very limited. Also, environmental factors play a larger role than genetic factors. Your results are evidence of the limitations. Reduced risk doesn't mean no risk. But I advise a thorough check for celiac disease. Whether you have celiac or not, you may have significant reduction in crohn's symptoms with avoidance of gluten! ...Read more

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What can I do to prevent celiac disease?

What can I do to prevent celiac disease?

Depends: If you do not have celiac disease genes, you will never become celiac. If you do, then avoid gluten and possibly casein. ...Read more

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How important is avoiding gluten for celiac disease?

How important is avoiding gluten for celiac disease?

Critical: The treatment of celiac disease is the complete avoidance of gluten. Nothing else works. Usually nothing more is needed. In severe cases malnourishment may require an elemental diet to provide sufficient calories until the intestines heal. ...Read more

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What is celiac disease?

What is celiac disease?

Celiac Disease: Celiac disease (gluten-sensitive enteropathy) has three of the following features: villous atrophy; malabsorption, weight loss, or other signs of nutrient or vitamin deficiency; and resolution of the mucosal lesions and symptoms after withdrawal of gluten-containing foods (usually within a few weeks to months). Diarrhea, weight loss, and antibodies against gliadin ...Read more

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What is celiac disease.?

What is celiac disease.?

Celiac disease: Celiac disease is atrophy of the intestinal villi caused by an immune response to gluten and gliadin. ...Read more

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Is celiac disease serious?

Is celiac disease serious?

Can be: Think of the digestive tract as an assembly line where food comes in, is reduced to its parts, then moved into the body where the parts can be re-assembled into usable material. In celiac, the protein allergy injures the gut, reducing the ability to move any parts into the body. If the injury is bad enough you waste away and remain sickly. By avoiding the gluten, the body can heal & the system work ...Read more

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How common is celiac disease?

Somewhat: Numbers range from 1 in 100 to 1 in 1000. ...Read more

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How common is celiac disease?

How common is celiac disease?

Pretty common: Gluten-sensitive enteropathy (celiac disease) is much less common than gluten intolerance. Like lactose intolerance, caffeine intolerance, sorbitol intolerance (with regard to needing to restrict each respective substance), people who are gluten intolerant do better to avoid gluten-containing foods. Only about 10% of the population are gluten intolerant--an inflammatory condition of small bowel. ...Read more