Whats the difference between gluten intolerance and celiac disease?

Gluten intolerance. Celiac disease or sprue is an autoimmune disease and gluten intolerance is not even though the literature is sometimes confusing.

Related Questions

Can you explain the differences between celiac disease, gluten intolerance, and wheat or gluten allergy?

Intol. Isn't allergy. Celiac disease (gluten allergy) is a big allergic reaction to gluten (a protein in grains such as wheat, barley, rye, etc...). Wheat allergy includes allergy to non-gluten parts or wheat. Gluten intolerance is not an allergic reaction, but does lead to tummy symptoms such as gassiness, loose stools, etc... Gluten intolerance does not cause damage to the intestinal lining like celiac disease does.
Celiac disease. Celiac disease and gluten intolerance are the same disease, but gluten oe wheat allergy is ige mediated allergy.
Differs considerably. Consider wheat as a composite of many proteins all of could trigger a simple allergic response like hives. Intolerance is similar. The reaction clears when the protein trigger is gone. In celiac disease the body produces antibodies to various gluten proteins that mistakenly attack intestinal tissue & cause tissue damage. That tissue injury can continue as long as there are circulating antibodies.

Is there difference in terms of symptoms between celiac disease/gluten intolerance/wheat allergy?

Yes. Celiac disease is an immunologic reaction to grain (s). Wheat allergy is an ige allergy antibody reaction to wheat. Allergy to wheat can cause rash, hives, itchiness, lip or tongue swelling, wheezing, abd pain and in severe cases can be fatal.

How are gluten intolerance and celiac disease different?

Celiac is an allergy. Celiac disease is gluten allergy, a strong allergic reaction to gluten (a protein in grains such as wheat, barley, malted barley, rye, spelt, etc...). Gluten intolerance is not an allergic reaction, but an intolerance of gluten that leads to tummy symptoms such as gassiness, bloating, loose stools, etc... Gluten intolerance does not cause damage to the intestinal lining like celiac disease does.
No difference. You can split hairs and say that if you have chronic diarrhea, weight loss, malnutrition when eating foods with gluten, that you have celiac disease and any milder symptoms of bloating, recurrent abdominal pain etc that you have gluten intolerance but the solution to both is a gluten free diet.

How are gluten intolerance and celiac disease diagnosed?

Blood test or biopsy. Tests for celiac disease include blood antibody tests, looking for tissue transglutaminase antibody (ttg iga) and other antibodies. Small intestine biopsy by using an endoscope through the mouth, can accurately diagnose celiac disease.
Celiac. Typically people get blood work for specific celiac antibodies but there is a lot of debate on how accurate a negative result is. Most accurate is an endoscopy with biopsy looking specifically for the celiac antibodies or pathology.

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.

How are gluten intolerance and celiac disease typically treated?

Gluten-free diet. A gluten-free diet usually makes symptoms go away. Celiac disease (gluten allergy) occurs in a person who may have a genetic tendency to react abnormally to gluten. Something causes his immune system to over-react to gluten. Later, when he eats foods containing gluten, his immune system reacts with the intestine that is digesting the gluten, thus causing intestinal problems and abnormal digestion.
Celiac. Strict avoidance of any gluten containing products with supplementation of vitamins and minerals for whatever is lost with the elimination of gluten from the diet.

Can you tell me how common gluten intolerance and celiac disease are?

Maybe 1% (1 in 100) The exact prevalence (percentage of people in the population with the disease) of celiac disease is not certain. Some people estimate the number to be about 1%, or 1 out of every 100 people. Gluten intolerance is not true celiac disease, and the number of people with gluten intolerance is also uncertain.
1/1000. The range of listed frequency is from 1/250-1/4000 births. There is ethnic variation with a higher frequency among those of european descent.

What happens if I have gluten intolerance, do I have celiac disease?

Maybe. While oftentime the 2 terms are used interchangeably, there are many patients who do have issues due to gluten ingestion but do not have full blown celiac disease. Typically patients complain of bloating, diarrhea, rashes, itchy skin, failure to thrive after eating barley, rye, wheat and other similar products that contain gluten. Best to consult a GI doc and a good dietician.