Strict gluten-free. Celiac disease (cd) is an immune-mediated enteropathy that inflames &destroys small intestinal lining. It is triggered in genetically-determined persons by dietary exposure to gluten (protein found in wheat, barley, rye). Distinguish cd from gluten sensitivity where patients manifest GI upset but no inflammation when eating gluten in food. Only current cd treatment is ABSOLUTE gluten avoidance.
No magic pills yet. Every time a person with CD consumes gluten.Their body forms new antibodies that mistakenly attacks their gut tissue thinking it is an invader.The result is tissue injury.If you stop consuming gluten, the existing antibodies fade over time and injury heals.It is not an allergy where exclusion immediately ends the problem.
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. Read more...