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.
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 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.
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.
Avoidance. Avoidance of all things gluten is the only effective treatment.
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.
Probably the same. The way these terms are used they are probably the same thing.
Gluten intolerance. Celiac disease or sprue is an autoimmune disease and gluten intolerance is not even though the literature is sometimes confusing.
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.
Is there more gluten intolerance and celiac disease today than in the past, or are we simply more aware of these conditions? If more common now, why?
More aware. As more tests are ordered and see more positive results and people more health awareness now.
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.
NO. An intolerance is different from an autoimmune disease. Celiac is an autoimmune disease where antibodies attack the lining of the intestines. In both cases, you will stay away from wheat gluten, but they are not the same process. You can be tested for celiac by a blood test and an endoscopic biopsy.
Celiac is autoimmune. An intolerance is different from an autoimmune disease. Celiac is an autoimmune disease where antibodies attack the lining of the intestines. In both cases, you will stay away from wheat gluten, but they are not the same process. You can be tested for celiac by a blood test and an endoscopic biopsy.