Celiac disease is a digestive disease in which the affected person cannot tolerate gluten. Gluten is a protein that is found in foods like wheat, rye and barley.
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What is Celiac Disease? Dr. Sidney Smith: Celiac disease is basically intolerance to gluten which is contains within wheat and a number of other grains. This initially going back was thought to affect only kids and in it’s classic form which describe as a Malabsorption Syndrome. What it does is it causes atrophy or decay of the small bowel villi which are involve in absorption of nutrients and in class this is was toward only to affect children or present itself in childhood. Now, as we know more balance react disease and it’s manifestations obviously it can have non classical manifestations and so it something we see in a lot more and we probably or under diagnosing so certainly is not from this hot topic within gastroenterology and we’re looking forward a lot more. What are some common signs and symptoms of Celiac Disease? Dr. Sidney Smith: Common signs and symptoms include IBS type symptoms, dyspepsia, blotting, and diarrhea, conversely people can present was severe constipation, there can be neurological symptoms, miscarriages, you can have rushes so it can present itself in a number different ways including iron deficiency anemia. What causes Celiac Disease? Dr. Sidney Smith: It is probably a genetic basis for this, the exact etiology in the science is not being completely workout but we certainly no it runs in families and is more common in a Caucasian population from Northern European descends. How is Celiac Disease diagnosed and treated? Dr. Sidney Smith: Diagnosis and treatments of Celiac Disease is getting more straight forward if it’s susceptive the screening test usually involves checking blood work. If in fact that race is concern about celiac disease the goal standard for diagnosis would be the obtain samples of the small bowel which can be obtain by doing in upper endoscopy obviously done Gastroenterologist. So if in fact those test confirm the diagnosis of celiac disease the treatment involves the straight gluten free diet. Which involves avoiding all gluten products; with fish you get recovery of the bowel and hopefully resolution of your symptoms in the vast majority of cases. A gluten free diet obviously can be distinctly can be quite unlimiting diet, there are resources out there now and in fact a number of grocery store such as whole foods have very good gluten free sections that have been are blessing to patients who are trying to adhere to this diet.
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