Gluten
Intolerance & Celiac Disease
What
do pizza,
pasta, bread and cookies have in common? They are
typically made with gluten-rich grains—which
spell trouble for a growing number of people
with
gluten sensitivities.
Gluten is
the sticky protein found in wheat, barley, rye, oats,
and less common grains
such as kamut, spelt
and triticale. Wheat has the highest gluten content.
Gluten may also be in other products
like medicines, vitamins, food thickeners, and even
the glue on stamps and envelopes.
For
people with celiac disease,
a severe form of gluten intolerance, it only takes
a small amount of gluten to set off a
reaction that damages
the small intestine.
Some
common
symptoms of gluten
intolerance or celiac disease include bloating
or gas, diarrhea, fatigue, itchy skin rash (dermatitis
herpetiformis), tingling in
the mouth,
pale mouth
sores, joint pain, poor weight gain, delayed growth
in children, thin bones, infertility, headaches,
depression, irritability, and discolored teeth.
Unfortunately,
these symptoms are similar to those of many other
chronic illnesses. The symptoms also
vary from person to person. Some may experience
one or a few from a young age, while
others may not have symptoms at all until
much later on in life. This makes diagnosing
gluten intolerance and celiac disease challenging, and
may require a multi-step process that includes:
• A
thorough examination by a primary
care provider.
• Blood tests (although these are not always
conclusive).
• Further
examination by a gastroenterologist and
tests which may include an endoscopy and biopsy
of the small intestine.
• Following
a strict gluten-free diet to assess symptom relief,
with guidance from a registered
dietitian (RD).
Learn
More:
Dean
Gastroenterology
Dean
Nutrition Services
Dean & St.
Mary's Digestive Health Center
Celiac
Sprue Association
National
Foundation for Celiac Awareness
Gluten-Free
Diet Guide For Families (PDF)
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