How is Celiac Disease Diagnosed and Treatment

Celiac disease is an autoimmune disorder. In this article we would walk through Celiac Disease is Diagnosed and Treated.

What is celiac disease?

Celiac disease is an autoimmune disorder characterized by an abnormal immune response to gluten. Celiac disease is also referred to as:

  • Sprue
  • Nontropical Sprue
  • Gluten-sensitive Enteropathy

Gluten is a protein found in wheat, barley, rye, and triticale products. It is also found in oats produced in plants that also process other grains. Gluten is even present in some medications, vitamins, and lipsticks. Gluten intolerance, also known as gluten-related disorders, is defined by symptoms that occur after consuming gluten-containing foods. Non-celiac gluten sensitivity refers to a mild sensitivity to gluten, whereas celiac disease is an autoimmune disorder.

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The immune response to gluten in celiac disease produces toxins that destroy the villi. Villi are tiny finger-like protrusions that protrude from the small intestine. The body is unable to absorb nutrients from food when the villi are damaged.

How to Diagnosed Celiac Disease

Many celiac disease sufferers are unaware of their condition. Two blood tests can aid in the diagnosis:

  • Serology testing looks for antibodies in your blood. Elevated levels of certain antibody proteins indicate an immune reaction to gluten.
  • Genetic testing for human leukocyte antigens (HLA-DQ2 and HLA-DQ8) can be used to rule out celiac disease

Before attempting a gluten-free diet, it is critical to be tested for celiac disease. Eliminating gluten from your diet may cause blood test results to appear normal.

If the results of these tests show that you have celiac disease, your doctor will most likely order one of the following tests:

Endoscopy:

This test involves inserting a long tube containing a tiny camera into your mouth and passing it down your throat (upper endoscopy). The camera allows your doctor to examine your small intestine and collect a small tissue sample (biopsy) to check for villi damage.

Capsule endoscopy:

This test employs a tiny wireless camera to photograph your entire small intestine. The camera is housed within a vitamin-sized capsule that you swallow. The camera takes thousands of pictures as the capsule travels through your digestive tract and sends them to a recorder.

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What are the symptoms of celiac disease?

Celiac disease symptoms typically affect the intestines and digestive system, but they can affect other parts of the body as well. Children and adults typically exhibit a distinct set of symptoms.

Celiac disease symptoms in children

Children with celiac disease may experience fatigue and irritability. They may also be smaller than average and experience delayed puberty. Other common symptoms are as follows:

  • Weight loss
  • Vomiting
  • Abdominal bloating
  • Abdominal pain
  • Persistent diarrhea or constipation
  • Pale, fatty, foul-smelling stools

Celiac Disease symptoms in adults

Adults suffering from celiac disease may experience digestive issues. However, in the majority of cases, symptoms also affect other parts of the body. Among these symptoms are:

  • Iron-deficiency anemia
  • Joint pain and stiffness
  • Weak, brittle bones
  • Fatigue
  • Seizures
  • Skin disorders
  • Numbness and tingling in the hands and feet
  • Tooth discoloration or loss of enamel
  • Pale sores inside the mouth
  • Irregular menstrual periods
  • Infertility and miscarriage

Another common symptom of celiac disease is dermatitis herpetiformis (DH). DH is a highly itchy skin rash with bumps and blisters. It can appear on the elbows, buttocks, or knees. Approximately 15 to 25% of celiac disease patients have DH. Those who do have DH do not usually have digestive symptoms.

It’s important to remember that symptoms can differ from person to person depending on a variety of factors, including:

  • The length of time someone was breast-fed as an infant
  • The age someone started eating gluten
  • The amount of gluten someone eats
  • The severity of intestinal damage

Some celiac disease patients have no symptoms. They may, however, develop long-term complications as a result of their disease.

If you suspect that you or your kid has celiac disease, make an appointment with your doctor right away. Problems are more likely to occur when diagnosis and treatment are delayed.

Treatment for Celiac Disease

The only way to manage celiac disease is to follow a strict gluten-free diet for the rest of one’s life. Gluten-containing foods, in addition to wheat, include:

  • Barley
  • Bulgur
  • Durum
  • Farina
  • Graham flour
  • Malt
  • Rye
  • Semolina
  • Spelt (a form of wheat)
  • Triticale

A celiac disease dietitian can assist you in developing a gluten-free diet that is healthy. Even trace amounts of gluten in your diet can be harmful, even if you don’t experience any signs or symptoms.

Gluten can be found in a variety of foods, medications, and nonfood products, including:

  • Modified food starch, preservatives and food stabilizers
  • Prescription and over-the-counter medications
  • Vitamin and mineral supplements
  • Herbal and nutritional supplements
  • Lipstick products
  • Toothpaste and mouthwash
  • Communion wafers
  • Envelope and stamp glue
  • Play dough

Eliminating gluten from your diet will gradually reduce inflammation in your small intestine, making you feel better and eventually heal. Children tend to heal faster than adults.

Vitamin and mineral supplements

If your anemia or nutrient deficiencies are extreme, your doctor or dietitian may advise you to take supplements such as:

  • Copper
  • Folate
  • Iron
  • Vitamin B-12
  • Vitamin D
  • Vitamin K
  • Zinc

Vitamins and supplements are typically taken as pills. If your digestive tract is having difficulty absorbing vitamins, your doctor may decide to administer them via injection.

How does a doctor diagnose celiac disease?

Doctors look for signs that you may have celiac disease and should be tested using information from your medical and family history, a physical exam, a dental exam link, and medical test results. Celiac disease is typically diagnosed through blood tests and small intestine biopsies.

What are the early warning signs?

Symptoms
  • Diarrhea.
  • Fatigue.
  • Weight loss.
  • Bloating and gas.
  • Abdominal pain.
  • Nausea and vomiting.
  • Constipation.

Can a blood test detect celiac?

The tTG and DGP antibody tests are the main blood tests to diagnose and monitor celiac disease. 2. Anti-gliadin antibodies are no longer used to diagnose celiac disease.

Is it hard to diagnose celiac disease?

Celiac disease is difficult to diagnose because it affects people in a variety of ways. Celiac disease has over 300 known symptoms that can affect any organ in your body, not just your digestive system. Some celiac disease patients are asymptomatic, which means they have no external symptoms.

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