May is Celiac Awareness Month and a great time for me to share some information on the best treatment for celiac disease. There is no pharmaceutical treatment or cure for celiac disease, but there are ways to manage the symptoms and repair intestinal damage. Possible treatment in the form of a preventative vaccine are in trials now. However, the best treatment is a lifelong commitment to eating a strict gluten-free diet plan, supplemented with vitamins and minerals.
Not all people who react negatively to gluten actually have celiac disease. But, the symptoms of gluten sensitivity are similar to those of celiac disease. I suffered from complications of gluten-intolerance for almost 20 years. Although I improved my diet to include more fresh foods and a lot less processed foods, I still consumed gluten. It was only when I realized the enormous negative effects that gluten had on my body, did I began to follow a strict gluten-free diet plan. The road here was hard to say the least, but now I have more energy and greater overall health.
I recommended these steps in your approach to following a gluten-free diet and managing symptoms of celiac disease:
Know the facts
Get tested by your Doctor
Meet with a licensed Dietitian or Nutritionist
Make a lifelong commitment to eat gluten-free
The Facts about Celiac Disease
Celiac disease in an autoimmune disorder that can occur in genetically predisposed individuals who consume gluten. Gluten is a protein found in wheat, wheat germ, barley and rye. Over time, this automatic response leads to inflammation and damage the lining of the small intestine, preventing absorption of some nutrients. Here are more facts about celiac disease:
May develop in genetically predisposed individuals who carry the HLA-DQ2 or the HLA-DQ8 gene
Affects 1 in 133 Americans
83% of Americans are undiagnosed or misdiagnosed with other diseases
6-10 years is the average time for a person waits to be correctly diagnosed
Symptoms of celiac disease
Celiac disease can be difficult to diagnose because it affects every person differently. There are about 300 known symptoms that may occur in the digestive system and other parts of the body. Some people with celiac disease may experience no symptoms but still be at risk for life-long complications. Digestive symptoms are more common in infants and children.
Common digestive symptoms in children:
chronic diarrhea
abdominal bloating and pain
fatigue
constipation
vomiting
pale, foul-smelling, or fatty stool
weight loss
irritability and behavioral issues
dental enamel defects of the permanent teeth
delayed growth and puberty
short stature
failure to thrive
Attention Deficit Hyperactivity Disorder (ADHD)Adults however, are less likely to have digestive symptoms. Only one-third experience diarrhea. Adults are likely to experience these symptoms:
fatigue
arthritis
bone or joint pain
bone loss or osteoporosis
depression or anxiety
unexplained iron-deficiency (anemia)
tingling; numbness in the hands and feet
seizures or migraines
missed menstrual periods
infertility or recurrent miscarriage
canker sores inside the mouth
an itchy skin rash called dermatitis herpetiformis
Get tested by your Doctor
If you suspect you have celiac disease and need a diagnosis, you need to get tested before starting a gluten-free diet. There are many blood screening tests for celiac disease, but the most sensitive and commonly used is the tTG-IgA test. Tissue Transglutaminase (tTG-IgA), is an antibody present in the blood at higher than normal levels for someone with celiac disease.
If you are already on a gluten-free diet, the tTG-IgA test will likely be negative. This is because tTG-IgA levels fall and intestines begin to heal within only a few weeks of eating gluten-free. A doctor may recommend a "Gluten Challenge," eating gluten-containing foods for 6 weeks before getting re-screened.
There is a risk for a false positive test if a person has associated auto-immune disorders such as Type 1 diabetes, chronic liver disease, Hashimoto's thyroiditis, psoriatic or rheumatoid arthritis and heart failure.
Other tests are available to confirm false positives and false negatives:
IgA Endomysial (EMA)
Total Serum IgA
Deaminated gliadin peptide (DGP IgA and IgG)
Meet with licensed Dietician/Nutritionist
A medical doctor is likely untrained to advise you on proper nutrition. You may find that medical professionals have little experience with the holistic approach necessary to prevent diseases like celiac. You should meet with a licensed dietician or nutritionist who has experience with gluten-free diet plans. If necessary, you could supplement your diet with a gluten-free multivitamin, calcium acetate and folic acid.
Although I am genetically predisposed to celiac disease, I have halted its it by eating and exercising for my blood type, Type O. "Eat Right For Your Type" by Dr. Peter J. Cooking from scratch is the healthiest option and Paleo Cookbooks have helped me make good gluten-free recipes. I use the knowledge I've gained from Dr. D'Amato's book, substituting ingredients in the recipes and adding spices that are beneficial for Type O's and promote intestinal healing.
Make a lifelong commitment to eat a gluten-free diet
The best approach to a healthy lifestyle is to do it slowly and gradually, learning about your body and what it needs along the way. Start by gradually eliminating gluten-containing foods and incorporating more healthy foods into your diet. Eventually, you want to be gluten-free if you are extremely sensitive to gluten. But even trace amounts of gluten can be harmful to your body even if you don't experience symptoms.
The alleviation of symptoms and your recovery vary from person to person and depend on many factors including:
the length of time you were breast-fed as an infant
the age you started eating gluten
the amount of gluten you eat
the severity of intestinal damage
Your symptoms should improve within days to weeks of going gluten-free. Intestinal healing may take several years in adults but, usually heals in three to six months in children. Once the intestine completely heals, your body will be able to absorb nutrients properly. Be sure to get fresh air, and exercise daily. Even a little walking is beneficial. Also, join support groups in person and online. With help and support from others, you will be able to make a lifelong commitment to eating gluten-free. Enjoy!
Not all people who react negatively to gluten actually have celiac disease. But, the symptoms of gluten sensitivity are similar to those of celiac disease. I suffered from complications of gluten-intolerance for almost 20 years. Although I improved my diet to include more fresh foods and a lot less processed foods, I still consumed gluten. It was only when I realized the enormous negative effects that gluten had on my body, did I began to follow a strict gluten-free diet plan. The road here was hard to say the least, but now I have more energy and greater overall health.
I recommended these steps in your approach to following a gluten-free diet and managing symptoms of celiac disease:
Know the facts
Get tested by your Doctor
Meet with a licensed Dietitian or Nutritionist
Make a lifelong commitment to eat gluten-free
The Facts about Celiac Disease
Celiac disease in an autoimmune disorder that can occur in genetically predisposed individuals who consume gluten. Gluten is a protein found in wheat, wheat germ, barley and rye. Over time, this automatic response leads to inflammation and damage the lining of the small intestine, preventing absorption of some nutrients. Here are more facts about celiac disease:
May develop in genetically predisposed individuals who carry the HLA-DQ2 or the HLA-DQ8 gene
Affects 1 in 133 Americans
83% of Americans are undiagnosed or misdiagnosed with other diseases
6-10 years is the average time for a person waits to be correctly diagnosed
Symptoms of celiac disease
Celiac disease can be difficult to diagnose because it affects every person differently. There are about 300 known symptoms that may occur in the digestive system and other parts of the body. Some people with celiac disease may experience no symptoms but still be at risk for life-long complications. Digestive symptoms are more common in infants and children.
Common digestive symptoms in children:
chronic diarrhea
abdominal bloating and pain
fatigue
constipation
vomiting
pale, foul-smelling, or fatty stool
weight loss
irritability and behavioral issues
dental enamel defects of the permanent teeth
delayed growth and puberty
short stature
failure to thrive
Attention Deficit Hyperactivity Disorder (ADHD)Adults however, are less likely to have digestive symptoms. Only one-third experience diarrhea. Adults are likely to experience these symptoms:
fatigue
arthritis
bone or joint pain
bone loss or osteoporosis
depression or anxiety
unexplained iron-deficiency (anemia)
tingling; numbness in the hands and feet
seizures or migraines
missed menstrual periods
infertility or recurrent miscarriage
canker sores inside the mouth
an itchy skin rash called dermatitis herpetiformis
Get tested by your Doctor
If you suspect you have celiac disease and need a diagnosis, you need to get tested before starting a gluten-free diet. There are many blood screening tests for celiac disease, but the most sensitive and commonly used is the tTG-IgA test. Tissue Transglutaminase (tTG-IgA), is an antibody present in the blood at higher than normal levels for someone with celiac disease.
If you are already on a gluten-free diet, the tTG-IgA test will likely be negative. This is because tTG-IgA levels fall and intestines begin to heal within only a few weeks of eating gluten-free. A doctor may recommend a "Gluten Challenge," eating gluten-containing foods for 6 weeks before getting re-screened.
There is a risk for a false positive test if a person has associated auto-immune disorders such as Type 1 diabetes, chronic liver disease, Hashimoto's thyroiditis, psoriatic or rheumatoid arthritis and heart failure.
Other tests are available to confirm false positives and false negatives:
IgA Endomysial (EMA)
Total Serum IgA
Deaminated gliadin peptide (DGP IgA and IgG)
Meet with licensed Dietician/Nutritionist
A medical doctor is likely untrained to advise you on proper nutrition. You may find that medical professionals have little experience with the holistic approach necessary to prevent diseases like celiac. You should meet with a licensed dietician or nutritionist who has experience with gluten-free diet plans. If necessary, you could supplement your diet with a gluten-free multivitamin, calcium acetate and folic acid.
Although I am genetically predisposed to celiac disease, I have halted its it by eating and exercising for my blood type, Type O. "Eat Right For Your Type" by Dr. Peter J. Cooking from scratch is the healthiest option and Paleo Cookbooks have helped me make good gluten-free recipes. I use the knowledge I've gained from Dr. D'Amato's book, substituting ingredients in the recipes and adding spices that are beneficial for Type O's and promote intestinal healing.
Make a lifelong commitment to eat a gluten-free diet
The best approach to a healthy lifestyle is to do it slowly and gradually, learning about your body and what it needs along the way. Start by gradually eliminating gluten-containing foods and incorporating more healthy foods into your diet. Eventually, you want to be gluten-free if you are extremely sensitive to gluten. But even trace amounts of gluten can be harmful to your body even if you don't experience symptoms.
The alleviation of symptoms and your recovery vary from person to person and depend on many factors including:
the length of time you were breast-fed as an infant
the age you started eating gluten
the amount of gluten you eat
the severity of intestinal damage
Your symptoms should improve within days to weeks of going gluten-free. Intestinal healing may take several years in adults but, usually heals in three to six months in children. Once the intestine completely heals, your body will be able to absorb nutrients properly. Be sure to get fresh air, and exercise daily. Even a little walking is beneficial. Also, join support groups in person and online. With help and support from others, you will be able to make a lifelong commitment to eating gluten-free. Enjoy!