Key Takeaways
In many food stores, there are now departments dedicated to healthy food where people with celiac disease can purchase gluten-free products. However, the history of this disorder is not new and dates back to ancient times when, with the development of agriculture and the introduction of new grains, its first signs were noticed. It was initially called chronic diarrheal debilitation, but over time it has become a common disorder related to nutrition. What is celiac disease and how can its symptoms be reduced?
What is an intestinal disorder called celiac disease?
An intestinal disorder known as celiac disease, also known as celiac disease, is a type of autoimmune disorder that affects the digestion of gluten due to genetic predisposition. Gluten is classified as a plant protein, as it is found in cereal grains. The main issue is a hypersensitivity to one of the main fractions of this protein, prolamine.
Symptoms associated with celiac disease
Two main types of celiac disease symptoms can be distinguished: intestinal and extraintestinal. The clinical picture of the patient depends on the form of the disease and the age of the patient. There are four main types of celiac disease: classical, silent, latent, and potential. Classical celiac disease is characterized by abdominal pain, diarrhea, bloating, weight loss, and absorption disorders such as anemia and osteoporosis. Silent celiac disease does not show typical symptoms of absorption disorders, but patients may have problems with lactose and saccharose tolerance, anemia, and low calcium levels with early onset of osteoporosis. Latent celiac disease occurs in older people, in whom the symptoms have been stopped or completely eliminated by a gluten-free diet, but may return due to risk factors such as pregnancy, surgery, long-term stress, or gastrointestinal infections. Potential celiac disease does not show any clinical symptoms and is diagnosed based on various symptoms such as enamel hypoplasia, caries, Duhring's disease, problems with the hormone system, hematological disorders, vitamin deficiency, eye structure, and symptoms of the nervous system.
Gastrointestinal disorders in children
Regarding children, gastrointestinal disorders are much easier to detect. Why? Products containing this type of protein are slowly and gradually introduced into the child's diet, which allows for quick identification of the cause of the illness. In the case of children, gastrointestinal disorders present with classic symptoms – diarrhea, vomiting, and digestive problems occur. The disorder in children also manifests as a bloated abdomen, drooping shoulders and buttocks, as well as a pale skin tone.
Identification of the disease
The identification of celiac disease in adults can be somewhat problematic due to the presence of various forms of the disease. However, several methods have been developed that allow for the proper diagnosis and differentiation of celiac disease from other disease units. The primary study is serology, which involves detecting antibodies and enzymes that indicate the development of a tertiary disease. It is very important not to follow an elimination diet without consulting a physician before conducting serological tests. In this situation, however, several methods may be developed to correctly diagnose and differentiate celiac disease from other diseases. These methods include serological analysis, genetic testing to identify specific antigens, and biopsy, which involves taking a tissue sample from the intestine and then examining it. Important criteria for evaluating the obtained study material are the presence of intestinal villi and the presence of an inflammatory condition in the mucosa of the digestive system. The genetic test (HLA DQ2/DQ8) can also be used to confirm the diagnosis, especially in children who do not have clinical symptoms but are at risk of developing celiac disease. If the genetic test result is negative, it can be assumed that the disease is not present and the diagnosis can be terminated at this point. If the result is positive, the diagnosis is expanded by conducting antibody tests and then by a biopsy. The last type of diagnosis is the typical laboratory diagnosis, which includes: – blood count; – urinalysis; – biochemical analysis of electrolyte, protein, vitamin B, D, and E levels; – liver tests.
Therapeutic Interventions
The failure to treat intestinal disorders is such a serious health condition that modern medicine has not yet established effective therapeutic methods. In fact, it can be said that pharmacotherapy is largely ineffective against celiac disease. Occasionally, physicians recommend using vitamin and electrolyte preparations to compensate for existing deficiencies. Over time, steroidal medications are also employed, aiming to decrease inflammation, as well as agents enhancing water absorption.
Gluten-excluding diet
It has been determined that the sole and effective means of eliminating symptoms of celiac disease is a diet devoid of sources of gluten. The appropriate food balance can be demanding, given that grains or their trace amounts are present in the majority of foodstuffs. It is imperative to meticulously examine labels during shopping. Individuals afflicted with celiac disease ought to procure products bearing the symbol of the crossed-grain, to guarantee that the product contains no gluten. Gluten-excluding diet should only be practiced under the surveillance of a nutritionist or specialist.