Gluten intolerance. Celiac. Symptoms and Diagnosis

Celiac disease results from an intolerance to gluten. Gluten is a protein that is part of wheat flour, barley, rye and oats. People who have developed this hypersensitivity to gluten digest them produces an inflammatory reaction in the mucosa of the small intestine, which creates a difficulty in the assimilation of nutrients.

According to the Federation of Associations of Celiac in Spain "(FACE) of every 100 newborns in this country one has this condition, and there are currently around 20,000 cases diagnosed. The disease can be inherited, but not always have a family history.

Cause of Celiac Disease
This gluten intolerance occurs due to a lesion of the intestinal mucosal villous atrophy of the intestine, making them shorter than normal. Because of this the absorption of nutrients by the small intestine is diminished and negatively affects a child's nutrition.

When celiac disease is manifested
Generally, celiac disease occurs when the child is between two and three years old and has already begun its consumption of gluten, usually through porridge, crackers or bread.

Symptoms of gluten intolerance. Celiac
Among the most common symptoms of this disease include:

* Weight loss.
* Tiredness.
* Diarrhea.
* Vomiting, nausea.
* Loss of appetite.
* Abdominal pain.
* Loss of muscle mass.
* Growth retardation.
* Rickets.
* Nervous system disorders (headaches, neuralgia, epilepsy, etc.).

Diagnosis of gluten intolerance

To be absolutely certain of being celiac is necessary intestinal biopsy for confirmation, since the existence of the above symptoms plus blood analyzes it is found in iron deficiency, anemia, etc.. This raises the suspicion of intolerance but, at all, allows a definitive diagnosis.

Intestinal biopsy to confirm gluten intolerance
This biopsy is the removal of a sample of tissue from the upper intestine without gluten was withdrawn to see whether or not damaged.

In practice it is necessary to carry out three biopsies:

1. The first when the child has symptoms suggestive of the disease, checking if there is atrophy of the villi and the gluten is removed immediately from the diet.

2. The second when the child is two years following a gluten-free diet and no longer has the characteristic symptoms of gluten intolerance. At that time are introduced foods containing gluten to see if there is a bowel disorder. This second test is performed in children over 6 years and not done in the time of puberty may cause growth problems.

3.The third biopsy was performed six months later, trying to confirm whether or not there has been a relapse in the levels of gluten.

When celiac disease is confirmed is required for continuing treatment in which mainly avoids the gluten in the diet throughout life. As a result of gluten-free diet the symptoms disappear and gluten intolerance the intestinal villi return to normal again.

Usually, the celiac diet based on your food as vegetables, meats, fish, eggs, fruits, vegetables and cereals made without gluten, rice and corn.

Care must be taken with packaged foods unless the label of food packaging display the distinctive "Gluten Free".

The Federation of Associations of Celiac Spain (FACE) offers a "list of foods suitable for celiacs" which is regularly updated on its website:

*Milk and dairy products: cheese, cottage cheese, cream, natural yoghurt, etc..
*Meat, fish and seafood, frozen or preserved natural
*Fresh and frozen fish without batter
*Vegetables and legumes
*Rice, maize, tapioca, millet and derivatives
*Sugar and honey
*Oils and butters
*Beans or ground coffee (not instant), tea and orange soda, lemon and cola
*Wines and sparkling
*Raw nuts
*Salt, wine vinegar, spices, wool, grain and all natural

FOODS contain gluten that are indexed

*Charcuterie (sausages, poplars, bologna, sausage, etc..
*Processed cheese, spread on plates
*Pates and Canned meat, meatballs, hamburgers
*Canned fish in sauce, with tomato sauce
*Sauces, condiments and food dyes
*Coffee substitutes, chocolate and cocoa and other drinks machine
*Roasted or fried nuts with flour and salt
*Sweets and candy
*Nougat and marzipan

*Bread, wheat, rye, barley and oats
*Cakes, cookies, cakes and confectionery
*Durum wheat
*Pasta: macaroni, noodles ...
*Distilled or fermented drinks from grain beer, barley water
*Chocolate (except where there is explicit declaration of the merchant)
*Teas and drinks made with cereals: malt, beer, barley water
*Products manufactured in the composition to enter into any meal previously and in all its forms: starch, starch, meal, protein.

*Automatic Translation