Gluten intolerance

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1. Overview

Some people have found that after eating pasta, bread or biscuits have a bad general condition. Wheat in most cereal-based products is considered to be guilty for the abdominal pain, flatulence, bloating and diarrhea.

The gluten found in its composition irritates the intestine. This protein is found in wheat, rye, barley, and is the common denominator in most cereal-based products consumed daily.

Light gluten intolerance can be uncomfortable, but the symptoms are transient. The good news is that gluten intolerance is not a food allergy and gluten consumption usually does not cause unpleasant situations, except for those who suffer from celiac disease.


1. Overview
2. Allowed foods and banned foods
3. Celiac disease
4. Symptoms of gluten intolerance
5. Gluten intolerance – allergy to wheat?
6. Celiac disease – symptoms and diagnosis
7. Gluten ataxia

2. Allowed foods and banned foods

Those who suffer from gluten intolerance should avoid:
- Wheat in all its forms
- Rye
- Barley
- Oat bran
- Wheat germ
- Bran
- Graham, gluten
- Potato flour.

Those who suffer from gluten intolerance are allowed to consume:
- Qinoa
- Buckwheat
- Popcorn
- Cornmeal
- Millet
- Bread, cereals and pasta, corn biscuits, rice, potatoes, soybeans, tapioca etc.

3. Celiac disease

Severe intolerance to gluten is called celiac disease. This involves triggering the immune system activity, meaning that when people suffering from celiac disease eat foods containing gluten, the immune system responds by damaging cilia (which normally protects the small intestine and absorbs the nutrients from food).

For this reason, celiac disease is also called gluten sensitive enteropathy, celiac sprue or nontropical sprue. It is considered a genetic autoimmune disease.

Celiac disease is not just a disease of the intestine but is a multisystem disease accompanied by numerous symptoms, with serious implications. Celiac disease may involve malnutrition, which can lead to anemia, osteoporosis, depression, behavioral problems, impaired growth in children, and other unpleasant events.

People who have celiac disease may suffer from other autoimmune conditions such as type 1 diabetes and rheumatoid arthritis.

Until recently, celiac disease was considered to be a relatively rare condition. However, it is transmitted genetically, and many people suffer from celiac disease, but it has not yet been detected.

Scientists believe that it takes even more than 10 years to establish a definitive diagnosis. If a person considers that he suffers from celiac disease, he should resist the temptation to follow a gluten-free diet before the disease is diagnosed by a doctor.

When a person does not eat gluten, the intestine begins to heal, and this will influence the value of markers in the blood or tissue of the intestine that may indicate the presence of celiac disease.

For a firm diagnosis and appropriate investigations seek medical advice which will require the development of blood tests that will help diagnose the disease.

If the results suggest the presence of celiac disease, to confirm the diagnosis, the doctor will do a biopsy of the small intestine. The appearance of dermatitis herpetiformis, accompanied by a strong feeling of itching and rash with blisters on the skin can also be an accurate indicator of celiac disease.

4. Symptoms of gluten intolerance

There are many symptoms of gluten intolerance and their manifestation varies greatly from one person to another. However, here’s what would be the most common and most important events:
- Abdominal distension
- Pain and cramping
- Alternative crisis diarrhea and constipation
- Anemia
- Arthritis
- Attention deficit
- Autism
- Bloating
- Loss of bone density
- Muttered stomach
- Constipation
- Growth difficulty
- Depression, anxiety and irritability
- Dermatitis herpetiformis
- Diabetes
- Diarrhea
- Fatigue
- Smelly flatulence
- Smelling stools
- Gluten ataxia
- Gray stools
- Hair loss
- Headaches and migraines
- Hypoglycemia
- Infertility
- Joint pain
- Juvenile idiopathic arthritis
- Lactose intolerance
- Sores or ulcers in the mouth
- Nausea
- Numbness or tingling in the hands and feet
- Osteoporosis
- Peripheral neuropathy
- Sjogren’s disease
- Steatorrhea
- Gum and tooth diseases
- Turner syndrome
- Lack of minerals and vitamins
- Vomiting
- Unexplained weight loss
- Urticaria.

However, for proper diagnosis, see your doctor because the disease is very serious and treatment should be followed carefully, as recommended by experts.

5. Gluten intolerance – allergy to wheat?

Even if it seems to be a reaction to the protein in wheat, celiac disease is, in particular, an allergy to wheat.

A wheat allergy is the answer of white blood cells called basophils and mast to immunoglobulin E (IgE). In other terms, this is a traditional allergy for which patient will develop antibodies to antigens, in this case – wheat.

However, a person may be allergic to wheat but do not suffer from celiac disease (gluten intolerance) or celiac disease can manifest and not have an allergy to wheat. These are two completely different responses of the body of a person.

In most cases, symptoms of gluten intolerance are systemic and will be the result of gluten consumption over a long period of time. However, manifestations of intolerance to wheat are generally seen as those of a typical allergy: quick and as a result from a single exposure.

Diagnosing a person with gluten intolerance can be frustrating, because this autoimmune disease can be subtle and insidious, and giving up certain types of food can be difficult.

For example, if a person eats a piece of bread rich in gluten, could have immediate reactions, and may believe they suffer from an allergy rather than intolerance to gluten.

Symptoms of gluten intolerance manifest itself more as a nutritional deficiency with symptoms that starts slowly, over time. These events may be severe and very severe, but in most cases are systemic.

6. Celiac disease – symptoms and diagnosis

If your doctor determines that a person’s symptoms are those specific to gluten intolerance and investigations confirm this, he can diagnose celiac disease. Celiac disease is often misdiagnosed or overlooked. Fortunately, many people are sensitive and aware of gluten intolerance, and in children the condition is easier to diagnose than in the past.

However, gluten intolerance symptoms in adults are difficult to recognized, considering that these are very similar to those of many conditions such as ulcerative colitis, Crohn’s disease and lactose intolerance. And because adults tend to live with some discomfort, celiac disease remains, in their case, often untreated.

It is important to know that there are clinical tests (blood and / or intestinal biopsy) that can determine with certainty whether or not a person suffers from celiac disease. However inconclusive or negative results of these investigations do not mean that the disease is not present.

In fact, most people who have gluten intolerance symptoms, the results were negative for celiac disease. The most important thing is that currently there are studies and research related to celiac disease.

If a person suspects that suffer from this condition and test results have not confirmed the presence of the disease, the patient should take into consideration the steatorrhea test or excess fat in the stool, something that has become part of one of the most rigorous tests detecting gluten intolerance and gluten sensitivity.

Since investigations are not conclusive, the medical diagnosis of many patients will be based on a variety of screenings and investigations. The most common specific manifestations are the gastrointestinal one (or GI discomfort), such as diarrhea, flatulence and bloating. Other symptoms may include joint pain, fatigue and headaches, but also gluten ataxia.

Currently it is estimated that there are many people who suffer from gluten intolerance or celiac disease, but many of the symptoms overlap with other diseases and conditions. Constipation, diarrhea, flatulence, bloating, joint pain and fatigue are the most common manifestations of celiac disease, but they can also occur in dozens of diseases and conditions’ cases.

And in other cases, celiac disease is undiagnosed for years. Therefore you should consult your doctor to determine if there are any problems. Also, adults who are experiencing unexplained pain in the joints, anemia, osteoporosis and infertility should discuss with a doctor the possibility of intolerance to gluten.

The most accurate way to identify and diagnose the symptoms of gluten intolerance is to use a strict diet which will eliminate foods containing gluten, a significant period of time. At this time it will be noted and will compare the symptoms of the previous period and during the food disposal.

Celiac disease is an inflammation of the lining of the small intestine and prevents flattening the capacity intestine to absorb nutrients. The best way to manage this disease is to adopt a strict diet without gluten. Fortunately, there are available in trade increasingly more types of gluten-free foods.

7. Gluten ataxia

As the name for a condition, gluten ataxia is a relatively new term. Ataxia itself is a neurological disorder in which a person experiences reduced coordination and muscle control.

The three types of ataxia are: cerebellar ataxia, sensory ataxia and vestibular ataxia. Gluten ataxia is essentially cerebellar ataxia where it was established that gluten is a trigger.

Gluten ataxia is an autoimmune disease that is triggered after the ingestion of gluten in people with this genetic predisposition. The most common symptoms of gluten ataxia are similar to those of cerebellar ataxia:
- Poor coordination during physical movements and improper control of muscle movements
- Inability to control the speed and power of physical movement
- Headaches
- Inability to speak or form words correctly; difficulty to make a speech.

When a person is prone to gluten intolerance and still eats foods that contain gluten, it triggers an autoimmune reaction and inflammation of the intestinal mucosa occurs. Over time, the small intestine is unable to absorb any nutrients.

For people suffering from gluten ataxia, the cause of the problem is the same: gluten. The difference is that besides the intestines, the cerebellum is also affected. Gluten ataxia was originally discovered and verified after the examination of dead bodies of people who suffered from ataxia during their lives.

The examination found that the same antibodies that trigger celiac disease and gluten intolerance were identified in the cerebellum, a part of the brain that governs movement control. Other studies have indicated that reduced control of movements can result from untreated gluten intolerance.



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