Celiac Disease: Symptoms & Diagnosis-new

One in 100 Indians suffers from Celiac Disease. This auto-immune disorder has no treatment except following a Gluten-free Diet.

WHAT IS CELIAC DISEASE?

Celiac disease is an autoimmune disorder that is characterized by a permanent intolerance to a protein named Gluten, which is found in wheat, rye, barley, and other grains. The disorder is also known as celiac sprue or gluten sensitive enteropathy. Celiac Disease is a genetic disorder can affect both children and adults. According to All India Institute of Medical Sciences (AIIMS), it was estimated that around 6-8 million people in India suffer from Celiac disease. This in simple terms means that 1 in 100 people is a victim of this disease.
When people with Celiac disease consume gluten, their immune system responds by damaging the small intestine’s tiny finger-like projections, which are called as villi. Villi are responsible for the absorption of nutrition into the bloodstream. Once damaged, a person with Celiac Disease can become malnourished, regardless the quality of the food eaten. The proteins that cause these difficulties are collectively called gluten and are found in wheat, barley, rye, and their derivatives.

SYMPTOMS OF CELIAC DISEASE

The symptom of Celiac disease vary considerably, which include intestinal issues like diarrhea, abdominal pain, skin issues like dermatitis herpetiformis, eczema, and behavioral issues like brain fog, anxiety, depression, joint/muscular issues like cramp, swelling in hands, etc. It is not important to have symptoms in the digestive system if one has Celiac disease, as it is commonly believed. There are more than 200 known symptoms of Celiac Disease. This makes it difficult to diagnose people. Some people may not have any symptoms at all but still test positive for Celiac disease in a blood test.
CELIAC SYMPTOMS IN CHILDREN
  • Abdominal Bloating & Pain
  • Diarrhea
  • Constipation
  • Vomiting
  • Weight-loss
  • Fatigue
  • Irritability
  • Dental Enamel Defects
  • Short Stature
  • Failure to Thrive at School
  • Attention Deficit Hyperactivity Disorder (ADHD)
CELIAC SYMPTOMS IN ADULTS
  • Unexplained Iron Deficiency
  • Depression
  • Numbness in Hands/Feet
  • Infertility
  • Dermatitis Herpetiformis
  • Fatigue
  • Migraine
  • Elevated Lines Enzymes

WHY GET SCREENED

Celiac Disease is a lifelong autoimmune disorder that affects multiple parts of your body, which can lead to other serious illnesses whether or not you are on a gluten free diet.
Blood Test
Several blood tests are available that screen for Celiac Disease antibodies, but the most commonly used is called TTG – Ig A test. For this test to work, one should be on a diet, which contains gluten. If blood test suggest Celiac disease, the physician will recommend a biopsy of the small intestine to confirm the diagnosis.
Endoscopic Biopsy
This procedure is performed by a gastroenterologist and is an outpatient procedure. A biopsy is taken of the small intestine, which is then analyzed to see if there is any damage consistent with Celiac disease. The diagnosis may be confirmed when improvement is seen while on a gluten-free diet.Celiac Disease: Treatment & Follow-up