Celiac disease : causes, symptoms, treatment , special diet


1. development mechanism and causes of the disease

2. Symptoms of celiac disease in adults and children

3. treatment of disease.Diet for celiac

Celiac disease (gluten enteropathy synonyms, sprue, celiac disease) - an inherited chronic disease, the essence of which gluten intolerance (gluten) cereals.

development mechanism and causes of the disease

Development Mechanism of celiac disease is the immune response of the body to hit it gluten - the protein contained in wheat, barley, rye and gluten related substances that contain oats.Immune cells respond instantly gluten peptides and begin to produce antibodies thereto.They "attack" the intestine that carries damage to the villi of the small intestine and, as a consequence, inflammation and its destruction.

cause of celiac disease in children and adults lies in the genetic predisposition.Of course, this does not mean that if a close relative is ill with celiac disease, the child will also certainly sick of it.The child will

have a genetic predisposition to develop the disease, and the symptoms of celiac disease throughout his life may never appear.

But, nevertheless, subject to certain factors, or so-called "trigger" the development of celiac disease may still occur during adolescence or during adulthood.Thus a "trigger mechanism" are transferred human infection, injury or surgery, severe emotional stress, as well as pregnancy and childbirth.Most often the symptoms of celiac disease in adults occur at a young age (25-40 years).

Symptoms of celiac disease in adults and children

symptomatic picture of the disease is very diverse, as of today, there are over 300 possible symptoms of celiac disease.When celiac disease occurs as a result of intestinal damage malabsorption in it all necessary for normal functioning of the body of nutrients and as a result, there is a failure in almost every internal organ.Therefore, there is a whole variety of symptoms.

Celiac disease in children can manifest itself after a few months of a baby life, namely, the first cereal feeding.

Symptoms of celiac disease in children:

  • copious, watery diarrhea;
  • lack of appetite;
  • baby weight does not increase, some children lose weight;
  • abdominal pain, nausea;
  • vomiting, especially after a meal;
  • stunted physical and mental development;
  • child becomes moody and irritable or apathetic and lethargic.

characteristic symptom of celiac disease in school-age children and adolescents - low growth, due to a lack of blood concentration of growth hormone children.It joins stature delayed puberty.The situation is corrected after eliminating gluten containing foods from the child's diet.

long time, celiac disease was considered a children's disease, and as a result, the symptoms of celiac disease in adults were written off to other non-existent disease.

can distinguish the following symptoms of celiac disease in adults:

  • appearance of the skin, especially the skin of the elbows, knees and buttocks strongly itchy rash in the form of spots or bubbles (dermatitis herpetiformis);
  • abdominal pain, bloating, flatulence;
  • disorder stool, constipation alternating with diarrhea;
  • nausea, sometimes vomiting, loss of appetite;
  • irregular periods, or their absence, the impossibility of conceiving a child, infertility (in women);
  • depression, anxiety;
  • osteoporosis as a consequence - fractures and bone pain;
  • appearance of furrows yellow-brown color on the tooth enamel.

Clinical symptoms of celiac disease often manifest themselves low hemoglobin (anemia), and the presence of enzymes ALT and AST in the blood of the patient.

treatment of disease.Diet for celiac

strict lifelong gluten-free diet for celiac disease is the main and most effective treatment for the disease.It's hard enough to stick to a diet because of many widely used in foods include cereals prohibited.But, nevertheless, in order to avoid the complications of the disease, each patient with celiac disease need to know the list of permitted and prohibited foods.These include foods and dishes, having in its composition "explicit" and "hidden" gluten.

Explicit contain gluten from wheat products, rye, barley and oats.Diet for celiac excludes the following products with a clear gluten:

  • cereals and porridge (semolina, wheat, oats, couscous, cereals such as "4 cereals", "6 grains" and the like);
  • flour (wheat, rye), and bran;
  • bread and bakery products;
  • some infant formulas, cereals and canned food produced on the basis of wheat flour or semolina, or their additives;
  • pasta.

Hidden gluten, as a rule, a mandatory component of a widely consumed food like:

  • sausages;
  • meat and other by-products, fish, canned fruit and vegetables;
  • mayonnaise, mustard, sauces, ketchup and even vinegar;
  • yogurt, cottage cheese and processed cheese, margarine;
  • bouillon cubes and seasonings, soups and fast food puree;
  • chips, crab sticks and other "fake" seafood;
  • drink kvass, beer, some types of tea and coffee;
  • variety of sweets: jam vnedomashnego production, some chocolates, candies like "lollipop", etc .;
  • addition, the diet in celiac disease excludes certain types of food supplements.

There are specialized gluten-free products, but they are not always easy to find in stores, especially in small towns stores.

Patients with celiac disease should be very careful not only in the use of food.Gluten may be encountered in everyday life, such as a toothpaste composition or as part adhesive postage stamps.You must also be very careful in the use of medications, because many of them gluten acts as an integral part of the shell of the tablet.

gluten-free diet in celiac disease may include the following products and dishes: egg dishes, vegetable salads (such as salad), cheese and other dairy products, boiled chicken and beef, chicken broth, buckwheat, fish, steamed vegetables, homemade jams,gluten-free bread, coffee, tea and other products.

Patients usually tolerate dishes from potatoes, corn and rice flour, and soy, vegetable fats, most fruits and vegetables.

Often celiac disease in children is accompanied by lactase deficiency, suggesting the need for exclusion from the diet of baby milk products containing lactose.They need to be replaced with soy products or lactose-free formula.

Any gluten-free diet for celiac disease is of recommendation character and can be adjusted according to individual patient preferences and tolerance of specific products.

Within a few weeks, "life without gluten" man begins to notice an improvement in their condition, the symptoms of celiac disease disappear, the intestines begin to work normally.

parallel with dietary treatment of symptomatic treatment of celiac disease in adults and children.It includes vitamin and mineral complexes, enzymes, probiotics, as well as massage and gymnastics courses.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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