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Celiac Disease and Gluten Free Nutrition & Eating habits

20 May 2015

3 minute read

Celiac Disease and Gluten Free Nutrition & Eating habits


Celiac disease is a lifelong inflammatory condition of the gastrointestinal tract that affects the small intestine. It is a heredity disease where T-cell-mediated immune response towards gluten is ingested by genetically predisposed people.

When people with celiac disease digest gluten (a protein found in wheat, rye and barley), their body will start to attack the small intestine because of its immune response.

It leads to damage on the villi that line the small intestine that promotes nutrient absorption and eventually leads to malabsorption of nutrients. Celiac disease can develop at any age after people start eating foods or medicines that contain gluten.

Signs and symptoms:

  • Frequent, foul-smelling stools that are pale and foamy
  • Diarrhoea
  • Irritability and distended abdomen
  • Easy fatigue
  • Pallor and anaemia
  • Weight loss
  • Vomiting

Celiac disease can lead to serious health complications if left untreated including dermatitis herpetiformis, osteoporosis, short stature and other autoimmune disorders.

Treatment:

The only treatment is lifelong adherence to a strict gluten-free diet. Gluten is a general name for the proteins found in wheat, rye and barley. Gluten acts as glue to hold food together.

Gluten-Free Diet:

The only treatment is lifelong adherence to a strict gluten-free diet. Gluten is a general name for the proteins found in wheat, rye and barley. Gluten acts as glue to hold food together.

Foods that often not tolerated: cream soups, ice cream, malted, oatmeal, cereals, cakes, cookies, breads, baked goods, wheat starch, spaghetti, macaroni and other pasta.

Check food labels for thickening agents, flour thickeners, sauces, salad dressings, roux, food colouring, drugs and medications, vitamins and supplements. A product can be labelled as gluten-free if it does not contain wheat, rye, barley or their crossbred hybrids OR if it contains a gluten-containing grain or an ingredient derived from a gluten-containing grain that has been processed to less than 20 part per million (ppm) of gluten.

Choose naturally gluten-free grains and flours: corn, rice, tapioca, arrowroot, cassava, soy, potato, beans, sorghum, quinoa, millet and buckwheat.

Choose gluten-free products: gluten-free breads, gluten-free sauce etc.
Prevent cross-contamination with foods containing gluten during preparation. Separate utensils and equipment for both gluten-free and gluten containing foods is suggested. Wheat flour can stay airborne for many hours and may contaminate exposed preparation surfaces and uncovered gluten-free products.

When symptoms exists:

Start with low fibre diet because of flattening of the mucosa villi. Fibre intake can increase gradually as tolerated.

Dairy products should be avoided because risks of secondary lactase deficiency. Dairy products may reintroduced gradually after 3-6 months on diet treatment.

Dietary Supplement:

  1. MCT (medium-chain triglycerides)
  2. Water soluble vitamin (A, D, E and K) and B-complex vitamins
  3. Iron>/li>
  4. Calcium

Reference from:

  1. MOH, 2012
  2. Celiac Organization, US

Photocredit:

  1. ­womenshealthmag.com ­
  2. safereating.co.uk ­
  3. sgihealth.com ­
  4. crpud.net ­
  5. nownhow.com
  6. therootofhealth.com ­
  7. rosannadavisonnutrition.com
  8. glutenfreeeasily.com ­
  9. udisglutenfree.co.uk

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20 May 2015

3 minute read

Celiac Disease and Gluten Free Nutrition & Eating habits

Celiac Disease And Gluten Free Nutrition & Eating Habits

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