Could You Have Celiac Disease?

Do you find that after you eat pizza, pretzels or cookies you get an upset stomach or become tired? Do you have a problem with recurrent canker sores in your mouth? Or, do you get unexplained itchy blisters on your skin? Well, those are all symptoms of celiac disease. It's estimated that three million Americans have the ailment and yet only a small percentage of us are aware of it.

If you have celiac disease, gluten, a component of wheat, rye, and barley, sets off an immune reaction that attacks your intestine and can affect the entire body. Celiac sufferers are unable to properly absorb essential nutrients because the villi (those wavy “fingers”) in the small intestine have been damaged or destroyed.

Unfortunately, doctors often miss the diagnosis because celiac disease causes a wide range of problems including diarrhea, abdominal pain, bloating, gas, distention, weight loss, constipation, irritable bowel syndrome, skin problems, fatigue, even migraine headaches. Any of those symptoms could be mistakenly diagnosed as another illness.

One clue is that celiac disease runs in the family. If you have it, you inherited the tendency to get the disease from your parents. If one member of your family has celiac disease, about one person out of ten other members of your family is also likely to have it. You may have this tendency for a while without getting sick. Then something like severe stress, physical injury, infection, or surgery can "turn on" your celiac disease.

If you suspect you have gluten intolerance, bring it up with your doctor.There are simple blood tests that can detect celiac disease over 90 percent of the time. The diagnosis can then be confirmed by an upper endoscopy. After sedation, a small, flexible tube is slipped into the mouth, down the esophagus and stomach and into the first part of the small intestine (duodenum), where biopsies are taken. The solution to the illness is to eat a gluten-free diet.  However, it’s not so easy to stick to one since gluten can be found in a wide range of foods from pizza to soy sauce. Consider making an appointment with a nutritionist who can create a special gluten-free diet for you. Robin Westen is ThirdAge’s medical reporter. Check for her daily updates.
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