What is Coeliac disease?
Coeliac disease is gluten intolerance. In other words, people who have celiac disease, are hypersensitive to gluten. Coeliac disease can occur at any age. It is a chronic condition and is not curable. With adjustments to a (lifelong) diet, however, the complaints can be fought off and often prevent this condition from worsening.
What is gluten?
Gluten is a protein found in various cereals, such as wheat, barley, rye, spelt. Gluten is found in far more foods than you may think. Not only bread, crackers and all sorts of breakfast products contain gluten, but also many kinds of paneer layers, such as on a fish fingers, a schnitzel or a croquette. It is also in pasta, pizza, couscous, instant soups, lots of sweets and beer. So, in fact, a huge amount of foods contain gluten. People with the Coeliac disease must therefore very pay attention to omitting gluten from their diet.
What goes wrong?
Coeliac disease is an autoimmune disease as a result of the ingestion of gluten. In the case of celiac disease is the lining of the small intestine that gets attacked. It is an autoimmune disease, the immune system makes antibodies to by mistake. This causes inflammation in this ‘ attacked ‘ tissue area.
An inflammatory reaction in the small intestine
When people with coeliac disease regularly come into contact with gluten, it creates an inflammatory reaction in the small intestine.
This enables their ‘ intestinal villi ‘ to break. Intestinal villi are also called villi. They are finger-shaped projections on the inside of the small intestine. This goes together with the folds on the inside of the small intestine that the surface of this body is enormous. This is necessary for the absorption of nutrients by the small intestine as good as possible.
Abdominal discomfort and a nutrient deficiency
Initial reactions to having celiac disease will cause many abdominal discomforts such as stomach pain, diarrhoea or constipation. Over time more and more gets broken, causing intestinal villi nutrients get worse. In the end, coeliac disease causes the intestinal wall to become damaged in such a way that there are no intestinal villi. This creates a shortage of vitamins and minerals and causes weight loss. It can cause all sorts of complaints in the body.
Coeliac disease is a common condition
Coeliac disease is a common condition in the Western world. 1 in 100 people in the UK has it. It makes it much more common than previously thought under-diagnosis it’s a big problem and research suggests around 500,000 people have not yet been diagnosed. However, many more people probably walk around with this disease without being aware of. This is because their complaints (yet) have been associated with a gluten intolerance. These are for example confused with stress, old age, a wheat allergy or the irritable bowel syndrome (IBS). That is very unfortunate because
However, many more people probably walk around with this disease without being aware of. This is because their complaints (yet) have been associated with a gluten intolerance. These are for example confused with stress, old age, a wheat allergy or the irritable bowel syndrome (IBS). That is very unfortunate because the coeliac disease is usually treatable.
What is Coeliac disease?
It is not yet clear what causes coeliac disease. It is known that hereditary predisposition. If one of the parents has this condition, each of his or her children has a 5-10% increased the risk of getting coeliac disease.
Genetics: If one of the parents has this condition, each of his or her children has a 5-10% increased the risk of getting coeliac disease.
If one of the parents has this condition, each of his or her children has a 5-10% increased the risk of getting the coeliac disease.
Other risk factors for Coeliac disease are:
· Chronic bowel disease and infections
· Having other autoimmune diseases
This is a congenital condition in which the antibody IgA in whole or in part is missing.About 10% of people with coeliac disease has IgA deficiëncy Diabetes mellitus
coeliac is a lot more common in people with Down syndrome as in people who do not have this congenital malformation
Turner syndrome is a very rare congenital malformation that occurs only in women.
The most well-known symptoms include: small (smaller than 1.50 m.), a broad chest, low hairline and heart/kidney problems. Coeliac disease is 10 times more common in people with Turner syndrome as in people who do not have this
Williams syndrome is a congenital defect which is characterised by intellectual disabilities and facial features such as thick lips, a small Chin, a narrow forehead and curly hair that is grey asked.
Celiac disease is much more common in people with this syndrome as in people who do not have
What are the symptoms of celiac disease?
Celiac disease gives you vague symptoms that are similar to other diseases of the gastrointestinal tract. A lactose intolerance, an intestinal infection, or the Crohn’s disease are examples. It is also possible that there are severe symptoms arise. This depends on the person, but also the amount of gluten which receives the patient.
The possible symptoms of celiac disease are:
· Abdominal pain
· Abnormally foul-smelling stools
· Pale stools
· A distended abdomen
· Irritability in children
· Staining teeth (possible with white/yellow/brown spots)
In the long run, can lead to physical symptoms coeliac disease resulting from a deficiency of vitamins and minerals.
Possible long-term symptoms are:
· Weight loss
· Growth retardation in children
· Late puberty
· Bone – and joint pain
· Skin rash
· Interruption of the normal menstruation (amenorrhea)
· Vaginal bleeding during pregnancy
How is Coeliac disease diagnosed?
If a GP on the basis of the complaints coeliac suspects will be clarified by further testing to diagnose with certainty.
With the following investigations can coeliac be adopted:
When this research shows that antibodies against the body’s own intestinal cells in the blood, the risk of coeliac disease in size.
When no antibodies are found, not necessarily that someone does not have celiac disease
For this research take the stomach Liver-Intestine doctor a piece of tissue (biopsy) of the small intestine road. Can then be examined with a microscope or the intestinal mucosa is damaged and if so, the extent to which. 100% definite answer this survey can only.
How is Coeliac disease treated?
The only way that coeliac disease can be treated, is by following a gluten free diet. In most people, the complaints disappear within a few weeks. Feeling fatigued decreases. The recovery of the small intestine takes time, even years. For some older people with coeliac disease is full recovery of the intestinal mucosa is not possible. With the help of a dietitian, because following a gluten-free diet is complex, it is advisable to use the help of a dietitian.
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Last updated on May 10, 2017.