Celiac Disease
Coutii Healthy - Celiac disease is an autoimmune disease that results from eating gluten. In celiac disease, the immune system will give the reaction after consuming gluten, which can damage the lining of the intestine and inhibits the absorption of nutrients (malabsorption of nutrients). As a result, sufferers of celiac disease will experience diarrhea, weakness, or anemia.
Gluten is a protein found in some cereals, such as wheat. Some examples of foods containing cereal is pasta, cake, breakfast cereals, soy sauce, bread, and some kind of instant foods. Gluten bread dough or make functioning other foods become elastic and chewy.
There is no medicine that can cure celiac disease. However, implementing a gluten-free diet can help relieve the symptoms and healing the gut.
The symptoms of celiac disease in children and adults can be slightly different, where symptoms in some adult sufferers are not related to the digestive system. These symptoms include:
Causes and Risk factors for Celiac disease
Celiac is not an allergy or intolerance to gluten body. This disease is an autoimmune condition, in which the wrong body to recognize the compounds contained in the gluten as a threat to harm and even forming antibodies to resolve it, so that attacking healthy tissues of the body. In the case of celiac antibodies, making the intestine is experiencing inflammation and swelling. This antibody substances will make fine feathers (villus) on the surface of the intestine become damaged, so the process of absorption of nutrients from food be not perfect. In addition, in the majority of celiac sufferers have also found genetic disorders that can cause changes in cells in the intestine.
Up to now the exact cause of celiac disease is unknown, but a combination of autoimmune and genetic disorders, as well as the influence of other conditions, such as undergoing surgical procedures, pregnancy and childbirth, viral infection, or disorder the emotional weight, suspected of being the cause of celiac disease.
The following are some factors that can increase the risk of someone suffering from celiac disease:
There are some procedures the diagnosis the doctor would do if patients suspected of suffering from celiac disease, namely:
Some gluten-free natural food that can be consumed are meat and fish, vegetables and fruit, milk and processed milk products such as cheese and butter, potatoes, and rice. Some types of flour there are gluten-free, such as rice flour, corn flour, soy flour, potato and flour. ASI and mostly baby formula is also free of gluten content.
In addition to the gluten free diet, some additional therapy is needed to help overcome the symptoms and preventing complications. These therapies include:
Post gluten free diet and therapy, patients need to be checked periodically to ensure self diet and therapy provide the results as expected. The inspection is usually done through this blood test will determine if the gluten free diet needs to be continued or not. If symptoms continue to progress or relapse, then it needs to be done with endoscopic biopsy examination. After a few weeks of living the gluten free diet, typically the patient's condition is improving, but healing digestive system entirely can take as long as 2 years.
Gluten is a protein found in some cereals, such as wheat. Some examples of foods containing cereal is pasta, cake, breakfast cereals, soy sauce, bread, and some kind of instant foods. Gluten bread dough or make functioning other foods become elastic and chewy.
There is no medicine that can cure celiac disease. However, implementing a gluten-free diet can help relieve the symptoms and healing the gut.
The Symptoms Of Celiac Disease
The symptoms of celiac disease can appear and then disappear, from mild to severe. Symptoms in mild cases often do not seem clear. However, while mild symptoms are detected, the doctor will recommend the treatment given the complications still may happen. The most common symptoms experienced celiac sufferer is diarrhea. This occurs due to the inability of the digestive system to absorb nutrients from food. The inability of the body to absorb the nutrients it makes the stools contain fat. Dirt issued celiac disease sufferers will smell unpleasant, greasy, and foaming.The symptoms of celiac disease in children and adults can be slightly different, where symptoms in some adult sufferers are not related to the digestive system. These symptoms include:
- As a result of anemia, iron deficiency or vitamin B12.
- Tingling and numbness in the tips of fingers and toes (peripheral neuropathy).
- Swelling of the hands, soles of the feet, arms, and legs, caused by a buildup of fluid in the tissues of the body.
- Destruction of bone density.
- Destruction layers of the teeth.
- Rash on skin that itch and blisters (dermatitis herpetiformis).
- Joint pain.
- Disturbance of the balance of the body.
- Impaired function of the spleen.
- Difficult to conceive.
- While in older children, symptoms of celiac disease can be:
Abdominal pain.
- Flatulence.
- Constipation.
- The fall in body weight, up to tumbuh-kembang disorders.
- High body under average.
- Late puberty.
- Nervous disorders, such as ADHD, learning disabilities, headaches, and muscle coordination.
Causes and Risk factors for Celiac disease
Celiac is not an allergy or intolerance to gluten body. This disease is an autoimmune condition, in which the wrong body to recognize the compounds contained in the gluten as a threat to harm and even forming antibodies to resolve it, so that attacking healthy tissues of the body. In the case of celiac antibodies, making the intestine is experiencing inflammation and swelling. This antibody substances will make fine feathers (villus) on the surface of the intestine become damaged, so the process of absorption of nutrients from food be not perfect. In addition, in the majority of celiac sufferers have also found genetic disorders that can cause changes in cells in the intestine.
Up to now the exact cause of celiac disease is unknown, but a combination of autoimmune and genetic disorders, as well as the influence of other conditions, such as undergoing surgical procedures, pregnancy and childbirth, viral infection, or disorder the emotional weight, suspected of being the cause of celiac disease.
The following are some factors that can increase the risk of someone suffering from celiac disease:
- Hereditary factors. If you have a family member who suffers from celiac disease, then the risk of experiencing a similar disease is also greater.
- Environmental factors. Someone who have experienced infection digestive system while still children, e.g. rotavirus infection, will have a greater risk of celiac disease exposed
- Health conditions. Type 1 diabetes, ulcerative colitis, nervous disorders, Down's syndrome, the syndrome can increase the risk of developing celiac disease.
Diagnosis Of Celiac Disease
There are some procedures the diagnosis the doctor would do if patients suspected of suffering from celiac disease, namely:
- Blood tests. A blood test is done in the form of genetic tests and serology. Serology tests are aimed at looking for celiac antibodies in the body, while genetic tests look for genetic abnormalities in people with celiac disease (HLA-DQ2 and HLA-DQ8).
- Endoscopy and biopsy. To find out the condition of the intestine, then endoscopy can be done. This examination is done by inserting an endoscope tool (small hose with a light and camera) of the mouth or the rectum until it reaches the intended area. Once found, would have taken tissue samples for viewing changes under the microscope. There is also an examination of capsule endoscopy, namely wireless cameras that are swallowed up to see the State along the digestive tract. However, this inspection cannot be coupled with the examination of a biopsy.
- Skin biopsy. If the patient is seen suffering from dermatitis herpetiformis, then the required sampling skin for sure.
- The BMD. The patient will undergo bone density examination with BMD
Treatment Of Celiac Disease
To deal with celiac disease, the doctor will usually recommend sufferers avoid whole foods or any material containing gluten with the gluten free diet program. This is done to prevent damage to the intestinal wall, as well as the symptoms of diarrhea and abdominal pain. The doctor will also recommend a diet with balanced nutrition in which all the nutrients your body needs can be met. In addition to foods, gluten can also be found in drugs, vitamins, even lipstick.Some gluten-free natural food that can be consumed are meat and fish, vegetables and fruit, milk and processed milk products such as cheese and butter, potatoes, and rice. Some types of flour there are gluten-free, such as rice flour, corn flour, soy flour, potato and flour. ASI and mostly baby formula is also free of gluten content.
In addition to the gluten free diet, some additional therapy is needed to help overcome the symptoms and preventing complications. These therapies include:
- Vaccination. In some cases, celiac disease can cause spleen work less effective so that sufferers vulnerable to getting infected. Therefore, the sufferer needs additional vaccination, as flu vaccine, influenza type B Haemophillus vaccines, vaccines and meningitis, pneumococcal vaccine, to protect patients from infection.
- Supplements. This therapy is needed to ensure sufferers get all the nutrients it needs. The required supplements in the form of calcium, folic acid, iron, vitamin B12, vitamin D, vitamin K, and zinc.
- Corticosteroids. This remedy is required when the intestinal damage is severe, to ease the symptoms during the healing process.
- Dapsone. This medication is used in order to make the symptoms more quickly subsided. The drug dapsone dose given is usually very small, considering the side effects can cause headaches and depression.
Post gluten free diet and therapy, patients need to be checked periodically to ensure self diet and therapy provide the results as expected. The inspection is usually done through this blood test will determine if the gluten free diet needs to be continued or not. If symptoms continue to progress or relapse, then it needs to be done with endoscopic biopsy examination. After a few weeks of living the gluten free diet, typically the patient's condition is improving, but healing digestive system entirely can take as long as 2 years.
Complications Of Celiac Disease
If left untreated celiac disease or keep consuming foods that contain gluten, then there are a few complications that can be experienced by sufferers, namely:- Malabsorption and malnutrition. The body can't absorb nutrients sufferer perfectly, that can lead to iron-deficiency anemia, osteoporosis, weight decrease, and stunted growth. In this condition will also arise the symptoms of weakness, dizziness, or seems confused
- Infertility and miscarriage. A lack of calcium and vitamin D can lead to disorders of the reproductive organs.
- Lactose intolerance. Sufferers will be at risk of experiencing a lactose intolerance because his body to digest lactose enzyme deficiency, which is typically found in dairy products such as cheese, milk, or yogurt.
- Cancer. Sufferers of celiac disease have a greater risk of developing cancer of the colon and intestinal lymphoma.
- Low birth weight babies. This risk is higher in pregnant women with celiac disease who are not controlled.
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