What is Celiac? And what are the ways to deal with it?
Celiac can be considered among the autoimmune diseases that affect the digestive system. Celiac disease has many symptoms, including bloating, diarrhea and weight loss. Despite this, there are many ways to treat this disease, diet and nutrition can be mentioned in this regard. Stay with Dr. Salam.
Celiac disease is an inflammatory disorder of the small intestine. This disease is caused by a disorder in the immune response of T cells that occurs in genetically predisposed people after consuming gluten. Gluten refers to some of the peptide components of proteins found in wheat (glutenins and gliadins), rye (scalins) and barley (hordeins), which are resistant to complete enzymatic digestion and their reaction with the immune system can be a Create an inflammatory response in the mucosa of the small intestine. The prolamin content of wheat (gliadin), rye (scaline) and barley (hordein) is higher than other grains. Nutritional consequences of celiac disease include: anemia (caused by iron or folate deficiency and rarely vitamin B12), osteomalacia, osteopenia and bone fractures (vitamin D deficiency and inadequate absorption of calcium), blood coagulation disorder (vitamin K deficiency). , tooth enamel hypoplasia, growth delay, delayed puberty, weight loss and lactase deficiency.
Treatment usually includes fluid and electrolyte replacement and iron supplementation. There is no medicine to completely control this disease. The only treatment for celiac disease is to permanently eliminate major sources of gluten or prolamin (wheat, rye, and barley) from the diet. With absolute dietary control, specific antibodies usually become undetectable after 3 to 6 months in most people; But in some people, the recovery process may be slower. A small percentage of patients may be resistant to nutritional therapy, which can be due to unintentional gluten intake, pancreatic insufficiency, irritable bowel, bacterial overgrowth, fructose intolerance, and other digestive disorders. At first, the diet should be supplemented with vitamins, minerals and protein to prevent the nutritional consequences of celiac disease:
Celiac disease is an inflammatory disorder of the small intestine. This disease is caused by a disorder in the immune response of T cells that occurs in genetically predisposed people after consuming gluten.
Iron, folate and vitamin B12: according to the type of anemia
Calcium and vitamin D: to treat osteoporosis or osteomalacia
Vitamin A and E: to replenish depleted reserves following steatorrhea
Vitamin K to treat purpura, bleeding, or prolonged prothrombin time
Fluids and electrolytes: to compensate for dehydration caused by severe diarrhea
MCT: For people with steatorrhea
Omega 3
The following recommendations will be helpful for people with celiac disease:
Since lactose and fructose intolerance may also occur following celiac disease and sugar alcohols are not absorbed well, a low-lactose and low-fructose diet can be followed to control the symptoms.
• Products made from corn, potato, rice, soy, tapioca, arrowroot, marigold, quinoa, millet and buckwheat can be substituted for gluten sources in food products.
• Wheat bran, wheat starch, noodles, beer, licorice and malt vinegar should not be present in food products consumed by people with celiac disease.
• Food labels should be read carefully, to ensure the absence of ingredients containing gluten.
Based on the mentioned information, you should reduce your milk consumption and use yogurt, buttermilk or cheese instead.
Source: Kraus nutritional therapy for digestive system disorders, translated and authored by: Vahid Arin, Merz Danesh Publications
Source: Tebian
29 December 1395 21:37
share (How can you send this article to others)