Celiac disease and non celiac gluten sensitivity a review

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Introduction

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Celiac disease and non celiac gluten sensitivity are two conditions that are often confused with each other due to their similar symptoms. However, they have distinct differences in terms of their causes, diagnosis, and treatment. In this article, we will review both conditions and discuss the differences between them.

What is celiac disease?

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Celiac disease is an autoimmune disorder triggered by the consumption of gluten, a protein found in wheat, barley, and rye. When people with celiac disease consume gluten, their immune system attacks the small intestine, causing damage to the villi, which are responsible for nutrient absorption. This can lead to malabsorption of nutrients, resulting in various symptoms such as abdominal pain, bloating, diarrhea, fatigue, and weight loss.

Diagnosis

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Diagnosing celiac disease involves blood tests to check for the presence of antibodies that indicate an immune response to gluten. A biopsy of the small intestine may also be necessary to confirm the diagnosis.

Treatment

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The only effective treatment for celiac disease is a strict gluten-free diet. This means avoiding all foods that contain gluten, including bread, pasta, and baked goods made with wheat, barley, or rye. It may take some time for the small intestine to heal, but following a gluten-free diet can help to reduce symptoms and prevent complications.

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What is non celiac gluten sensitivity?

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Non celiac gluten sensitivity, also known as gluten intolerance, is a condition in which people experience symptoms similar to those of celiac disease when consuming gluten, but without the immune response or small intestine damage. The exact cause of non celiac gluten sensitivity is not yet fully understood, but it is believed to be related to the immune system or gut microbiome.

Diagnosis

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Diagnosing non celiac gluten sensitivity can be challenging, as there are no specific tests for the condition. It often involves ruling out other conditions that may cause similar symptoms, such as celiac disease or wheat allergy.

Treatment

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The treatment for non celiac gluten sensitivity is a gluten-free diet, similar to celiac disease. However, the response to a gluten-free diet can vary, and some people may still experience symptoms even after eliminating gluten from their diet. It is important to work with a healthcare professional to address any underlying issues and manage symptoms.

Conclusion

Celiac disease and non celiac gluten sensitivity are two distinct conditions with similar symptoms. While celiac disease involves an immune response and small intestine damage, non celiac gluten sensitivity does not. Both conditions can be managed with a gluten-free diet, but the diagnosis and treatment may differ. It is important to work with a healthcare professional to properly diagnose and manage these conditions.

FAQs

1. Can celiac disease and non celiac gluten sensitivity be cured?

There is no cure for celiac disease or non celiac gluten sensitivity, but they can be managed with a gluten-free diet.

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2. Can a gluten-free diet help with other conditions?

A gluten-free diet may be helpful for people with certain conditions, such as irritable bowel syndrome or inflammatory bowel disease, but it should not be followed without consulting a healthcare professional.

3. Is it safe to eat gluten if you have non celiac gluten sensitivity?

It is best to avoid gluten if you have non celiac gluten sensitivity, as consuming gluten can trigger symptoms.

4. Can celiac disease be diagnosed without a biopsy?

While blood tests can indicate the presence of celiac disease, a biopsy of the small intestine is usually necessary to confirm the diagnosis.

5. Can non celiac gluten sensitivity cause long-term damage?

Non celiac gluten sensitivity does not cause the same type of damage to the small intestine as celiac disease, but it can still cause long-term symptoms if not properly managed.

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