Do I Have Celiac Disease?

This is most common question asked by an individual to himself, when he hears about symptoms of celiac disease. Celiac disease is a type of autoimmune small intestine disorder that’s transmitted from one person to another through genetically irrespective of their age. The common symptoms of celiac disease are chronic diarrhea, fatigue and poor growth especially in children’s. There is variety of symptoms that differs from one to another person related to both non intestinal and gastrointestinal symptoms.

Generally this disease is caused due to reaction of gliadin which is abundant in wheat, rye and barley. The reaction will modify the protein, while immune system reacts to this protein with small bowel tissue that results in a provocative reaction. Hence the villi lining on small intestine would truncate, that interferes with nutrients absorption in body. The gluten free regimen is the only known best and effective treatment for celiac disease. This condition is often referred by various names like coeliac disease, celiac or coeliac sprue, gluten intolerance, non tropical sprue, gluten sensitive Enteropathy or gluten Enteropathy.
Today with advancement in medical field one can use variety of tests to diagnose celiac disease. The symptoms level would determine the order of tests but it would their value, in case if the patient has opted for gluten free regiment. The intestinal damage would be healed under one or two weeks, after the subsequent removal of gluten dietary protein from human body. Later the antibody levels in individual’s body decline over a period of time. The different types adopted to diagnose celiac disease are blood tests, endoscopy, pathology and others.
Blood test is the most preferred and affordable diagnosis method to identify the level of celiac disease. The IgA antibody will help in detecting the celiac disease with specificity and sensitivity. But the blood tests in case of children’s may not be reliable for those aged below five as they are based on ELISA or Indirect Immunofluorescence. Upper Endoscopy may yield accurate results and help in diagnosing celiac disease irrespective of the patient’s age. At the same it is very important on part of physician or doctor to obtain multiple samples from duodenum. Majority of the individuals with celiac diseases have small bowel which might appear normal in endoscopy. But this method is replaced effectively by fibre optical endoscopy, regarded for its minimum errors and high sensitivity.
Pathology is distinguished by Marsh Classification like Marsh Stage 0 to Marsh Stage 4. These changes would improve after reversing the effect of gluten proteins in human body. In severe cases after pathology endoscopy would be performed to confirm the diagnosis. But this can’t be afforded by everyone and hence they opt for normal serology for disease confirmation.
Gluten free dietary habits are the reliable method and there are no medications to save an individual to protect his intestine from gluten impact. By sincerely adhering to balanced gluten free diet, one can easily find resolution to various health symptoms; depending upon how quickly an individual starts to fit in the diets free from dietary protein, gluten.


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