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Could My Child Have Celiac Disease
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The figures are absolutely astounding. The Celiac Disease Foundation estimates that 97% of all people with celiac disease are never properly diagnosed. If you suspect that your child suffers from this common medical condition, here a few things to think about as your prepare for your doctor visit.
WHAT CELIAC DISEASE IS
Celiac disease, which is also called celiac sprue, is a common genetic condition characterized by the inability to properly metabolize a protein found in grains like wheat, barley, rye and oats. Celiac disease is sometimes referred to as "gluten intolerance" because it is the gluten in foods that the body isn't able to process.
SYMPTOMS OF CELIAC DISEASE
Only a qualified medical professional can tell you if your child is suffering from celiac disease but some of the most common recurring symptoms of gluten intolerance include gas, diarrhea, foul-smelling or pale bowel movements, fatigue, and unexplained changes in weight. Celiac disease can also cause malnutrition which can ultimately lead to other conditions like anemia, arthritis-like joint pain and even tooth loss.
WHAT CELIAC DISEASE DOES TO YOUR CHILD'S BODY
When a child with celiac disease consumes foods containing gluten the body responds with what doctors refer to as an inflammatory response. This inflammatory response is most obvious in the small intestines where the inflammation eventually destroys the small hair-like projections, called villi, that allow your child's intestines to properly absorb nutrients. If enough of these villi are destroyed, your child's body will no longer be able to absorb enough nutrition and your child will become deficient in key nutrients.
WHAT TO EXPECT AT YOUR DOCTOR'S OFFICE
Although your doctor will probably question you extensively about your child's eating habits, the only reliable way to diagnose celiac disease is through medical tests. Your doctor will order blood tests engineered to look for specific antibodies in your child's blood. In rare cases, your child made need to undergo a minor bowel biopsy to check for damage to the small intestines.
Because celiac disease is an inherited disease, your doctor may also encourage you to test other members of your family for this condition. Even seemingly healthy people with no obvious symptoms may have celiac disease without yet realizing it.
CELIAC DISEASE CAN BE MANAGED AT HOME
Currently, there is no cure for celiac disease and no medication that can make your child more tolerant of gluten proteins. The only treatment is a strict gluten-free diet that your child will need to follow for the rest of his or her life.
If you suspect celiac disease in your child, it's important to learn how to spot "hidden" sources of gluten as well. Gluten is a common food additive and is routinely used as a thickener and stabilizer in convenience foods, snacks and pre-packaged meals. Your doctor can refer you to a qualified dietician or nutritionist who can help you better understand food labels and teach you how to spot hidden sources of gluten in the foods your family eats.
Celiac disease is a difficult condition for any parent to manage. But with a little help from your doctor and a lot of dedication on your part, your child can expect to live a long, healthy life.
References:
Dewar, D, Ciclitira, P. (2005). Clinical Features and Diagnosis of Celiac Disease. Gastroenterology.
Celiac Disease Foundation. (2007). The Face Of Celiac Disease.
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