Coeliac Disease

Jenny Thompson © HSI 2004

Eileen is a memeber of the Health Sciences Institute. She was having digestive difficulties herself, so she did some research to find out why. Eileen writes: "I figured out that the gluten in certain foods was the culprit. This is called coeliac disease. The gluten flattens out the villi in the small intestine and prevents the normally secreted digestive juices in the samll intestine from being able to help. I ceased my intake of gluten foods; no wheat, rye, oats, barley, modified foood starch, or spelt for me. This in effect took care of the triglycerides. I am 99.99% rid of the problem. I can always tell when an offender sneaks into my food"

Developing Sensitivity

To understand coeliac disease, first we need to look at gluten.

Gluten is a typical component of several different grains. As a primary ingredient of flour, gluten delivers protein and gives bread a higher rise. The problem with gluten is that many people don't tolerate it well - complicated by the fact that a good number of these people aren't even aware of their sensitivity.

I asked HSI Panelist Allan Spreen, M.D., for his insights on gluten basics, and here's what he had to say:

"The high-gluten grains are within the mnemonic BROW (Barley, Rye, Oat, Wheat). When completely unrefined, these grains in and of themselves are not the problem. It's when sensitive individuals run into them that trouble can occur (not counting the dangers of refining them into low-nutrient, low-fiber, high-starch blood sugar stressors). Most often, reactions can involve swings in blood sugar, which can manifest as irritability, headache, difficulty concentrating, fatigue, increased appetite, and subsequently weight problems.

"Constant exposure to one food can cause a person to become 'sensitized.' This is most common in the case of wheat, since wheat is absolutely everywhere. If a person craves grains, cereals, breads, etc., or eats them every day, I often test them by avoiding the potential offending agent for 7 days (21 for dairy). Sometimes the results are remarkable."

An under estimated disease

Other items of interest

Coeliac disease is an auto-immune disorder in which gluten creates an obstruction to the absorption of nutrients in the small intestine. When CD goes untreated, malnutrition develops, followed by a chronic condition that may trigger other dangerous ailments, including gastrointestinal cancer.

Last year, the Archives of Internal Medicine published a report of a large coeliac disease study conducted in several different medical centers throughout the U.S. Knowing that CD is often genetically inherited, the researchers set out to compare the prevalence of CD in an at-risk group to a not- at-risk group.

The scientists took blood samples from more than 13,000 adults and children. Almost 75 percent of the subjects were thought to be at risk for CD because of family history or prior symptoms. In this at-risk group, coeliac disease proved to be present in almost 4 of every 100 subjects. In the not- at-risk group, one in every 133 subjects was shown to have CD.

These results suggest the possibility that more than one and a half million people in the U.S. have coeliac disease - far more than previously believed. Given the knowledge that this is not as rare a disease as previously thought, the researchers hope that doctors will be more inclined to test for it, increasing the possibility that a greater number of cases will be caught in the early stages.

Lessons from history

The problem with diagnosis of coeliac disease is that the symptoms are sometimes directly related to digestion (as with abdominal cramping, unexplained weight loss, and chronic diarrhea), but sometimes not (as with osteoporosis, joint pain, and depression). If any of these symptoms occur in a patient with family history of coeliac disease, this should stand out as a red flag for any physician.

The primary treatment for coeliac disease is adherence to a strict non-gluten diet - but this is easier said than done. As Dr. Spreen has pointed out, refined "BROW" grains are the primary culprits and should be completely avoided. But gluten may be hidden in some foods such as soups, soy sauce, low-fat or non-fat products, and even in candies such as jelly beans. Some common food ingredients that may contain gluten include: modified food starch, hydrolyzed vegetable or plant protein, and some binders and fillers, as well as malt and natural flavorings.

Fortunately, if diagnosed early and addressed before it has a chance to do serious damage, coeliac disease is relatively easy to treat. If you believe that you may be experiencing symptoms of coeliac disease (especially if the family history is there), ask your doctor or dietician to provide you with specific strategies for recognizing and avoiding hidden gluten in your diet.

GoodnessDirect have compiled a very comprehensive list of Gluten-Free Foods to help you select safe products for your new gluten-free diet.