is gluten bad for non celiacs Celiac awareness: my story

Celiac disease is an autoimmune disease that causes damage to the small intestine and affects the body’s ability to absorb nutrients properly. The primary treatment for the disease is a lifelong gluten-free diet. However, for some, adhering to a gluten-free diet is not enough to manage their symptoms. In this post, we’ll explore why a gluten-free diet may not fix celiac disease for some individuals.

What is Celiac Disease?

Celiac disease is a genetic autoimmune disorder affecting 1 in 100 individuals worldwide. When a person with celiac disease consumes gluten, a protein found in wheat, rye, and barley, their immune system attacks their small intestine, leading to inflammation and damage to the lining. This damage prevents the proper absorption of nutrients, including vitamins and minerals essential to maintaining good health.

The Gluten-Free Diet and Celiac Disease

A gluten-free diet is the primary treatment for celiac disease. Gluten is found in many foods, including bread, pasta, and cereal, so it can be challenging to avoid. Individuals with celiac disease must avoid all sources of gluten, including cross-contamination from shared kitchen utensils and surfaces. While a gluten-free diet can alleviate symptoms and prevent further damage to the small intestine, some people with celiac disease may still experience symptoms despite adhering to a gluten-free diet.

Why a Gluten-Free Diet May Not Fix Celiac Disease for Some

Despite following a strict gluten-free diet, some people with celiac disease may still experience frequent symptoms, such as abdominal pain, bloating, diarrhea, and fatigue. Several factors may contribute to the persistence of symptoms despite adhering to a gluten-free diet.

Non-Celiac Gluten Sensitivity (NCGS)

Non-celiac gluten sensitivity (NCGS) is a condition where individuals experience symptoms similar to celiac disease but do not test positive for the disease through blood or biopsy tests. Unlike celiac disease, NCGS does not involve damage to the small intestine. The symptoms of NCGS may improve with a gluten-free diet, but some individuals may not see improvement.

Other Food Intolerances

Individuals with celiac disease may have other food intolerances that exacerbate their symptoms. Common food intolerances include lactose intolerance and fructose malabsorption. Identifying and eliminating other food intolerances can improve symptoms and quality of life for individuals with celiac disease who are still experiencing symptoms despite following a gluten-free diet.

Small Intestinal Bacterial Overgrowth (SIBO)

Small intestinal bacterial overgrowth (SIBO) occurs when there is an overgrowth of bacteria in the small intestine. Symptoms of SIBO overlap with those of celiac disease and NCGS, making it difficult to differentiate between the conditions. Individuals with celiac disease who continue to experience symptoms despite following a gluten-free diet should be evaluated for SIBO.

Conclusion

While a gluten-free diet is the primary treatment for celiac disease, it may not be enough to manage symptoms for some individuals. Identifying and addressing other factors, such as NCGS, other food intolerances, and SIBO, can help individuals with celiac disease achieve symptom relief and improve their quality of life.

It is important for individuals with celiac disease to work closely with a healthcare provider and a registered dietitian to develop a comprehensive treatment plan that addresses all of their symptoms and promotes overall health and wellness.

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