Dr Sonal Kolte’s NutriChief
Gluten is type of a protein which is found in many grains like wheat, rye, barley and foods that are prepare by using these grains. People who suffers from celiac disease whenever consume gluten their body mounts an immune response which attacks the small intestine leading to damage of villi, promote nutrient absorption.(small finger like projections that line the small intestine)
Due to the damage of villi body unable to absorb proper nutrients.
What are the symptoms of celiac disease?
you have celiac disease and accidentally eat something with gluten in it, you may have symptoms including:
Abdominal pain
Anemia
Bloating or a feeling of fullness
Bone or joint pain
Constipation
Diarrhea
Gas
Heartburn
Itchy, blistery rash (doctors call this dermatitis herpetiformis)
Headaches or fatigue
Mouth ulcers
Nausea
Nervous system injury, including numb or tingling hands or feet, balance problems, or changes in awareness
Poop that’s pale, smells especially bad, or floats (steatorrhea)
Weight loss
Celiac disease can also cause a loss of bone density and reduced spleen function (hyposplenism).(2)
Is Celiac disease hereditary?
Yes, first-degree relative with celiac disease (parent, child, and sibling) have a 1 in 10 risk of developing celiac disease. It is a digestive disorder. It can be develop at any age as they start eating gluten in form of Food or medicine.
Long-Term Health Conditions
Iron deficiency anemia
Early onset osteoporosis or osteopenia
Infertility and miscarriage
Lactose intolerance
Vitamin and mineral deficiencies
Central and peripheral nervous system disorders
Pancreatic insufficiency
Intestinal lymphomas and other GI cancers (malignancies)
Gall bladder malfunction
Neurological manifestations, including ataxia, epileptic seizures, dementia, migraine, neuropathy, myopathy and multifocal leucoencephalopathy (1)
How to manage celiac disease ?
1)Complete abstinence to gluten foods.
2) It will prevent damage of villi.
3)Grains containing gluten –
a) wheat (including wheat varieties like spelt, kamut, farro and durum, plus products like bulgar and semolina)
b)Barley
c) Rye,
d) Oats
e) triticale (a cross between wheat and rye). Gluten free grains – corn, millet, rice, sorghum. gluten-free diet is used to treat celiac disease. Eating a gluten-free diet helps people with celiac disease control their signs and symptoms and prevent complications. Initially, following a gluten-free diet may be frustrating, but there are many foods that are gluten-free and substitutes exist for gluten-containing foods that are consumed.
Which foods to be avoided strictly?
Atta, maida, sooji, rye, barley, dalia.
Processed Cereals:
Noodles, pastas, bread, bread rolls, pizzas, wheatflakes, breadcrumbs, soupsticks, semiyan, dalia, double roti, rusk, cake, Burger
biscuits, kurkure, cutlets and other wheat Cooked cereals:
Roti, parantha, poories, dalia, halwa, kultcha ,nan, tandoori roti, lachha paratha ,
Beverages:
Barley water, hot chocolate, Complain, Horlicks, Boost, Bournvita
Supplements which is made from wheat.
Desserts: Cakes, pastries, pies, ice cream, laddu with atta, chocolates, milk cakes, jalebi ,gulab jam many more sweets.
Tinned & Canned Foods:
Vegetable sauces, instant curry mixes, baked beans
Processed Meats:
Sausages, hams, seek kabab, tikka and so on.
Which food options are permitted in gluten intolerance?
Rice,
Corn(bhutta) and it’s products ,
Sago,
Bajra,
Jawar,
Sighara ka atta,
Arrowroot,
Rajgira and it’s products
Ragi
Millets :
Millet are good substitute for wheat. Many part of India Ragi millet used widely. It is rich in iron, calcium and protein.
Pulses: All dals and it’s products , channa, soyabean , rajmah ,choely,grean peas, lentils
Processed Cereals:
Poha( rice flakes), Murmura (puffed rice) ,cornflakes, popcorn, rice noodles.
Snacks:
South indian cuisine are mostly prepared from combination of rice and dal like Idlis, dosa, vadas, rice murukku, Utaapaam etc
Cooked cereals:
Boiled rice, pulao, curd rice, makki ki roti, bajra, jawar roti, besan ki chapati Desserts: Freshly prepared rice kheer, sago kheer, fresh paneer, caramel custard, carrot halwa, sliced fruits with sugar, honey
Beverages:
Fresh juices, tea, coffee, fresh milk, fresh curd, lassi, soda, fresh soup with / without corn starch.
Eat freshly cooked vegetables, fresh fruits, any kind of fats and oils, whole/ ground spices and condiments Freshly cooked meat, fish, chicken, eggs.
For weight loss, dietitians keep on thinking gluten free diets. Many times it is effective too.
Reference
1)Celiac Disease Foundation
20350 Ventura Blvd Ste 240
Woodland Hills CA 91364
