<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;"><strong>Contents</strong></span></span></p>

<p style="text-align: justify;"><em><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">What is celiac disease?</span></span></em></p>

<p style="text-align: justify;"><em><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">What does gluten do to people who have celiac disease?</span></span></em></p>

<p style="text-align: justify;"><em><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">What are the symptoms of celiac disease?</span></span></em></p>

<p style="text-align: justify;"><em><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">How did I get celiac disease?</span></span></em></p>

<p style="text-align: justify;"><em><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">How can I be sure I have celiac disease?</span></span></em></p>

<p style="text-align: justify;"><em><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Celiac disease sounds really serious. How can I control it?</span></span></em></p>

<p style="text-align: justify;"><em><span style="font-family:arial,helvetica,sans-serif;">What resources are there for people with celiac disease?</span></em></p>

<p style="text-align: justify;"><em><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Can I be sensitive to gluten without having celiac disease?</span></span></em></p>

<p style="text-align: justify;"><em><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Questions to Ask Your Doctor</span></span></em></p>

<p style="text-align: justify;">&nbsp;</p>

<h2 style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;"><a id="1" name="1">What is celiac disease?</a></span></span></h2>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Celiac disease is a disorder that causes problems in your small intestine when you eat gluten, a protein found in wheat, rye, and barley. Gluten is poison to people who have celiac disease.</span></span></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;"><img src="https://www.zdrav.kz/images/refs2/65Ce.png" style="width: 600px; height: 482px;" /></span></span></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Organs of digestive tract</span></span></p>

<p style="text-align: justify;">&nbsp;</p>

<p style="text-align: justify;">&nbsp;</p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;"><a id="2" name="2">What does gluten do to people who have celiac disease?</a></span></span></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">In people who have celiac disease, gluten causes the immune system to attack the small intestine. This damages the small intestine and keeps your small intestine from taking in nutrients from the foods you eat. When this happens, your body doesn&rsquo;t get the vitamins, calcium, protein, carbohydrates, fats and other important nutrients it needs. Your body can&#39;t work well without these nutrients.</span></span></p>

<h2 style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;"><a id="3" name="3">What are the symptoms of celiac disease?</a></span></span></h2>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Celiac disease can cause a wide range of symptoms, symptoms that change, or sometimes no symptoms at all. Symptoms of celiac disease may include:</span></span></p>

<ul>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Infants and young children who have celiac disease are more likely to have digestive symptoms, such as&nbsp;<a href="http://www.zdrav.kz/en/node/9903">abdominal pain</a>,&nbsp;<a href="http://www.nlm.nih.gov/medlineplus/ency/article/003117.htm">vomiting</a>, diarrhea (even bloody diarrhea) and&nbsp;<a href="http://www.zdrav.kz/en/node/10279">constipation</a>, and may fail to grow and gain weight. A child may also be irritable, fretful, emotionally withdrawn, or excessively dependent. If the child becomes malnourished, he or she may have a large tummy, thin thigh muscles, and flat buttocks. Many children who have celiac disease are overweight or obese.</span></span></li>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Teenagers may have digestive symptoms such as diarrhea and&nbsp;<a href="http://www.zdrav.kz/en/node/10279">constipation</a>. They may hit puberty late and be short. Celiac disease might cause some&nbsp;<a href="http://www.zdrav.kz/en/node/10151">hair loss</a>&nbsp;(a condition called alopecia areata) or dental problems.</span></span></li>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Adults are less likely to have digestive symptoms. Instead, they might have a general feeling of poor health, including&nbsp;<a href="http://www.zdrav.kz/en/node/9988">fatigue</a>, bone or joint pain, irritability,&nbsp;<a href="http://www.zdrav.kz/en/node/9638">anxiety</a>&nbsp;and&nbsp;<a href="http://www.zdrav.kz/en/node/10165">depression</a>, and missed menstrual periods in women. Some adults may have digestive symptoms such as diarrhea or&nbsp;<a href="http://www.zdrav.kz/en/node/10279">constipation</a>.</span></span></li>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Osteoporosis (loss of calcium from the bones) and anemia are common in adults who have celiac disease. A symptom of osteoporosis may be nighttime bone pain.</span></span></li>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Lactose intolerance (a problem digesting milk products) is common in patients of all ages who have celiac disease.</span></span></li>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Dermatitis herpetiformis (an itchy, blistery skin problem) and canker sores in the mouth are also common problems in people who have celiac disease.</span></span></li>
</ul>

<h2 style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;"><a id="4" name="4">How did I get celiac disease?</a></span></span></h2>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Doctors and researchers don&rsquo;t know exactly what causes celiac disease. Celiac disease is more common in people who:</span></span></p>

<ul>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Have a family member with celiac disease. If 1 member of your family has celiac disease, about 1 person out of 10 other members of your family is also likely to have it.</span></span></li>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Have an autoimmune disease, such as type 1 diabetes, rheumatoid arthritis, autoimmune thyroid or liver disease, Addison&rsquo;s disease, or Sjogren&rsquo;s syndrome.</span></span></li>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Have a genetic disorder such as Down syndrome or Turner&rsquo;s syndrome.</span></span></li>
</ul>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">If you have celiac disease, you probably won&rsquo;t know it right away. You may have this disease for a while without getting sick. Then something like severe stress, physical injury, infection, childbirth, or surgery can trigger, or &quot;turn on,&quot; your celiac disease.</span></span></p>

<h2 style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;"><a id="5" name="5">How can I be sure I have celiac disease?</a></span></span></h2>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Blood tests can help your doctor diagnose this disease. If you think you have celiac disease, talk to your doctor. Don&rsquo;t stop eating gluten before you have a blood test. If you stop eating gluten before your blood test, it can mess up your results.</span></span></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">If your blood test indicates that you might have celiac disease, an intestinal biopsy (taking a small piece of tissue from your small intestine using a thin tube) or the diagnosis of dermatitis herpetiformis (a particular type of skin rash) will confirm that you have celiac disease.</span></span></p>

<h2 style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;"><a id="6" name="6">Celiac disease sounds really serious. How can I control it?</a></span></span></h2>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Celiac disease is serious. Fortunately you can control celiac disease by following a&nbsp;<a href="http://familydoctor.org/familydoctor/en/prevention-wellness/food-nutrition/weight-loss/gluten-free-diet.html">gluten-free diet</a>,&nbsp;meaning you don&rsquo;t eat any gluten for the rest of your life. By following the right diet, you can reverse the damage caused by celiac disease and you&#39;ll feel better. But if you &quot;cheat&quot; on your diet, the damage will come back, even if you don&#39;t feel sick right away.</span></span></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">People who follow a gluten-free diet avoid all foods that contain wheat, barley, rye, spelt, and triticale products, including many breads, pastas, cereals and processed foods. Rice, corn, oats, quinoa, buckwheat, and millet do not contain gluten. Some people choose to avoid oats because some oat products can be contaminated with wheat gluten. Gluten also is sometimes used in medicines, so be sure to talk to your doctor or pharmacist before taking a new medicine.</span></span></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Learning to be gluten-free may be difficult at first. It will take time for you and your family to learn how to avoid gluten. You&rsquo;ll have to learn to read ingredient labels and identify the foods that contain gluten. You&rsquo;ll have to be careful when you buy foods at the grocery store, or when you eat out. You&rsquo;ll probably have to learn some new cooking recipes. For help, contact one a celiac support group. These groups are excellent sources of information and advice. They&rsquo;ll help you find gluten-free foods and good recipes, and can give you tips on successfully living with celiac disease.</span></span></p>

<h2 style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;"><a id="7" name="7">What resources are there for people with celiac disease?</a></span></span></h2>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Many books and websites provide information, tips, and recipes for gluten-free living.</span></span></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Your local celiac disease support group is a good source of information and support as you transition to gluten-free living.</span></span></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">You may also find it helpful to meet with a registered dietician. A dietician can help you learn what foods to avoid, how to read food labels, and how to make healthy substitutions for the foods you can no longer eat. Ask your doctor for help finding a certified registered dietician in your area.</span></span></p>

<h2 style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;"><a id="8" name="8">Can I be sensitive to gluten without having celiac disease?</a></span></span></h2>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Yes, you can have gluten sensitivity without the immune system attack on the small intestine that gluten causes in celiac disease. Symptoms of gluten sensitivity are generally milder than those seen in celiac disease, but improve on a gluten-free or gluten-restricted diet. Talk to your family doctor to see if your symptoms could be due to gluten sensitivity.</span></span></p>

<h2 style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;"><a id="9" name="9">Questions to Ask Your Doctor</a></span></span></h2>

<ul>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">My mother had celiac disease. Am I at risk?</span></span></li>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">I have celiac disease. Are my children at risk of having it too?</span></span></li>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">What are the symptoms of celiac disease, and how are they different from other digestive problems?</span></span></li>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Is celiac disease a sign of another health problem? Does it put me at risk of other health problems?</span></span></li>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Can celiac disease be cured?</span></span></li>
	<li style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Can you recommend a support group for people with celiac disease?</span></span></li>
</ul>

<p style="text-align: justify;">&nbsp;</p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;"><b>Source</b>:&nbsp;<a href="http://familydoctor.org/familydoctor/en/diseases-conditions/celiac-disease.printerview.all.html">http://familydoctor.org/familydoctor/en/diseases-conditions/celiac-disease.printerview.all.html</a></span></span></p>
