Some Canadians may have celiac disease and not even know it.
CD affects nearly 1% of the Canadian population. Celiac disease is an immune
mediated disease which is triggered by the ingestion of gluten. Gluten is
storage proteins that are found in wheat, barley, rye, and other cereal grains.
These proteins can trigger an inflammatory injury in the absorptive surface of
the small intestine which results in malabsorption of protein, fats,
carbohydrates and minerals, especially iron and calcium.
The most common symptoms of CD include:
- anemia;
- bloating
and/or cramps;
- diarrhea;
- weight
loss;
- fatigue;
- irritability;
- intense
burning and itching rash (dermatitis herpetiformis)
- flatulence;
- abdominal
pain
Type 1 diabetes, thyroiditis, arthritis, ataxia, depression
and/or neuropathy can also be associated with CD.
Although there is no cure for CD, if treated early the
damaged tissues can heal and reduce the changes of long term complications such
as osteoporosis, lymphoma and infertility. Currently the only known way to
combat CD is a very strict diet that excludes all gluten products. This can be difficult as processed and/or packaged foods may contain hidden sources of gluten,
i.e. soups, lunch meats, sausages.
Until very recently CD was diagnosed on clinical signs which
would determine which patients should be selected for further testing, rather
than any definitive testing. Currently a simple blood test is available to help
determine whether CD is likely. A definitive diagnosis for celiac disease can only
be determined through a small bowel biopsy. This biopsy must be done before any form of treatment is
implemented.
Due to the fact that the symptoms of CD can be vague and/or
ambiguous, it is important to recognize the symptoms, and to be aware if these
are an on-going health concern. Be aware of what food products you buy, and
carefully read the labels of any processed or packaged foods you purchase.
If you have been diagnosed with celiac disease, it is
important to obtain the services of a licensed nutritionist. The nutritionist
will be able to help you implement a gluten free diet, and advise of which
foods and food products to avoid. Check your health insurance coverage (either
individual or group) to see if a nutritionist is covered. For more information
regarding celiac disease, please visit the Canadian Celiac Association.