Is Celiac Disease A Gluten Allergy Or Sensitivity, Wheat Or Grain Allergy Or Sensitivity Or A Gluten Intolerance?
I have published several articles on the differences between food allergies and food intolerances and would like to bring Celiac Disease into the conversation. Even though Celiac Disease symptoms appear common to Celiac Disease, gluten allergy, wheat allergy and gluten intolerance, these conditions aren't the same thing.
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Celiac Disease Symptoms
Celiac Disease is an autoimmune disorder where by gluten causes damage to the surface of the small intestine. This makes it challenging for an individual with Celiac Disease to absorb nutrients and minerals from the food they are eating. Symptoms tend to be related to malabsorption/malnutrition, which causes challenges when first diagnosing the disease. Gastrointestinal signs and symptoms might include diarrhea, bloody diarrhea, nausea, vomiting, stomach aches, intestinal gas and bloating. Not everybody has gastrointestinal symptoms. Some individuals don't have any noticeable outward symptoms while others suffer from much more obscure signs or symptoms that include general malaise, tiredness, weakness, anxiety and depression. Those with Celiac may have various vitamin deficiencies, and could be underweight or overweight. Screening for Celiac Disease involves a blood test as an initial screen followed by an upper endoscopy and intestinal biopsy to get confirmation. The only real treatment for Celiac Disease is to entirely avoid all gluten-containing foods.
There are a number of diarrhea facts that need to be taken care of in order to avert diarrhea - which is a health problem when someone suffers from frequent bouts of loose stool.
Gluten and Wheat Allergies
Both gluten and wheat allergies cause the body to over-react to something which is harmless for most people. It is an immune response on the cellular level in which the body becomes sensitized to the offending food and then every time after that it comes in contact with that food, it wants to fight it off as if it were an enemy invader. Symptoms range from hives and skin rashes to nausea, vomiting and looseness of the bowels to a life threatening anaphylactic reaction in which the person has difficulty breathing. The real difference between a gluten and wheat or grain allergy is that the individual with a gluten allergy must avoid all gluten containing foods, including wheat, barley, rye and also triticale. Oats ought to be avoided too because they are usually cross-contaminated. A person with a wheat allergy should only avoid foods containing wheat.
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Gluten Intolerance
A gluten or wheat intolerance is again different although one could argue that both Celiac Disease and gluten and wheat allergies are severe intolerances to gluten and/or wheat and I guess this is technically accurate. Normally, however, whenever we refer to an intolerance or sensitivity we are referring to symptoms induced by a particular food that aren't technically an allergy and don't come under the category of any other disease process. Symptoms of a gluten or wheat intolerance may be as varied as the symptoms of Celiac Disease. Screening for a gluten or wheat intolerance generally involves an elimination diet in which you take the potentially offending food out of your diet to see if you find an improvement in your symptoms. The most significant challenge for this happens when there are numerous food sensitivities. Your doctor or naturopath can also do a blood test that looks for IgG antibodies to ascertain whether you are sensitive to a certain food.
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Irrespective of whether you've Celiac Disease, a gluten allergy or a gluten intolerance, the best treatment is following a gluten-free eating plan. At first, this can be a challenge, but definitely worth the effort once you realize how much better you will feel.
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