Diagnosis
Endoscopy
Endoscopy
An endoscopy operation involves inserting a hanker, elastic tube ( endoscope ) down the throat and into the esophagus. A bantam television camera on the conclusion of the endoscope lets the doctor examine the esophagus, stomach and the begin of the small intestine ( duodenum ) .
Capsule endoscopy camera
Capsule endoscopy camera
During a capsule endoscopy operation, you swallow a bantam television camera that ‘s about the size of a big vitamin pill. The capsule contains lights to illuminate your digestive system, a television camera to take images and an antenna that sends those images to a fipple flute you wear on a knock.
many people with coeliac disease do n’t know they have it. Two blood tests can help diagnose it :
- Serology testing looks for antibodies in your blood. Elevated levels of certain antibody proteins indicate an immune reaction to gluten.
- Genetic testing for human leukocyte antigens (HLA-DQ2 and HLA-DQ8) can be used to rule out celiac disease.
It ‘s authoritative to be tested for celiac disease before trying a gluten-free diet. Eliminating gluten from your diet might make the results of blood tests appear normal .
If the results of these tests indicate coeliac disease, your repair will probable order one of the follow tests :
- Endoscopy. This test uses a long tube with a tiny camera that’s put into your mouth and passed down your throat (upper endoscopy). The camera enables your doctor to view your small intestine and take a small tissue sample (biopsy) to analyze for damage to the villi.
- Capsule endoscopy. This test uses a tiny wireless camera to take pictures of your entire small intestine. The camera sits inside a vitamin-sized capsule, which you swallow. As the capsule travels through your digestive tract, the camera takes thousands of pictures that are transmitted to a recorder.
If your sophisticate suspects you have dermatitis herpetiformis, he or she might take a belittled sample distribution of skin tissue to examine under a microscope ( skin biopsy ) .
Care at Mayo Clinic
Our caring team of Mayo Clinic experts can help you with your coeliac disease-related health concerns Start here
Treatment
A stern, lifelong gluten-free diet is the lone way to manage coeliac disease. Besides pale yellow, foods that contain gluten include :
- Barley
- Bulgur
- Durum
- Farina
- Graham flour
- Malt
- Rye
- Semolina
- Spelt (a form of wheat)
- Triticale
A dietician who works with people with celiac disease can help you plan a healthy gluten-free diet. even decipher amounts of gluten in your diet can be damaging, even if they do n’t cause signs or symptoms .
Gluten can be hidden in foods, medications and nonfood products, including :
- Modified food starch, preservatives and food stabilizers
- Prescription and over-the-counter medications
- Vitamin and mineral supplements
- Herbal and nutritional supplements
- Lipstick products
- Toothpaste and mouthwash
- Communion wafers
- Envelope and stamp glue
- Play dough
Removing gluten from your diet will gradually reduce excitement in your small intestine, causing you to feel good and finally heal. Children tend to heal more quickly than adults .
Vitamin and mineral supplements
If your anemia or nutritional deficiencies are severe, your repair or dietician might recommend that you take supplements, including :
- Copper
- Folate
- Iron
- Vitamin B-12
- Vitamin D
- Vitamin K
- Zinc
Vitamins and supplements are normally taken in pill shape. If your digestive tract has fuss absorbing vitamins, your doctor might give them by injection .
Follow-up care
aesculapian follow-up at regular intervals can ensure that your symptoms have responded to a gluten-free diet. Your sophisticate will monitor your answer with blood tests .
For most people with coeliac disease, a gluten-free diet will allow the little intestine to heal. For children, that normally takes three to six months. For adults, complete bring around might take several years .
If you continue to have symptoms or if symptoms recur, you might need an endoscopy with biopsies to determine whether your intestine has healed .
Medications to control intestinal inflammation
If your small intestine is hard damaged or you have refractory celiac disease, your sophisticate might recommend steroids to control excitement. Steroids can ease severe signs and symptoms of coeliac disease while the intestine heals .
other drugs, such as azathioprine ( Azasan, Imuran ) or budesonide ( Entocort EC, Uceris ), might be used .
Treating dermatitis herpetiformis
If you have this peel rash, your doctor might recommend a medicine such as dapsone, taken by talk, a good as a gluten-free diet. If you take dapsone, you ‘ll need even lineage tests to check for side effects .
Refractory celiac disease
If you have furnace lining coeliac disease, your little intestine wo n’t heal. then you ‘ll likely need to be evaluated in a specialize kernel. refractory coeliac disease can be quite serious, and there is presently no prove discussion .
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explore Mayo Clinic studies testing new treatments, interventions and tests as a mean to prevent, detect, cover or manage this condition .
Lifestyle and home remedies
If you ‘ve been diagnosed with celiac disease, you ‘ll need to avoid all foods that contain gluten. Ask your doctor for a referral to a dietician, who can help you plan a goodly gluten-free diet .
Read labels
Avoid packaged foods unless they ‘re labeled as gluten-free or have no gluten-containing ingredients, including emulsifiers and stabilizers that can contain gluten. In addition to cereals, pastas and broil goods, other packaged foods that can contain gluten admit :
- Beers, lagers, ales and malt vinegars
- Candies
- Gravies
- Imitation meats or seafood
- Processed luncheon meats
- Rice mixes
- Salad dressings and sauces, including soy sauce
- Seasoned snack foods, such as tortilla and potato chips
- Seitan
- Self-basting poultry
- Soups
pure oats are n’t harmful for most people with celiac disease, but oats can be contaminated by wheat during growing and process. Ask your repair if you can try eating small amounts of pure oat products .
Allowed foods
many basic foods are allowed in a gluten-free diet, including :
- Eggs
- Fresh meats, fish and poultry that aren’t breaded, batter-coated or marinated
- Fruits
- Lentils
- Most dairy products, unless they make your symptoms worse
- Nuts
- Potatoes
- Vegetables
- Wine and distilled liquors, ciders and spirits
Grains and starches allowed in a gluten-free diet admit :
- Amaranth
- Buckwheat
- Corn
- Cornmeal
- Gluten-free flours (rice, soy, corn, potato, bean)
- Pure corn tortillas
- Quinoa
- Rice
- Tapioca
- Wild rice
Coping and support
It can be unmanageable, and nerve-racking, to follow a completely gluten-free diet. here are some ways to help you cope and to feel more in control .
- Get educated and teach family and friends. They can support your efforts in dealing with the disease.
- Follow your doctor’s recommendations. It’s critical to eliminate all gluten from your diet.
- Find a support group. You might find comfort in sharing your struggles with people who face similar challenges. Organizations such as the Celiac Disease Foundation, Gluten Intolerance Group, the Celiac Support Association and Beyond Celiac can help put you in touch with others who share your challenges.
Preparing for your appointment
You might be referred to a repair who treats digestive diseases ( gastroenterologist ). hera ‘s some information to help you prepare for your appointment .
What you can do
Until your appointment, continue eating a normal diet. Cutting gluten before you ‘re tested for coeliac disease can change the test results .
Make a list of :
- Your symptoms, including when they started and whether they’ve changed over time
- Key personal information, including major stresses or recent life changes and whether anyone in your family has celiac disease or another autoimmune condition
- All medications, vitamins or supplements you take, including doses
- Questions to ask your doctor
For celiac disease, questions to ask your doctor include :
- What’s the most likely cause of my symptoms?
- Is my condition temporary or long term?
- What tests do I need?
- What treatments can help?
- Do I need to follow a gluten-free diet?
Do n’t hesitate to ask other questions .
What to expect from your doctor
Your doctor is likely to ask you questions, including :
- How severe are your symptoms?
- Have they been continuous or occasional?
- What, if anything, seems to improve your symptoms?
- What, if anything, seems to worsen your symptoms?
- What medications and pain relievers do you take?
- Have you been diagnosed with anemia or osteoporosis?
