‘Celiac’ is a disease until diagnosed, but a way of life after diagnosis

Celiac or gluten enteropathy…
“You, your child or your favorite person will not eat anything containing wheat, barley, rye for life, even stay away from glutenin powder.” It comes out easily and sounds easy, doesn’t it? So, how does it affect the person being told? Come on, how about being a celiac for a few minutes?
What is Celiac Disease?
Celiac disease is a lifelong and chronic allergy and sensitivity of the small intestine to the protein called gluten. Grains such as wheat, barley, rye and oats contain gluten.
The ingested food is decomposed into its components in the small intestine and mixed with the blood through the intestinal mucosa. Our body’s ability to get enough food is provided by many folds in the small intestine called villi protrusions. When celiac patients consume gluten-containing foods, the villi protrusions and folds are destroyed due to allergies in the intestinal mucosa, and they become smaller and smaller. Thus, the intestinal area gradually decreases and the food taken becomes non-absorbable.
When you smell the good smell of bread while passing by the bakery, when you are very hungry and cannot find anything to eat, when you meet with your friends while they eat pizza, lahmacun, waffles, pasta, bagels, wafers, when you can only drink water, tell your surroundings about celiac and say, ‘Can you ever live without bread?’ How do you feel when they say and laugh, when you want to eat ice cream to cool off in the hot summer months and cannot find suitable ice cream for yourself?
Bread, pita, simit, poaça, börek, pizza, hamburger, iskender, cake, syrup dessert, eclairs, profiteroles, cookies, waffles, chocolate, raw meatballs and many other foods, which are indispensable for Turkish society, will not be in your life. You will have to research every product you use in detail, including lipsticks, creams, shampoos, medicines and cardboard cups, and you will not be able to buy any product you are not sure of.
For example, you had to refuse the offer by explaining your situation in the environment you were in. However, that one bite that you will consume will completely disrupt your gluten-free diet that you have been following for years without any evasion and cause big problems in your digestive system. Since your intestinal flora is disrupted, you will experience many problems such as severe abdominal pain, bloating, diarrhea, constipation, vitamin deficiencies, fatigue, weakness and skin diseases. If this kidnapping has been done by a child at the age of development, apart from all these disorders, it will cause him to experience developmental delay.
For celiacs, even 1 spoon of gluten in 1 ton of food is very harmful. During meal preparation, utensils such as forks, spoons, pans, pots, strainers and plates that have come into contact with gluten-containing foods should never be touched to the food of people with celiac disease.
Even if wooden spoons, Teflon pots and cutting boards are washed sufficiently, they absorb gluten and become dangerous for celiacs. These items should only belong to people with celiac disease and should not be used other than gluten-free foods.
What Are the Symptoms of Celiac Disease?
Celiac symptoms span a wide spectrum. It usually causes typical complaints such as diarrhea and abdominal pain, but it can also manifest itself with complaints of other systems without any intestinal findings. That’s why celiac is known as a difficult-to-diagnose disease. Celiac may not be considered because of atypical symptoms and only symptom-oriented treatment is received and diagnosis is delayed. Celiac disease can occur in childhood as well as in the 80s. Therefore, celiac should be considered in every age group with symptoms.
Forward Bloating in the Abdomen
· Weight Loss by Age
Muscle Weakness (Potassium, Magnesium Insufficient
Anemia (Iron And Vitamin B12 Deficiency, Recurrent And Recurrent Despite Drug Treatment)
Stool Abnormal, Greater Increased Need for Toilet
· Tiredness
· Loss of appetite
Growth Retardation
Light-Colored, Bad-Smelling Stool
· Oral Aphthae
· Loss of Appetite, Gas Complaints
Nerve Damage (B12 and B1 Vitamin Deficiency)
Joint and Bone Pains
Bone Resorption (Osteoporosis)
· Hair loss
· Irritability
Itchy Rashes on the Skin
· Infertility (Menstrual Disorder, Miscarriages)
Liver Diseases of Unknown Cause and Enzyme Elevation
Various Thyroid Gland Diseases
Migraine Headaches
· Diabetes
Persistent, Itchy Skin Wounds
· Skin Discoloration (Vitiligo)
Painful Skin Disease (Dermatitis Herpetiformis)
How Is It Diagnosed?
The diagnosis of celiac disease is made by serological tests and small bowel biopsy. The first step in diagnosis is serological tests. Demonstrating characteristic histopathological findings in biopsy material is the gold standard in diagnosis. Endoscopic biopsy is performed to confirm the diagnosis for those who show clinical features of celiac disease and/or have positive serological tests.
10 percent of individuals with celiac may also have celiac in their mother, father, sibling or children.
The only cure for celiac is a lifelong strict gluten-free diet. Not even the slightest glitch is allowed on the gluten-free diet. Specially prepared gluten-free flours, breads, pastas, biscuits are at the forefront of our diet. Products made from rice, corn, potatoes and soy flour can be consumed. There is no harm in eating fruits, vegetables, eggs and meat products. Following a gluten-free diet can be more expensive, difficult, and tedious than a regular diet. Since some people may also have lactose intolerance, it is recommended not to take milk and dairy foods at first, or to consume lactose-free. With the correct and leak-free diet, all symptoms begin to pass slowly and the person leads a healthy life. The diet is checked once or twice a year as recommended by your doctor.
Small leaks do not show immediate symptoms in some people and show an insidious course. In the future, it is possible to encounter a disease due to these escapes. When the diet is not made precisely and clearly or is diagnosed late, it may occur as diabetes, thyroid, osteoporosis, short stature in children or various cancers.
Currently, the only treatment for celiac disease is a gluten-free diet. It cannot be treated with herbs or other alternative methods…
It should not be forgotten that celiac is a disease until it is diagnosed, and it is a way of life after diagnosis.

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