Celiac disease

Celiac diseases is the disease of mucosa of small intestine which is characterized by small bowel dysfunction after ingestion of gluten in wheat. 

Symptoms of celiac disease are: 

1.    Diarrhea

2.    Stunted growth

3.    Bloating

4.    Anemia

5.    Amenorrhea, infertility and impotence

 Diagnosis: 

1.    Serological testing

a)    IgA anti tissue transglutaminase

b)    IgA antiendomysial antibodies

c)    Antigliadin antibodies

2.    UGI endoscopy and small intestinal biopsy which reveals villous atrophy

Treatment of celiac disease: 

1.    Withdrawal of wheat/oat/barley/rye containing food items from the diet

2.    Dietary supplements

3.  Steroids may be helpful in severely ill patients with crisis