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Coeliac disease

Overview for Dietary and Lifestyle or Treatment info see links at bottom

Coeliac disease is a condition of the bowel caused by an adverse reaction in the lining of the intestine produced when a protein found in food called 'gluten' is eaten. This intolerance to gluten which is found in the cereals, wheat, rye, barley and *oats, causes the bowel lining to become irritated, inflamed and damaged. As a consequence, the absorption of food is affected resulting in unpleasant symptoms including, diarrhoea, weight loss, abdominal pain, distension, vomiting, anaemia and failure to thrive in children. This condition may be first noted in children at the stage of development when the baby makes the change from milk to solids.

In later life, coeliac disease is noted more frequently in the 30 to 40 year old age group and in the UK there is approximately one case in 1,500 of the population. Surprisingly, this level reaches 1 in 300 in Ireland. Those of Mediterranean ancestry do not appear to be affected to any degree.

Parents of the infants with this disease may first realise that things are not right when their baby begins to produce abnormal stools, which are pale in colour and more frequent. There may be a failure to reach predicted weights over the months following and the baby's abdomen may appear 'blown up' and distended.

In the older age group, symptoms will often reflect deficiencies of central food constituents, due to the fact that they have not been absorbed properly. Tiredness may occur, often due to iron deficiency, as iron is essential to the formation of red blood cells. The bones may be involved causing pain and eventually perhaps deformity.

Your GP will confirm whether or not you are coeliac by taking a full family history and a number of investigations.

* some patients with coeliac disease are able to tolerate oats and others cannot. Because of this the Coeliac Society recommends sufferers avoid oats, particularly since they may also have been contaminated with wheat during processing.

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