Nutrition
as dental enamel defects, nerve damage or disease, irritability, skin rash or fatigue. These symptoms may be associated with other illnesses or misdiagnoses, such as irritable bowel syndrome.
Silent celiac disease is usually diag- nosed during a colonoscopy or screening for celiac. Latent celiac occurs when a person has a positive blood test but a normal intestinal biopsy.
TESTING FOR CELIAC Certain high-risk groups should be tested for celiac disease, including those with a family member who has it, and individu- als who have type 1 diabetes. Diagnosing celiac disease is done through a blood test to screen for specifi c autoantibodies. The blood tests are IgA-
Once a diagnosis is confi rmed, a child with celiac disease should follow a strict gluten-free diet
anti-tTG and Anti-EMA-IgA. If the results are positive, then the gold standard of diagnosing celiac disease is by an en- doscopy of the small intestine. During this test, a gastroenterologist visually exam- ines the small intestine via a small camera at the end of the probe. If celiac disease is present, the fi nger-like villi are fl at and cannot absorb nutrients.
Until all of the celiac screening is done, a person should not follow a gluten-free diet, as it will interfere with test results.
GLUTEN-FREE LIVING Once the diagnosis is confi rmed, a child with celiac disease should be on a strict gluten-free diet, which is the only treat- ment for this disease so far.
There are current studies exploring enzymes, alternative grains and immuno- therapy, but such research is in the early stages of development.
Plain fruits and veggies don’t contain gluten, so your child can eat as much of these foods as she likes
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To help you adjust to a gluten-free diet, meeting with your health care provider and dietitian may be helpful. You will need to learn which foods are safe, how to read food and medication labels and
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