Signs and symptoms of Celiac disease:  In children, the disease is manifested by:



-Digestive disorders, which start since the introduction of flour in food;
- diarrhea, chronic ;
-Steatorrhea (large amounts of fat present in the stool) ;
- Abdominal distention (bloating);
- Abdominal pain ;
- Growth retardation ;
- Weight loss ;
- Intense fatigue ;
- Pallor - which translates anemia ;
- Sudden changes of mood (irritability, depression) ;
- Neurological disorders ;
- Dermatitis (skin disease) characterized by the appearance of vesicles (fluid-containing skin lesions) similar to those of herpes .



2) In adults, onset is sometimes accompanied by intestinal disorders and occurs between 35 and 65 years. When present, symptoms of celiac disease are:
- Chronic diarrhea;
- Flatulence (gas accumulation in the intestine) ;
- Abdominal pain ;
- Steatorrhea (large amounts of fat present in the stool) ;
- Bone disorders such as osteomalacia (bone Removing limescale general, secondary to deficiencies of calcium and phosphorus, or of deficiencies of vitamin D2);
- Bone pain ;
- Weight loss ;
- Asthenia (fatigue intensity) ;
- anorexia (appetite loss);
- Calcium deficiency related bleeding ;
- tetanus (contraction of the extremities) ;
- Dermatitis (skin disease) characterized by the appearance of vesicles (fluid-containing skin lesions) similar to those of herpes ;
- Diabetes Insulin;
- To the spleen;
- Other inflammatory bowel disease (IBD).



Possible Complications of Celiac disease:
If gluten-free regime is not adopted, Celiac disease in its severe forms, can have multiple consequences on health: Lactose intolerance - Thanks to achieve intestinal mucosa, a lactose intolerance can occur. Sometimes it disappears shortly after adopting a gluten-free diet.

Anemia- iron reserves may dwindle as a result of poor assimilation of iron.  Osteoporosis - Poor uptake of calcium and vitamin D leads to loss of bone density leading to osteoporosis.

Kidney stones - to poor absorption of fats train an abnormal re-absorption of oxalate, causing a type of kidney stones (calcium oxalate-based).

Infertility - The risk of infertility in people with Celiac is 12% higher.

Some types of cancer - Celiac disease is associated with an increased risk of intestinal lymphoma, long-term.

Diagnosis: Diagnosis of Celiac disease is difficult to ascertain. Physicians should eliminate the possibility of other more common digestive problems (irritable bowel syndrome, a food intolerance or inflammatory bowel disease). Iron deficiency and folic acid may give clues to diagnosis.  Diagnosis of Celiac disease is established in three stages. The first consists in an immunoassay, to determine the level of antibodies (antigliadina, antiendomissium). High levels of these antibodies shows that the body reacts in excessively to this gluten. This test allows a diagnosis with a sensitivity of 90-95% and a specificity close to 100%.

To confirm the diagnosis, it works on intestinal biopsy which involves taking a piece of intestinal mucosa (most commonly in the duodenum). In case of Celiac disease, the surface is flat fragment taken without villosity.
Adopting a gluten-free diet and following symptoms may also provide information. Digestive disorders and nutritional improvement in terms of adopting a gluten-free regime for the patient, also targeting the diagnostic.

Attention. We recommend consulting a physician before adopting a gluten-free diet. Otherwise, the diagnosis becomes more difficult.

In terms of adopting a celiac disease gluten-free regime, the symptoms disappear in a few days. The intestinal mucus examination showed a villus recovery, requiring several months to complete. Disease surveillance is done through periodic biopsies of the intestinal mucus. Adolescent, symptoms gradually attenuates, there is the possibility of complete remission. The child begins to gain weight in a few weeks.  At approximately 10% of patients with Celiac disease occurs in a type of cancer: at esophagus, pharynx, or intestine.  Other diseases present cancer patients with Celiac disease are lymphomas. Lymphoma is tumor that develops in lymphoid tissue and especially in lymph nodes.



Treatment for Celiac persons:
Important. Persons suspected of Celiac disease must consult a doctor before taking a Celiac disease gluten-free diet. Several diseases have symptoms similar to those of Celiac disease. In addition, the adoption of a gluten-free diets can lead to falsification of laboratory results.  There is no cure for Celiac disease. Instead, adopting the life of a gluten-free regime allows complete disappearance of symptoms, treatment gaps and prevent potential complications. In most cases, intestinal mucous tissues recover. This healing occurs in a few months at a young adult patient while the recovery period may last 2-3 years. In exceptional cases, symptoms may persist even a few months after adopting a gluten-free diet.



-Gluten-free regime for Celiac persons:  Gluten-free regime would effectively prohibit many commonly consumed foods: wheat bread and pasta. But gluten is found not only in grain but is hiding in many foods of commerce that use gluten as an ingredient. Because an infinitesimal amount of gluten can damage the intestine, causing recurrence of symptoms, greater vigilance is needed in choosing products.

-Products that contain gluten:  Cereal products: wheat, semolina, couscous, barley, oats, rye and hybrid varieties. It looks like pure rye is tolerated but the risk of contamination with other grains is increased.. Buckwheat sometimes must be avoided. These grains are found in many forms (flour, meal, flakes) in bakery products, confectionery, on pasta, cereal bars, biscuits, dough, etc..

Commercial products: gluten is found in yogurt with fruit, ice cream, hot chocolate, soup cubes, some types of cheese, canned meat, sausages, tomato sauce, peanut butter, etc. Gluten serves as a  food binder and hides under several names in the lists of product ingredients: malt, starches (wheat, barley, rye, etc.), hydrolyzed vegetable protein and textured vegetable protein.  Gluten is found in some drinks: beer, gin, whiskey. Even some cosmetics (lipstick) may contain traces of gluten.<



In the kitchen, you should give special attention to not contaminate food without gluten. Contamination can occur when gluten-free products are prepared in an unwashed container in which there were foods containing gluten. It happens that gluten-free products are contaminated during production, processing or packing. In this respect, products labeled "gluten-free" are safer.  Celiac diet people should be rich in fresh foods, as little processed:

-Fruit and vegetable;
-Meat, fish
-Soya bean and
-Some cereals: rice, millet, quinoa
-Some kinds of flour: rice, maize, potato, chickpea, soybean

Most dairy products are consumed, but people with lactose intolerance can avoid them for several months.

Celiac disease (also called gluten intolerance or glutamate enteropathy) is a chronic digestive disease caused by ingestion of gluten, which prevents absorption of nutrients, vitamins and minerals by the intestine. At Celiac persons, ingestion of gluten train an abnormal immune reaction in the small intestine. This reaction not only destroys gluten as if it would be dangerous for the body, but also attacks the mucus from the small intestine. Inflammatory substances end up destroying the intestinal villous, allowing absorption of nutrients.



Thus, despite a healthy diet, Celiac people suffer from malnutrition.
Gluten is an elastic and viscous mass of protein present in most cereals. Responsible for leavening bread and other bakery products, gluten binder serves food. Gluten is found in many cereal grains, including wheat, barley, oats and rye. For wheat, the allergic reaction is directed against gliadin (a fraction of protein present in wheat gluten). In the case of barley, hordeina is toxic, and for rye - secalina. No treatment can cure Celiac disease. However, the disease can be kept under control through diet change - permanently eliminating gluten from the diet.



In most cases, Celiac disease occurs in children between 6 months and 2 years after the introduction of cereals in the diet. It can also manifest in adulthood, usually at 30-40 years. Women are 2 to 3 times more affected than men.

There are some causes and risk factors of Celiac disease and some of them, I'll write in the following lines. The origin of the disease is little known, but scientists believe that both genetic factors and environmental ones are involved. When a family member is affected, the risk of disease occurrence is 10%. At identical twins, the accordance is 70%.



It is believed that Celiac disease is tied to the eating habits in the first months of life: duration of breastfeeding, the moment of cereals introduction in infant feeding and the quantity of grain consumed, but no evidence of this. At adults, the disease is sometimes triggered by physical stress (surgery, pregnancy, childbirth, viral infections) or a strong emotional stress. For reasons unknown, people show greater Celiac intestinal permeability, allowing a portion of the gluten to enter the mucus of the small intestine, triggering an allergic reaction to this level.

Here are also some of the risk factors:

- Celiac disease seems to be more common in people suffering from an autoimmune disease: systemic lupus, erythematosus, diabetes type 1, rheumatoid arthritis , Hashimoto thyroids. Also, the incidence of disease seems to be higher in those affected by trisomy 21 (Down syndrome).

- Positive Family history for Celiac disease is a risk factor - Baby's eating habits can influence illness - this hypothesis has not been demonstrated.

When talking about Celiac disease, we must bring in discussion one of the most important solution of preventing grave Celiac disease  stages: gluten-free diet.



Regarding food, it involves a risk of cross contamination. This notion refers to the possibility that a food that initially does not contain gluten can be contaminated by it during processing, transport or storage products besides rich gliadin. Such foods are not properly marked on the package as having their gluten content because he is part of the original ingredients. Taking into account these individuals, specialists advise patients to carefully check the ingredients list and be cautious when consuming products containing: glucose syrup, vegetable proteins, maltose, amylose, amylopectin (especially when derived from wheat and not corn) but also, the women must be carefully what kind of cosmetics use especially what lipsticks they use. You must read the prospect of all your products before using them.



Requires special attention and products from restaurant meals (especially if you're accustomed to take the meal in city), but if the patient is preventive, problems can be avoided. For advice and careful menu even informing staff about gluten intolerance, they can recommend certain diet compliant. Creating a system adapted to the special needs of the body can be seen as a difficult task, but through education and proper food planning, it becomes feasible as possible. The advantages of adopting a proper diet are represented by maintaining a state of optimum health and avoid disease evolution process. No matter the age, you must have a control of your mind and avoid any contact with products that contain gluten. If your children presents Celiac disease symptoms in an incipient stage, you must schedule a visit to doctor and make all the possible investigation. After you have the diagnosis, try to change the lifestyle of your kid and offer him a correct education.

-Experts advice: Patients diagnosed with celiac disease are advised to conduct starting from diet advice and consulting a physician nutrition specialist. A practical solution, and often used by patients to improve the quality of life with this chronic disease, is participating in weekly meetings of groups of people affected by this disease.



If, due to poor absorption of nutrients to install a pluricarential syndrome, the doctor may prescribe a multivitamin and mineral supplements to patients, to correct imbalances. One of the complications of this disease is the appearance of malabsorbtion which determines the weight loss, anemia (due to iron deficiency, folic acid and vitamin B12), muscle cramps, bone pain (by decreasing the absorption of calcium and vitamin D). Along the way, the patient may develop swelling and bleeding disorders (due malabasorbtion of protein and vitamin K). These events require immediate correction by dietary and medicinal treatment hygienic-specific.

-General nutritional advice for patients who present celiac disease manifestation signs: Celiac disease is known as the enteropathy gluten sensitive or celiac sprue nontropical. Is a disease of autoimmune nature of the small intestine that occurs in people with a certain genetic predisposition, can-occur in any age. The disease is characterized by periods of exacerbation and calm.



Pathogenic process is due to intolerance to gluten (the protein present in grains such as wheat, barley, rye and sometimes oats), protein fraction being particularly toxic gliadin. When a person with gluten intolerance consume products that contain it (food, nutritional supplements or drugs), the host immune system to synthesize antibodies and auto-activate the antigliadin whom intestinal secret, prompting the appearance of a mucous inflammatory reaction. Changes that occur will interfere with normal function of intestinal epithelium, causing a decrease in nutrient absorption. Symptoms include: chronic diarrhea, physical and mental fatigue, and in children there is a stagnation of growth and development. The only effective treatment is completely gluten-free diet.



-Food Sources:  Gluten-free diet can be achieved by consumption:
- Fruits and vegetables (potatoes, rice, corn, peas);
- Meat of any kind;
- Dairy;
- Food specifically targeted these patients are not made from cereals containing gluten (rice, tapioca, corn flour) such as various pastas, bread, cakes and other pastries.

To increase protein and fiber content of these diets can consume more products containing soy, nuts, and dried beans.  Patients with celiac disease must completely remove the offending products to illness and worsening symptoms. These are the foods based on wheat flour, but also of certain nutritional supplements and drinks. Some products should not be in the diet of patients, are:

- Pretzels, white bread, cakes, strudels, cookies, (thus, most cereal and bakery products commercially available);
- Soups, pasta, spaghetti, pizza, pies, stuffing, sauces.  There are products containing “hidden” gluten, but once penetrated the body trigger the exacerbation of autoimmune phenomena and disease exacerbation:
- Beer, some candy
- Salad dressings;
- Croutons, grissini;
- Soy sauces.



Patients are advised to be careful with the gluten content of medicinal preparations and vitamin supplements (by reading the prospectus carefully and packaging, or by consulting the pharmacist). Also some cosmetics such as lipsticks or lip balms can in turn contain gluten.

What you must clearly understand is to avoid gluten and read carefully the prospect of each product you buy and here I am referring to food but also to cosmetics. Attention can be the key to attack this disease and escape from celiac disease manifestation signs. Despite the fact you keep a gluten-free diet, you still can consume gluten if you're not paying attention. Again, I am talking about "hidden" gluten. It's ideal to supervise your children permanently.<

Options with medication for celiac disease signs:
Most times it requires medical treatment for celiac disease. In children with celiac disease, you may need to supplement the diet with calcium and iron. With the beginning of gluten-free diets, symptoms usually disappear after 2-3 weeks and once the injuries heal intestinal absorption is normal. Medication is necessary only in case of illness or severe complications occur in children who have persistent symptoms despite gluten-free diet. Medication is administered to the symptoms. Some complications, such as stature-weight deficit can not be treated with medication.



Rarely, some children with celiac disease and gluten-free diet need treatment with corticosteroid medication to reduce intestinal inflammation and improve intestinal absorption of food nutrients and vitamins. However, not all doctors recommend the use of corticosteroid therapy in celiac disease.

-Surgery:  No surgical treatment for celiac disease. Other treatments for celiac disease signs:  Psychological counseling is also useful in the treatment of celiac disease. This helps patient to accept disease as a chronic illness that requires a strict diet, for life and can have an impact on personal life or family.



-Prophylaxis:  Although celiac disease can not be prevented, a gluten-free diet can prevent the emergence and evolution of intestinal lesions. For beginning, is also recommended to avoid consumption of dairy products which can trigger symptoms (especially milk), then, after starting gluten-free food, they can be gradually reintroduced (after intestinal lesions heal). These recommendations are useful in patients with celiac disease who require gluten-free diet:

- Consult a nutritionist who can provide more information about diet for celiac disease. It is also recommended to keep a diary in the first months of diet because is easier to quantify the food permitted or prohibited, and also noting the link between the type of foods consumed and the symptoms which appeared.

- Special attention to foods containing “hidden” gluten (foods that don’t have information of composition). It is mandatory reading labels on products prepared or processed; for example, "hydrolyzed vegetable protein" may mean home gluten grains (wheat).



- Attention to food consumed in the city (restaurants, fast food).

- Measurement of weight in children and establish a balance between calories intake and gained weight.
- Consumption of fruits and vegetables to avoid constipation. They can also be used on fiber preparations and without gluten, and rice bran.

Maintaining a gluten-free diet is quite difficult among adolescents and children with celiac disease (they will not feel different from the rest of the entourage), so in this case recommend the following:

- Contacting a nutrition center that can provide the information necessary to establish a suitable diet for celiac disease.

- Supervision of children's diets at school. Parents should explain the special situation of children to the teachers also they must try to prepare them at home some meals for school to explain why they shouldn’t feel different from other children.

- Transfer of responsibility along with age. It is recommended that children older to choose their own food to consume, such as becoming more independent and also, they are aware of the risks of dietary gluten.

- Providing appropriate psychological support if possible relapses, or problems entourage.  Some people with celiac disease and their families require counseling, which helps them overcome emotional problems related to disease. Also, counseling helps to establish a good communication between parents and children that increase dietary compliance.

-Digestive Endoscopy of Celiac disease: Required biopsy confirmation of diagnosis of Celiac disease (whether positive immunological tests), is taken during a gastrointestinal endoscopy. Sometimes biopsy performed for diagnosis of other diseases, Celiac disease reveals the characteristic intestinal lesions.  An intestinal biopsy is recommended for those who have a gluten-free diet and symptoms characteristic of Celiac disease. If the biopsy shows Celiac disease lesions (vili and abnormal bowel inflammation of small intestine), gluten-free diet is recommended. If symptoms resolve and immunological tests are abnormal after a gluten-restricted diet, are confirming the diagnosis of Celiac disease. In suspicion case of Celiac disease in a person with a gluten-free diet is recommended ingestion of a prescribed amount of gluten, prior to biopsy.



-Treatment: General treatment forCeliac disease signs:  The most common cause of recurrence of Celiac disease signs is gluten food consumption. Some people may experience diarrhea and weight loss, even in small amounts ingestion of gluten. Chronic consumption of foods with gluten causes intestinal inflammatory lesions affecting vilia intestinal, even if symptoms are not present. The consequence is the appearance of intestinal lesions malabsorbtion, its consequences, anemia, osteoporosis and other diseases due to deficiency of vitamins and nutrients. A severe complication caused by intestinal lesions is T-cell lymphoma (malignant tumor of the gastrointestinal tract).



Patients with complications or symptoms of Celiac disease require:
- Assessment of diet, to ensure that it does not contain gluten. Doctor or nutritionist can provide more information about Celiac disease foods forbidden in. Children and adolescents with Celiac disease must acknowledge the importance of maintaining a strict diet without gluten, to prevent late complications of the disease;

- Clinical and biological review if symptoms persist for those who do not eat gluten because in such cases is possible another diagnosis (e.g. irritable bowel);
- Revaluation of digestive endoscopy and intestinal biopsy to confirm the accuracy of diagnosis;

- Oral steroid medication (rarely). Most doctors do not agree with corticosteroid use in treating celiac disease resistance gluten restricted diet. If complications of acute severe celiac disease, they recommend using corticosteroids injectable medication, oral steroids can be used for a while in refractory sprue (celiac disease unresponsive to gluten restriction).



Treatment of Celiac disease is made according to its complication, severity and type. For example, osteoporosis occurred in adults with Celiac disease, treatment requires a long time (months, years). As I said, some people with Celiac disease can eat foods with gluten without symptoms show, but nevertheless cause intestinal ingested gluten that time may be complicated by the emergence and growth deficiency rickets in children or anemia, osteoporosis and lymphoma in adults. 

Compliance with diet is very difficult, especially for those who have no symptoms after ingestion of gluten or when teens are tempted not to follow diet entourage. Awareness is very important for children and teenagers in connection with chronic consumption of gluten.

-Evolution of Celiac disease:  Celiac disease is a chronic illness caused by consumption of gluten. Vilia intestinal are some small, elongated formations in the intestinal lumen which creates a surface of absorption of vitamins, sugars and other food nutrients. Regarding the people with Celiac disease, vilia intestinal become flattened and inflamed, which decreases intestinal absorption surface, with the advent of malabsorbtion secondary. Malabsorption, secondary to celiac disease, can cause iron deficiency with iron deficiency anemia, vitamin D deficiency rickets appearance (the child), osteopenia and osteoporosis (adult).  A characteristic of celiac disease is deepening, that regression of symptoms.



Risk factors: Celiac disease is an immune disorder that occurs among genetically susceptible individuals, characterized by intestinal damage arising as a result of immune reactions to gluten ingestion.  Disease risk is increased in families with a family history of significant collateral. 10% of people who have a first degree relative (mother, father, brother, sister, son, daughter) with Celiac disease develop the disease at a time. In genetically susceptible persons, Celiac disease can be triggered by different environmental factors, including viral and bacterial infections.

People often associate with Celiac disease and other diseases, such as:
- Herpetiforma dermatitis (most common in adults but can occur in children);
- Osteoporosis ;
- Type I diabetes (insulin-dependent diabetes);
- Autoimmune thyroiditis;
- Down syndrome;
- Sjogren's syndrome;
- Selective antibody deficiency (immunoglobulin A deficiency);
- Iron deficiency anemia (iron deficiency) or macrocytic anemia (folate deficiency).
-Consult specialist:



The following evolution of celiac disease in children require a pediatric advice:
- Rapid weight loss;
- Diarrhea lasting more than 1-2 weeks;
- Stagnation stature weighted;
- Fatigue or indisposition unjustified, especially if they last more than a week and not related to another known cause (e.g. cold, flu).  People diagnosed with celiac disease (adults or children) need a medical occur whenever:
- Recurrence of symptoms (signs of the disease recur after an asymptomatic period) ;
- Marked fatigue or intense pain in stomach, appellant appeared with the symptoms;
- Diarrhea and weight loss, occurred in children with gluten-free diet;
- Persist evolution of celiac disease in some children who do not know exactly the diet (often parents do not know if children were out of food intake and other permits).



Investigations:  Diagnosis of Celiac disease is often confused with other conditions such as food intolerance or irritable bowel syndrome due to similar symptoms. Celiac disease diagnosis is often one of exclusion of other diseases with similar symptoms but does not respond to treatment.  Medical history, clinical examination and laboratory tests underlying diagnosis of Celiac disease. Diagnosis is confirmed by performing a biopsy of the small intestine, surgery performed during digestive endoscopy (video exploring the tube).

Blood immunological tests: Celiac disease triggers an immune system response to the emergence in excess of certain antibodies. In case of the suspicion of celiac disease are needed following the determination of antibodies:
- The TTG Ig: immunoglobulin (Ig A) and tissue antibodies of transglutamin (TAT);
- The EMA Ig: immunoglobulin A (Ig A) and EMA antibodies;
- The AGM Ig: immunoglobulin A (Ig A) and antigliadina antibodies (AGA). If immunological tests are positive, intestinal biopsy is performed to confirm the diagnosis.

Celiac disease is an immune system disorder triggered by gluten ingestion of food, in which injuries occur in the small intestine. Gluten is a protein of vegetable origin found in cereals such as wheat, barley or rye.  The injuries in the small intestine affect the normal absorption of nutrients, especially fat, calcium, iron and folate (malabsorption).  The Celiac disease is also called celiac sprue, gluten sensitive enteropathy, Enteropathy glutamate or nontropical sprue.



-Causes:  The exact cause of celiac disease is not known but medical research in recent years has identified certain genes that define an increased predisposition to disease.  People who have a first-degree relative with celiac sprue (mother, father, brother, sister, daughter or son) have an increased risk of developing the celiac disease. The environmental factors such as viral or bacterial infections can cause different changes in the small intestine in people genetically predisposed. Ingestion of food containing gluten then trigger different immune reactions that cause intestinal lesions characteristic of disease. These lesions of the small intestine, cause disorders of digestion and absorption (maldigestion, malabsorption).

Current genetic studies are focusing on the link between genes, immunity and environmental factors that characterize the disease pathophysiology. Studies made till now have not shown the real age of occurrence of disease, and long-term mechanism of complications.



-Symptoms of Celiac disease:  Symptoms of celiac disease occur secondary to lesions caused by ingestion of gluten. Symptoms vary from one case to another, from mild symptoms that often go unnoticed, to symptoms that cause severe complications and have a negative impact on daily life.  Symptoms of celiac disease, intermittent nature (symptoms that come and go at a certain time) are:

- Abdominal bloating, flatulence, abdominal discomfort - are caused by poor food digestion in the small intestine and colon (large intestine). Sometimes reported epigastria pain (stomach), but often not intense;
- Abnormal stool, usually diarrhea, watery, pale, creamy and smelly. The stool contains a high amount of lipid (fat), and has a glossy, shiny, and is also very sticky. Although celiac disease symptoms are the same regardless of age, they are more frequent and intense in children (early onset of disease);
- Weight loss despite a normal appetite, especially important among children, due to disorders of digestion and absorption is no longer developing normally (malnourished);
- Fatigue and weakness are the result of poor absorption of nutrients in the gut, and absorption of iron deficiency which causes anemia (especially among adults);
- Vomiting, occurring in a period of gluten ingestion is most common among children with celiac disease. Celiac disease may also lead to:



- Osteoporosis and other bone problems due to poor intestinal absorption of food calcium;
- Female infertility and amenorrhea (absence of menstruation) ;
- Delayed puberty
- Recurrent respiratory infections (common);
- Concentration and memory problems;
-Psychiatric disorders such as depression, irritability in children and adults.

All these symptoms are nonspecific, which may occur in other diseases, Celiac disease diagnosis is often delayed.

Many diseases are associated with celiac disease. Down's syndrome in children has a 10% occurrence of type 1 diabetes and about 3%.

In adults the main associations are those relating to autoimmune thyroiditis, diabetes, cancer (or tumors) of the digestive system, skin diseases such as dermatitis herpetiformis, arthritis and osteoporosis, various neurological disorders (such as ataxia or epilepsy), events related apparatus cardiovascular, pulmonary or endocrine system, dental abnormalities, infertility and abnormal cycle, anemia etc.


Malabsorption caused by the celiac disease varies from person to person and also depends on the affected portion of small intestine. Depending upon the tract affected, the most frequent complications are iron deficiency (also known as iron-deficiency anemia), vitamins and minerals, magnesium, calcium and zinc at all. The gluten free diet is crucial in balancing these values.



The symptoms leading to diagnosis of celiac disease are not always just indigestion. It is indeed true that very often the greatest range of diseases extra digestive suggesting celiac disease and allows us to identify a good doctor taking them into analysis as a whole rather than considering them individually. There are also neurological symptoms of celiac disease. The neurological symptoms of celiac disease will lead to neurological damage of the patient, which are irreversible.


What you want is to create awareness on these pages is that every day we must pay attention to our diet, because there is a remedy, and is to eliminate gluten from your diet. Who says you do not believe that rhymes with celiac disease.


Although celiac disease is a disease, does not want to be considered sick. This web portal is born from the desire to share knowledge and expertise, the desire to create a culture of gluten that is also fun, cheerful, tasty and aware. We like to say that celiac disease is a careful person.


In many, particularly the newly diagnosed, completely identified with celiac disease, aggregation. Eating gluten free is right but you can. Together we can learn to do it.


For the newly diagnosed who read celiachiamo.com not say it will be a simple route: a route that will require much attention, sometimes you stumble and occasionally help someone not to trip or pull himself up after he finished floor.



Do not get discouraged. Knowledge is power. Gradually learn to be the key to your wellbeing. And although it seems absurd to you today, it will be fun to taste new products, experimenting in the kitchen even if you've never done, prepare gluten free meals for all, and not celiac.


Celiac longtime friends, we say that we know what we still have to do and what the level of attention should remain high. However, we believe that only together we can create a culture of food without gluten. Only together we know celiac disease so it is a mysterious object when we go to the restaurant, when we walk into a bar for a coffee or when talking with staff at the school canteen of our children.


Together we can. Every day, always with a smile (though sometimes with a little disappointment) is our little challenge. Doing it together is better, right?