Heart disease can be found at any age, even in newborns. To every age category has it’s own  characteristic forms of illness. The sickening of the heart in the second childhood at adolescents and young adults under 30 years, has as common cause an affection often met and followed by very serious consequences: the rheumatic infection produced is a virus, strep, that produces a disease called rheumatic fever. At  adults and elders the high number of illnesses due to cardiovascular disease is attributed to hypertension, frequently associated with atherosclerosis. The severity of hypertension consists in cardiac, kidney and cerebral applications, and also in the association with atherosclerosis and with rapid and progressive degradation of arterioles, like in the case of malignant form of arterial hypertension.



Causes of heart disease:
There are numerous causes of heart disease. One of them is the birth defects that are the result of environmental factors that cause  the heart to stop develop in the embryo. Among these factors are: rubella virus, which can cause congenital heart malformations in the fetus if the disease is pregnant in the first two months of pregnancy and syphilis. Recent studies have shown that respiratory virose are incriminated in the production of genetic mutations if the disease has been contacted in the first two months of pregnancy. And some medicinal substances can have similar effects when administered during early pregnancy.



Röntgen ray exposure, widely used in medicine, is one of the most potent teratogens agents known. For this reason, the use of radiological examinations in the initial period of pregnancy is contraindicated. Among the factors that may cause congenital heart malformations are also included vitamin deficiencies, and heredity.
At children and young people the most frequent cause is considered rheumatic fever or acute poliarticular rheumatism. The disease can be under a acute form, with fever and joint pain. Joints become hot, swollen and very painful. Inflammatory phenomena move from one joint to another.

If a vigorous treatment it’s not establish at the first signs of disease, this form of severe rheumatism can reach the heart, giving the final damage. Rheumatic lesions are frequently localized in the aortic or mitral orifice, causing narrowing or lack of tightness, meaning stenosis or insufficiency.

When the rheumatic infection includes the heart muscle (rheumatic  myocarditis ), cardiac rhythm disturbances occur frequently. Localization of the pericardium  infection ( pericarditis ) causes inflammation of the foil from which is made, with the appearance of a liquid in the pericardial sac, which acts as a buffer on the heart.  Prevention of rheumatic infection is possible by detecting streptococcal carriers among children and treatment with penicillin, by providing those who suffer from this disease, preventive treatment with oily penicillin administrated at rare intervals, but regularly.



On the valvular lesions produced by the streptococcus can be located in the course of infectious disease outbreaks or from focused infections from different  various microbes, which cause a serious complication, slow endocarditis, deadly disease in the past, now healed through the use of large amounts of antibiotics.  At elders and adults the high number of deaths due to heart disease is attributed to other causes: hypertension, arteriosclerosis, syphilis. There may be the possibility that the heart to suffer because of other base affections, like pulmonary chronic diseases, diabetes, hyperthyroidism or other endocrine disorders.

Cardiovascular disease sometimes don’t have a great importance or even without consequences for patient health. This is the case of heartbeats that occur earlier than normal, so-called extra-systoles, provided that they are rare, to occur at relatively young individuals without heart disease confirmed.



At some people with heart diseases it tumefies, certain parts of the body swell, especially the feet. There is a explanation of this sign of cardiovascular disease. The explanation is the following: in a significant number of diseases  the fluids are not discharged out of the body enough, producing real aqueous infiltration of various tissues or organs, known as edema, whose production mechanism is complex. Thus, it is known that in certain circumstances the blood stagnates in the lungs, because the left ventricle is not able to push it in enough to the arterial system. In more advanced cases the obstacle makes itself sensed upon the right heart chambers, which may cave in front of  increased pulmonary pressure and will give rise to a stagnation of blood in the general venous system of the body, compromising the proper oxygenation, leading to tissue infiltration of aqueous heavy traffic.

This thing can happen in valve chamber illness from the right cavities or in some chronic pulmonary diseases, so whenever there will be an obstacle in the way when the venous blood returns. At people with heart diseases cardiac edemas usually appear at the ankles or on the side of the body on which the sick person lies , once the cardiovascular disease is advancing, they extend on other regions of the body.

There are symptoms of the heart disease, on which it must be action immediately : intense suffocation of acute pulmonary edema, very strong pain in myocardial infarction, loss of knowledge from certain heart disorders, etc.. Every time you sense the isolated appearance of one of the symptoms described, a medical consultation is required to specify whether it belongs to a heart disorder. Only a medic can help you with all these problems and is recommended to get consulted by more than two medics to hear their opinion and to get counseled by them.



It was viewed that dyspnea, important symptom for diagnosing patients with heart  illness occurs after physical effort. Each man feels after an intense exercise a degree of dyspnea, with even greater effort was both more intense and longer. But dyspnea that starts to appear after usual work or dis-proportioned intense dyspnea gives some motive on pondering upon some disturbances in heart activity, necessary for a medical indication. Neither the occurrence of edema means that it’s necessarily a illness of the heart. There are many diseases, kidney and liver diseases or diseases caused by lack of protein in the diet, which may be accompanied by the appearance of edema.

The heart, the pump that provides blood circulation in the body, is a muscular organ, hollow, consisting of four cavities, two upper (atria) and two lower (ventricles). Each atrium communicates with the ventricle on the same side through a hole provided with valves which have the function of vents, valves allow blood to flow one way, namely from the atria into the ventricles. The orifice from the right has three valves and one of the only two left. Some inflammatory heart diseases, most commonly rheumatism, may result in damage to these valves: affliction hole, stenosis, thus hampering blood flow from atrium into ventricle or preventing the tightness in the moment of the valves close in, insufficiency, which results in returning blood backwards, from the ventricle to atrium, sometimes both types of lesions may be associated.



The heart develops an enormous work, and for this its muscular walls must be well supplied with oxygenated blood. To this end, immediately after leaving the aorta artery from the left ventricle, two branches are split that surround the  surface of the heart like a crown (actually they were called coronary arteries) and then dividing into branches increasingly finer, forming a rich network of capillary vessels around the heart muscle fibers. Damaging the  coronary arteries ruins the feeding the heart muscle, as  it happens in heart diseases known as angina, myocardial infarction, chronic coronary.

Any anatomical or functional elements may have different factors of disease aggression, that’s why the heart diseases are very different between them.
In the category of sick people named cardiovascular patients, between all those who have signs of illness from heart and blood vessels and persons who are discovering a problem or an injury to the heart or vessels, without suffering too much that they sometimes have no obvious pain.



The symptoms of heart disease are different not only in relation to the structural element that suffered the greatest extent (myocardial, pericardium, valves, coronary arteries, etc..), but also in relation to the stage in which the disease is, there are differences high between early stage and advanced. This is because the heart does not use full force in all circumstances available, it has an important reserve that is utilized only in special circumstances, like physical effort. So, heart’s function is sometimes provided as if the body would be healthy.



These patients of heart disease are known under the name of compensated or latent. If  the disease produced changes exceed certain limits, heart function is disturbed and certain symptoms begin to appear that may highlight the sickness. As you can see,there are many difference between heart disease symptoms. The symptoms are different from person to person, but also the heart disease signs get different while the disease is evolving.

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.

Toxic thyroid adenoma (Plummer's disease) is a benign thyroid tissue characterized by formation of nodules in the thyroid gland that causes excessive production of thyroid hormones.Postpartum thyroid disease symptoms and signs:The clinical picture is dominated by cardiovascular events and intense symptoms of hyperthyroidism.Patients complain of irritability, weight loss, palpitations, excessive sweating. It is also apparent heart rhythm disorder that can vary from mild tachycardia to atrial fibrillation.Ocular symptoms in the toxic thyroid adenoma missing.Diagnosis is based on making thyroid’s gamagraphy.



Investigations:-Determination of T3, T4, TSH: serum levels of T3 and T4 are increased and the secretion of TSH is low, even undetectable (usually less than 0.1 MUI / l);
-Scintigrama Thyroid homogeneous capture;
-Exfoltamy Graduation (with exoftalmetre Herta);- Presence of anti-thyroid;-Determination of iodine protein;- Aspiration cytology with fine needle;
-Tests to reflect the use of peripheral thyroid hormone: ECG, basal metabolism, reflexograma achileana, cholesterol;
- Thyroid function tests: the test of inhibition in T3 (Werner test), the TSH stimulation test (test-Stanbury Querido).
-Differential diagnosis:
-Simple goiter, thyroid, thyroid cancer;
-Nodular goiter (heterogeneous capture the scintigraphic);
-TB (weight loss, diaphoresis, tachycardia, feverish);
- Pheochromocytoma.



-Treatment for postpartum thyroid disease symptoms and signs:
- Medical: Antithyroid agents, beta blockers;
-Surgery: subtotal thyroidectomy with preservation of the two blades poster interne thyroid tissue (to protect para-thyroids laryngeal nerve and recurrent) and rigorous preoperative preparation;
-Ablation with radioactive iodine 131.
-Complications:Surgery may occur: local complications (bleeding, laryngeal nerve recurrent), thyroids crisis, hyperparathyroidism, and hypothyroidism.
-Evolution:Toxic thyroid adenoma may develop into thyroids, installed suddenly or gradually (slowly). Rarely, the disease may progress to cystic degeneration, which heals spontaneously.
-Treatment for Plummer's disease symptoms:treatment modalities include medical treatment, surgery and treatment with radio-iodine.Drug treatment consists of administration of preparations, such as carbimazol, methimazole, metiltiouracil, etc...



-Surgical treatment of toxic nodular goiters:Hyperthyroidism (or thyrotoxicosis) is associated with clinical manifestations related to an excess of thyroid hormones.Although there are many causes, three are of primary concern to the surgeon. Excluding Graves disease, the other two relevant causes of hyperthyroidism are toxic nodular goiter and a single toxic nodule.Here is the most efficient treatment against Plummer's disease symptoms. It seems that radioactive iodine is the most powerful solution against thyroid's disease. But also, a diet based on certain products will help all the patients who suffer of Plummer's disease.

-Radioactive iodine treatment is based on the following principle: that captures the functional thyroid tissue lyses radio-iodine hormono-sinthesion proportional to the intensity of thyroid. Iodine is only capturing autonomous tissue.Patient's diet should be supplemented with protein, carbohydrates, vitamins and minerals. It also should avoid condiments, excitants neuropsychological (alcohol, nicotine, caffeine) and food ingested iodine (iodized salt, seafood, nuts, green) or medication.

-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.