Nonceliac Gluten Sensitivity (Intolerance)
Bhupinder S. Anand, MBBS, MD, DPHIL (OXON)
Dr. Anand received MBBS degree from Medical College Amritsar, University of Punjab. He completed his Internal Medicine residency at the Postgraduate Institute of medical Education and Research, Chandigarh, India. He was trained in the field of Gastroenterology and obtained the DPhil degree. Dr. Anand is board-certified in Internal Medicine and Gastroenterology.
- Gluten sensitivity (intolerance) definition
- What are gluten intolerance symptoms?
- What is the relationship between gluten intolerance and celiac disease?
- Is nonceliac gluten sensitivity real?
- What other diseases mimic celiac disease?
- Food allergies or food intolerance
- What are FODMAPs?
- What is bacterial overgrowth?
- What are functional intestinal disorders?
- Is there any evidence that nonceliac gluten sensitivity is really a disease or condition?
- Find a local Doctor in your town
Gluten sensitivity (intolerance) definition
Gluten sensitivity is defined as a reduction in symptoms after eliminating gluten-containing products from the diet.
What are gluten intolerance symptoms?
Gluten sensitivity is all the rage these days. Not a week goes by that I don't see a patient with gastrointestinal symptoms who has started a gluten-free diet - or what they think is a gluten-free diet - and tells me that their symptoms have improved. They describe their symptoms as feeling bloated and gassy; and experiencing abdominal pain, diarrhea, and abdominal cramping. Gluten-free products are flooding the market place. Most of these gluten-free products have always been gluten-free, but their gluten-free status now is being advertised for marketing purposes. What's going on here? Is gluten sensitivity a new "disease?"
What is the relationship between gluten intolerance and celiac disease?
As with most things health-wise, the situation is complex. The first thing to understand is that the gluten sensitivity of celiac disease, a well established disease that affects less than 1% of the population in the U. S., is due to an autoimmune process, which can be considered as an allergic reaction to proteins contained in gluten found in several common grains, including wheat, rye and barley. Celiac disease is easily diagnosed by blood tests and intestinal biopsy. The only practical treatment for celiac disease is a strict, gluten-free diet. Ninety-nine percent of individuals I see who report gluten sensitivity - do not have celiac disease. So, why do they feel better on a gluten-free diet? There is likely to be more than one explanation.
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