Celiac Disease: Gluten Free Diet (cont.)
Betty Kovacs Harbolic, MS, RD
Betty is a Registered Dietitian who earned her B.S. degree in Food and Nutrition from Marymount College of Fordham University and her M.S. degree in Clinical Nutrition from New York University. She is the Co-Director and Director of nutrition for the New York Obesity Research Center Weight Loss Program.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- What is a gluten-free diet?
- Who needs to follow a gluten-free diet?
- Celiac disease
- Dermatitis herpetiformis
- Gluten ataxia
- Wheat allergy
- Non-celiac gluten sensitivity (NCGS)
- Irritable bowel syndrome (IBS)
- What are the difficulties with following a gluten-free diet?
- What foods do you avoid on a gluten-free diet?
- Foods that are unsafe to eat
- What foods can you consume on a gluten-free diet?
- Foods that are safe to eat
- What are resources for a gluten-free diet?
- Celiac Disease (Celiac Sprue) FAQs
Non-celiac gluten sensitivity (NCGS)
Non-celiac gluten sensitivity (NCGS) has also been referred to as gluten sensitivity, gluten hypersensitivity, and non-celiac gluten intolerance. The precise number of people who have this is unknown. The symptoms associated with this are diarrhea, bloating, flatulence (gas), abdominal discomfort or pain, fatigue, lethargy, headaches, "foggy mind," fatigue, depression, and/or skin rash. One study also found that people with this also exhibited glossitis, muscle cramps, leg numbness, bone or joint pain, osteoporosis, and unexplained anemia. There is no specific test to diagnose this which makes it a controversial diagnosis. The diagnosis requires that celiac disease and a wheat allergy are ruled out as possibilities. When the removal of gluten from the diet alleviates the symptoms this is considered the diagnosis.
Irritable bowel syndrome (IBS)
Irritable bowel syndrome (IBS) can be a frustrating and debilitating diagnosis when there is no specific cause or treatment. Recent research has shown improvements in pain, gas, bloating, and diarrhea with or without constipation following a gluten-free diet in some types of IBS. One study showed that 60% of diarrhea predominant IBS patients following a gluten-free diet returned to normal stool frequency and a decrease in gastrointestinal symptoms. The only way to know for sure if you are gluten sensitive with IBS is to follow a gluten-free diet and see if your symptoms dissipate.
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