Treatment of Celiac Disease

Is weight loss a symptom of Celiac disease? Celiac disease is known as gluten-sensitive enteropathy or celiac sprue abdominal atrophy this disease occurs as a result of the body’s gluten sensitivity, where the body induces an immune response in the small intestine when consuming gluten, the protein found in both wheat and barley. damage the lining of the small intestine over time, resulting in malabsorption of nutrient elements in the intestine This damage to the intestine may lead to some of the following symptoms:

• Diarrhea.
• Weight loss.
• Bloating.
• fatigue and anemia.

Dr. Ritu Verma, Director of the Children’s Celiac Center at Children’s Hospital in Philadelphia, USA, says: “If you think you have celiac, the most important thing is not to modify your diet immediately. If you start a gluten-free diet, the result of a test for silica will not be accurate,” and there is no drug that treats this disease definitively, but there are treatments you can do to relieve or avoid its symptoms, including what comes:

Gluten-free diet

Should you avoid a burger? It is important to know safe foods for you in case you suffer from Celiac disease, it is not easy to maintain a gluten-free diet, and we will talk here about a series of dietary guidelines that may help you determine what to avoid and what to eat as it comes:

Avoid the following foods and any other products containing these ingredients, as they contain gluten which constitutes significant harm to the patient’s health, as follows:

• Wheat.
• barley.
• Bulgur.
• semolina.
• The spelled.

Avoid any product that is not mentioned as gluten-free such as oats, bread, etc.

Eat fresh meat, poultry, and fish that are not covered or soaked.

Take care to eat fruit and vegetables especially starchy such as peas, potatoes, beans, and lentils.

Eat most dairy products.

Eat gluten-free grains and starches such as buckwheat, rice, and quinoa.

People with Siljak should follow a gluten-free diet to avoid complications and health problems caused by it.

Taking vitamins and minerals

What is the role of vitamins and minerals in celiac patients? There may be a problem in absorbing many nutrients such as iron Vitamin B12, Vitamin D, Folic Acid, etc with Siliac patients due to the gluten effect that destroys the lining of the small intestine and a doctor or dietitian may recommend vitamin and mineral supplements for 6 months after diagnosis, This is after gluten is excluded from your diet, while the digestive system repairs itself, Supplements will provide your body with all the nutrients you need, and may also help correct any body deficiencies such as anemia. These supplements include:

Copper

The benefit of copper is that its deficiency leads to multiple neurological manifestations, including myelopathy, optic neuropathy, motor neuron disease, and the removal of myelin from the central nervous system, as well as blood abnormalities such as anemia and neutrophil deficiency, which is a type of white blood cell.

Folic Acid

Folic acid is important for the manufacture and repair of DNA, to significantly reduce the risk of stroke by reducing homocysteine level, and it is recommended to administer 0.8 mg per day of folic acid to raise folic acid deficiency in celiac patients and reduce homocysteine level.

Iron

Iron is a key element part of the heme structure, a non-protein ingredient for many iron proteins such as hemoglobin, when it is lacking with Siljak patients causes anemia, and Siljak patients recommend oral iron supplements of 200 mg twice a day to treat anemia and replenish the body’s stock.

Vitamin B12

Important in reducing body homocysteine values such as folic acid as we mentioned earlier, when increasing homocysteine level you have an increased risk of occurrence of vascular disorders and intravenous clots, which is important to prevent the occurrence of enormous aromatic anemia, patients are recommended to take 1,000 micrograms of vitamin B12 by reaching its normal level.

Vitamin D

One of the most important vitamins for osteoporosis has been observed in patients with celiac, so patients are recommended to take vitamin D supplements with a concentration of 50,000 IUs per week for 8 weeks and then reduce the dose to reach its normal level.

Vitamin K

Vitamin K is essential for blood clotting agents to prevent bleeding, and when it is deficient in patients with celiac bruises and increases the risk of bleeding accompanied by hypoprothrombin, it is recommended to take 75-120 micrograms per day of vitamin K supplements for men and 75-90 micrograms per day for women until it reaches a normal level.

Zinc

Zinc supports the immune system and plays a role in the activity of approximately 100 enzymes. It also helps in wound healing, DNA manufacturing, and hemoglobin production as well. Its lack of growth delays and impaired sexual maturity may cause, and silica patients are recommended to take 25-40 mg per day of zinc supplements.

Taking vitamins and returning supplements is very important for patients with celiac, to provide the body with nutrients, especially in the first 6 months of diagnosis.

Medications for controlling bowel inflammation

Is azathioprine good for controlling bowel inflammation? The doctor may recommend some medications in case you have treatment-resistant celiac disease or if your small intestines are severely damaged to control inflammation, they can alleviate severe symptoms and signs of celiac disease during intestinal healing, such as:

• steroid.
• Azothioprene.
• Budizonid.

There are some drugs that a doctor may dispense to you in case there is resistance to treatment including steroids.

Treatment of spiral dermatitis

What is Dopson’s role in treatment? In case you suffer from this disease which causes a rash with itching due to the body’s intolerance to gluten You should take a gluten-free diet, but healing a rash may take a long time. The doctor prescribes Dopson. which is taken twice daily by mouth to accelerate the healing time of the rash, As for controlling sperm dermatitis, you may need to take the drug for up to two years And then you have to follow the diet long enough to control the rash, The lowest effective dose of dapsone is usually prescribed for possible side effects, including:

• Depression.
• headache.

SDD occurs due to the body’s intolerance to gluten causing itching and rash and is treated by avoiding gluten and the drug Dopson.

Avoid drugs and non-food products that may contain gluten

Do lipstick products affect patients with silica? Removing gluten from the diet will help to feel better by reducing inflammation in the small intestine. Even simple amounts can cause harm to the patient even if no symptoms are observed, and from drugs and non-food products containing gluten:

• Prescription drugs and over-the-counter drugs.
• Toothpaste and mouthwash.
• Dietary and herbal supplements.
• Toy dough.
• Stamp glue and envelopes.
• Lipstick products.

There are some food products and medicines that may contain gluten that is recommended to be avoided by patients with celiac, including herbal supplements.

Is Silica Serious?

A group of physicians conducted a 2020 study at Columbia University in the United States of America and the University of Orebro in Sweden, where the study aimed to assess the relationship between Siljak disease and mortality risks in a population group in Sweden and its reasons were as follows:

All the people in Sweden listed through epidemiology were identified by reports of tissue pathology diagnosed with Siljak disease between 1969-2017, with 49,829 participants.

Each person was matched with 5 participants from the control group of the general population according to the:

• Age.
• Sex.
• City.
• Calendar period.

There were 49,829 patients with Celiac disease, including 24% of those diagnosed between 2010-2017.

The average age at diagnosis was 32.2 years and 62.4% were women, during an average follow-up period of 12.5 years, 13.2% or 6,596 people died compared to the controls, and total deaths in those with celiac increased by 9.7 versus 8.6 deaths per 1,000 people during the year.

A relative increase in the risk of death was observed in all age groups but was most pronounced in those diagnosed between the ages of 18 and 39.

It has been observed that individuals with celiac have a higher risk of dying from cardiovascular disease, cancer, and respiratory diseases when compared with controls.

The study concluded that “there is an increased risk of death in Siljak patients compared to the general population and is statistically significant.”

If not treated or delayed, many other complications may occur, posing a risk to the patient’s health. The most important of these complications are:

• Damaging tooth enamel.
• malnutrition.
• Lactose intolerance.
• Infertility and abortion.
• Nervous system problems such as pain or seizures and numbness in the hands and feet.
• bone weakness.
• Pancreatic disease.
• Incidence of small intestinal cancer and intestinal lymphoma.