Saturday, 17 October 2015

What is Wheat Allergy:

3. Wheat Intolerance


Wheat intolerance or wheat allergy is an allergic reaction to foods containing wheat. Wheat is one of the top eight food allergens in the USA. The law passed in 2004 requires all food packaging to clearly list whether they contained any of eight major food allergens (milk, egg, peanuts, tree nuts, fish, crustacean shellfish, soy and wheat).


If you have a wheat allergy, allergic reactions result from eating wheat or by inhaling wheat flour. Wheat can be found in many foods, including some products you might not suspect, such as beer, soy sauce and ketchup. When a person has an allergy to a specific product, they produce a specific allergy antibody to that product (allergen) known as IgE. This allergy antibody coats the surface of the histamine producing cells (Mast Cells) of the body. When the person is exposed to the allergen such as wheat the immune response triggers the histamine producing cells to release massive amounts of histamine and it is this chemical which causes the allergic response. That is why people take anti-histamines to control their allergies.



A child or adult with wheat allergy is likely to develop symptoms within minutes to hours after eating something containing wheat. Wheat allergy symptoms include:

  • Swelling, itching or irritation of the mouth or throat
  • Hives, itchy rash or swelling of the skin
  • Nasal congestion
  • Headache
  • Itchy, watery eyes
  • Difficulty breathing
  • Cramps, nausea or vomiting
  • Diarrhoea
  • Anaphylaxis
  • Wheat-dependent, exercise-induced anaphylaxis


Wheat allergy sometimes is confused with celiac disease, but these conditions differ in both cause and symptoms. A person with a wheat allergy produces an allergy-causing antibody (different from the antibodies produced in celiac) which reacts with certain proteins found in wheat resulting in sudden onset allergic reaction as described above. You can develop an allergy to any of the four classes of wheat proteins — albumin, globulin, gliadin and gluten. Avoiding wheat is the only way to prevent a wheat allergy reaction but medications may be necessary to manage allergic reactions if wheat is accidentally ingested or inhaled.

People with celiac disease have an auto immune response to a particular protein called gluten which is found in wheat and other grains. It is much easier to cater for wheat free diet rather than a strict gluten free one. But if you have a wheat allergy it is critical that you do not consume or inhale wheat products because you could have a very serious allergic reaction.


Note: A person with a wheat allergy may also be allergic to barley, oats and rye.

Find out more about how to achieve a gluten free diet - you can apply this advice to a diet required to manage your wheat allergy as well.


Saturday, 10 October 2015

Non-Celiac Gluten Sensitivity or Gluten Intolerance

Non-celiac gluten sensitivity otherwise known as  gluten intolerance is a common disease suffered by a large proportion of the population. Unlike celiac disease, non-coeliac gluten sensitivity is not an auto immune disease and therefore it is not usually as severe as celiac disease. It is estimated about 1 in 20 people in the western world have non-celiac gluten sensitivity. But like celiac disease many of these sufferers are undiagnosed.  They notice that they feel better when they do not eat gluten but do not know why.

Non-celiac gluten sensitivity or gluten intolerance occurs when you do not have any or enough of the right type of enzyme in the gut to break down gluten. In the gut digestive enzymes are produced to break down food molecules. These are specific for the type of nutrient which is ingested.



The breakdown of gluten in the gut needs enzymes known technically as DPPIV enzymes which are produced naturally by the digestive system.  If there is not enough enzyme, the digestive system cannot break down foods with gluten in them such as wheat, rye, oats and barley products. 

Consequently you have an adverse reaction to these products and this is known as non-celiac gluten sensitivity or gluten intolerance. The 7 most common symptoms of non-celiac gluten sensitivity or gluten intolerance are:

       Digestive issues – abdominal discomfort & bloating
       Fatigue
       Dizziness
       Headaches
       Moodiness
       Joint swelling & pain
       Eczema

Symptoms can be mild to severe gastrointestinal symptoms. In mild cases, the symptoms are limited to abdominal discomfort and bloating, fatigue, and headaches. In severe cases it can lead to more serious bowel problems such as Irritable Bowel Syndrome (IBS) and severe diarrhoea.

Consult a doctor for a correct diagnosis It is important to determine the cause of your symptoms and to ensure that you do not have celiac disease. See my previous blog: celiac disease checklist


People with non-celiac gluten sensitivity also need to go on a gluten free diet to control the symptoms. However there are products available commercially such as which supplement the diet to provide the missing enzymes so the person can eat gluten.

Warning   - These enzymatic products  are NOT suitable for those people with celiac disease.


Remember DO NOT start on your gluten free diet until AFTER you have consulted your doctor and a diagnosis of celiac disease has be confirmed. 

If you need to go a gluten free diet because you have celiac disease here is a free report to help you get started: "Top Ten Tips to Follow a Gluten Free Diet Successfully"







Saturday, 3 October 2015

Celiac Disease Is An Autoimmune Disease


Celiac disease is an autoimmune disease which means the body’s immune system produces antibodies against gluten which attach to the gluten in the small intestine to form a gluten plus antibody complex. The body’s defense system sees this gluten/antibody complex as an “invader” and attacks it. During this attack the bowel wall is damaged.



Normally your gut has small finger like projections called villi which provide extra surface for your food to be absorbed. In celiac disease the war between the gluten and the abnormal antibodies cause the bowel to become inflamed and damaged.  The damaged villi flatten and this is what causes the physical symptoms and the malabsorption experienced by people suffering from celiac disease.



Once a gluten-free diet is initiated, the intestines will begin to heal and return to normal shape. Children can expect to be symptom free within 3-6 months, but adults may require 2-3 years for healing to occur because they have probably suffered from the damage for longer.

It is possible that long-term damage can occur to the intestinal lining if there is a lengthy delay in diagnosis, but this is rare. Certain symptoms of celiac disease cannot be reversed, such as short stature from reduced growth rates or damage to teeth.

Celiac disease does not go away. You have it for life. If you stick to a strict gluten free diet the symptoms and the long term danger goes away. If you accidentally eat gluten you will react to it because the presence of gluten in your diet will reactivate the production of the antibodies which do the damage.

If you have been diagnosed with celiac disease and  do not go a strict gluten free diet you will remain unwell and risk developing serious life threatening diseases such as intestinal cancer. It is so important to get your gluten free diet right.

The worrying thing is that up to 80% of people with celiac disease have not yet been diagnosed and this is the group of people we need to reach out to so that they can be properly diagnosed and managed on a gluten free diet.

Remember DO NOT start on your gluten free diet until AFTER you have consulted your doctor and a diagnosis of celiac disease has be confirmed. 


If you need to go a gluten free diet because you have celiac disease here is a free report to help you get started: "Top Ten Tips to Follow a Gluten Free Diet Successfully"

Tuesday, 29 September 2015

Cafes and Restaurants Need to be Taught HOW to Achieve 100% Gluten Free Cooking

Hi, 

My name is Mary and as a food safety expert, cafe owner and mother of a daughter with celiac disease I have grave concern about the lack of knowledge out here about what it actually means to be gluten free, I mean 100% gluten free. So I have written some e-books and webinars teaching the HOW OF GLUTEN FREE COOKING. 



One of my e-books is aimed at CAFES and RESTAURANTS because dining out is one of the most feared experiences for a celiac. They loose control of what goes into their food and the risk being "glutened" due to improperly prepared gluten free cooking.

I believe that there is a critical need for education about gluten free cooking in the hospitality industry so I have embarked on a project to try and reach as many cafes and restaurants etc. as I can. If you would like to be part of this project please email me on coaching.glutenfreecooking@gmailcom and I will set up an affiliate link for you to share in the sales revenue.

I am excited about this project and spreading the word about how to achieve 100% gluten free cooking and would appreciate feedback

Thanks and regards 

Mary Laloli
Educator






Saturday, 26 September 2015

Celiac Disease is Linked to Diabetes Mellitus Type 1


If you have diabetes it is a good idea to be checked for celiac disease and vice versa. It you have celiac disease it is a good idea to be checked for diabetes. This is because the link between celiac disease and  diabetes mellitus type 1 is well known.

About 3.5 to 10 percent of individuals with celiac disease develop type 1 diabetes and vice versa. Diabetes is usually diagnosed first because the symptoms are more easily recognised and can be picked up with a general blood or urine test for sugar.

Celiac disease and type 1 diabetes are genetically based disorders sharing similar genes (DQ2 and DQ8). That is why they both often occur in a susceptible individual. Both diseases are activated by environmental triggers and have increased risk for other associated autoimmune diseases.

The symptoms for each mimic other diseases and therefore diagnosis can be quite confusing. If you suffer from any of the related symptoms it is critical to consult a doctor for a proper diagnoses. Refer to my blog " Celiac disease checklist"



Neither diseases are curable but both can be managed successfully allowing the person a full and normal life. Self-management is recommended as a best practice in the treatment of both diseases. Insulin injections with dietary management and blood sugar testing for diabetes; adhering to a strict gluten free diet for celiac disease.


Remember DO NOT start on your gluten free diet until AFTER you have consulted your doctor and a diagnosis of celiac disease has be confirmed. 

If you need to go a gluten free diet because you have celiac disease here is a free report to help you get started: "Top Ten Tips to Follow a Gluten Free Diet Successfully"

Saturday, 19 September 2015

Celiac Disease Symptoms Checklist.

Celiac disease is more common than you think:

      It is estimated that about 1-2% of the population have it
      Globally the rates vary from about 1 in 40 to about 1 in 300

The problem is that it is estimated that 25 -80% of celiacs are NOT yet diagnosed.  This is the group of people I would like to reach because it is critical that they are properly diagnosed and a gluten free diet started.

If you suspect that you may have celiac disease it is important to get a proper diagnosis. If you are not sure about what symptoms you may be looking for, print off this sheet, fill it in and take it to your doctor.

Celiac Disease Checklist (1)

Fill in the following form for yourself or your child and take it to your doctor.

Frequently experiencing one or more of the symptoms listed may indicate that you have celiac disease.  

Click on the box to indicate if you have the symptom.

Name of the person:__________________________________

bloating, gas and/or abdominal pain
hard to flush, bulky or loose stools
diarrhea or constipation
fatigue
itchy skin rash
tingling or numbness in hands and feet
discolored teeth or loss of enamel
canker sores
joint pain
irritability or behavior changes
unexplained weight loss
poor weight gain
delayed growth (children)
missed menstrual periods
frequent fractures
excessive urination (a sign diabetes)
extreme hunger
unusual thirst (a sign of diabetes)

Note: Some individuals with celiac disease do not have any outward symptoms. Individuals with certain risk factors, like having a family member with celiac disease, should be tested even if symptoms are not present.

An immediate family member has been diagnosed celiac disease.
An immediate family member has been diagnosed with diabetes type 1
An immediate family member has been diagnosed with an autoimmune condition

Name of autoimmune disease _______________________________________


Celiac Disease Checklist (2)

Being diagnosed with any one of the diseases or conditions listed below may mean you have an increased chance of having celiac disease.

It is a good idea to be tested for celiac disease if you or your child have been diagnosed with any of the following illnesses or conditions.

Click on the box  

Iron deficiency/ anemia
Infertility
Depression
Osteoporosis or osteopenia
Type 1 diabetes
Thyroid disease
Sjogren’s disease
Juvenile idiopathic arthritis
Irritable bowel syndrome
Intestinal cancer
Peripheral neuropathy
Down Syndrome
Turner Syndrome
Williams Syndrome
Dermatitis herpetiformis

.

Remember DO NOT start on your gluten free diet until AFTER you have consulted your doctor and a diagnosis of celiac disease has be confirmed. 

If you need to go a gluten free diet because you have celiac disease here is a free report to help you get started: "Top Ten Tips to Follow a Gluten Free Diet Successfully"


Saturday, 12 September 2015

Don’t Start On Gluten Free Diet Until You Have Seen A Doctor


If you suspect that you have celiac disease or one of the gluten related conditions it is important to see a doctor BEFORE you start on a gluten free diet. If you are experiencing any of the symptoms of celiac disease it is essential to get a confirmed diagnosis of the underlying cause so that your disease can be treated and managed correctly.

The reason for this is that the symptoms of celiac disease can be quite non-specific and various symptoms mimic other diseases. There are a range of medical conditions associated with celiac disease and diagnosis can be quite difficult especially if you have already started on a gluten free diet.

The symptoms of celiac disease include:

       Gastrointestinal problems
       Symptoms of malabsorption
       Bloating, diarrhoea, nausea, vomiting
       Tiredness, fatigue and headaches
       Mental problems, depression and anxiety
       Failure to thrive
       Skin conditions
       Arthritis, muscle or joint pain
       Anaemia
       Osteoporosis

If not controlled celiac disease may lead to an increased risk of carcinomas including gastrointestinal cancer.  If not controlled symptoms get worse and do not go away. If you are not diagnosed correctly you may take a blasé attitude towards your diet and may not stick to it as strictly as you need to. If not diagnosed correctly you will not get the assistance you need to implement your gluten free diet. Struggling with a gluten free diet is quite difficult and you need all the assistance from professionals you can get.

Click here to get your free report "The top 10 Tips To Follow A Gluten Free Diet Successfully"


A proper diagnosis ensures that your condition is managed by a health professional for the rest of your life with regular check-ups to make sure you have your gluten free diet in good control. Without the initial diagnosis this care will not follow on.

Also as the symptoms mimic other diseases you may not have celiac disease at all. Going on a gluten free diet may make you feel better but celiac disease may not be the root cause of your symptoms and that could be a problem. If no one knows what is really the cause of your symptoms how can they recommend the proper treatment.

Celiac disease is also linked to other diseases such as type I diabetes. If you are correctly diagnosed with celiac disease your doctor will know to watch out for the symptoms of this associated diseases as well.

So how is celiac disease diagnosed and why is it advisable not to start on a gluten free diet until after diagnosis has be established?

Blood Tests

Blood tests are taken to look for signs of malabsorption and other general signs of celiac disease. But most importantly blood tests re done to look for gluten-antibodies. If you have celiac disease your body produces antibodies against gluten which also affect your intestine. This is called an auto-immune response because the antibodies have a detrimental effect on the body.
If you start on a gluten free diet before you have this blood test the antibodies may have disappeared from your blood stream or be in very low levels. If you need a blood test for celiac disease you need to ingest gluten for at least 3-4 weeks prior to the test to stimulate the antibodies again.

Biopsy

If antibodies are detected, celiac disease is confirmed with a biopsy of the small intestine. A normal intestine has small finger like projections called villi which provide extra surface for your food to be absorbed. In celiac disease the war between the gluten and the abnormal antibodies cause the bowel to become inflamed and damaged.  The damaged villi flatten and this is what causes the physical symptoms and the malabsorption.


Click here to get your free report "The top 10 Tips To Follow A Gluten Free Diet Successfully"

Enterolab Testing

I recently read about some advanced testing offered by Enterolab, an accredited laboratory offering tests to detect gluten on fecal samples.  These tests may be worthwhile investigating but I need to do a bit more research before I comment on them. Initial investigation seems to indicate that they may be oversensitive ( too many false positives) and no scientific papers have been published. I will write a future blog on the topic.

Prognosis 

If you stop eating gluten the villi repair themselves and become normal again. If you have started on a gluten free diet before your biopsy, the villi may have become normal enough for a misdiagnosis.
Therefore if you think you have celiac disease DO NOT start on a gluten free diet until after you have had your tests because it may result in a false negative result. If you do have celiac disease It is critical that you get diagnosed properly so that your brain comprehends the fact you MUST BE on a gluten free diet and so you can have your condition managed for life with regular checkups from your doctor.

If you need to start on a strict gluten free diet for your celiac disease you will find  this book “gluten free cooking guide”  extremely helpful.