Celiac Disease

Discussing the latest advances in celiac disease

Barriers to Screening High-Prevalence Populations for Celiac Disease

Posted on April 17th, 2014 by Margaret Shepard

Joseph Murray, M. D., discusses a recently published paper in BMC Gastroenterology about barriers in screening high-prevalence populations for celiac disease.

This paper addresses the question of how come some people with celiac disease don't get diagnosed. There are well established guidelines regarding who to test for celiac disease and how to test for celiac disease. Most patients, over 80%, with celiac disease remain undiagnosed in the United States. The researchers of this paper recruited over 100 individuals in the community who had some recognized risk for celiac disease such as family history or other associated conditions or symptoms. The researchers aimed to explore how come these patients had not be tested for celiac disease and what were [...]

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Gluten-Free Recipe: Mediterranean-style Grilled Salmon

Posted on April 10th, 2014 by Margaret Shepard

Wondering what to cook for dinner tonight? How about a Mediterranean-style grilled salmon. This recipe is a healthy substitute for the usual breaded or fried fish.

Ingredients

  •  4 tablespoons chopped fresh basil
  • 1 tablespoon chopped fresh parsley
  • 1 tablespoon minced garlic
  • 2 tablespoons lemon juice
  • 4 salmon fillets, each 5 ounces
  • Cracked black pepper, to taste
  • 4 green olives, chopped
  • 4 thin slices lemon

Directions

Prepare a hot fire in a charcoal grill or heat a gas grill or broiler. Away from the heat source, lightly coat the grill rack or broiler pan with cooking spray. Position the cooking rack 4 to 6 inches from the heat source. In a small bowl, [...]

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Frances Shaw’s Journey

Posted on April 3rd, 2014 by Margaret Shepard

Previously posted on Sharing Mayo Clinic

Frances Shaw’s health and career mixed together in a muffin batter. With her perseverance and answers from Mayo Clinic, both her health and career as a baker and entrepreneur, are turning out golden.

Frances Shaw didn’t set out to be a baker. Her career essentially found her as she tried to find ways to manage her health and dietary restrictions, while still enjoying food.

In her senior year of college, while studying film, Shaw, now 25, suddenly found herself dealing with ongoing stomach and pain symptoms that had worsened dramatically. “I was really, really tired,” she says. And that wasn’t all. “I had bone pain and was instantly bedridden.”

Finding out what was wrong was [...]

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Celiac Disease Symptom Checklist

Posted on March 27th, 2014 by Margaret Shepard

Joseph Murray, M. D., discusses the recently published celiac disease checklist by the Celiac Disease Foundation, a leading organization for celiac disease education, advocacy, and support.

The celiac disease symptom checklist is a comprehensive list of symptoms and scenarios that are associated with celiac disease. This checklist is a reminder to celiac disease patients about their symptoms and also a way to illicit symptoms from people who think they may have celiac disease.  The checklist asks specific questions like:

  • Do you have family history of celiac disease?
  • Do you have changes in your bowel motions that might be a suggestion of malabsorption?
  • Are you currently eating a diet that contains gluten (wheat, rye, [...]

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Why Aren’t My Symptoms Getting Better?

Posted on March 21st, 2014 by Margaret Shepard

Are you on a gluten-free diet and wondering why your symptoms aren't getting better? Jacalyn See, a registered clinical dietitian, discusses the risks of hidden gluten and provides tips to help patients with celiac disease maintain a gluten-free diet.

There are many places where hidden gluten can arise. It can occur in the home, restaurants, in other people's homes, fields or factories, and from unclear labeling on food products.

Hidden gluten may occur in your own kitchen, especially if some family members are maintaining a regular diet. Here are some examples of where hidden gluten may arise due to the accumulation of crumbs:

  • Toasters used for regular bread
  • Cutting boards
  • Rolling pins
  • Counter tops
  • [...]

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Iron Deficiency in Children

Posted on March 14th, 2014 by Margaret Shepard

Josephy Murray, M. D., discusses a recent paper published in Archives of Diseases in Childhood that proposes a scenario of screening children with iron deficiency anemia for celiac disease.

Why is this case study interesting? Iron is absorb in the upper part of the small intestine, which is the same part that is damaged through having celiac disease. When the upper part of the small intestine is damaged, iron can't be absorb properly. This can lead to anemia.

Children don't routinely have their hemoglobin levels checked. This makes diagnosing anemia or celiac disease difficult. If a child presents with anemia and it seems to be due to iron deficiency, then celiac disease should be [...]

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Guidelines for Detecting Celiac Disease

Posted on March 7th, 2014 by Margaret Shepard

Joseph Murray, M.D., discusses a recent paper published in Pediatrics that looks at undiagnosed cases of celiac disease in children. This study examines if doctors were able to predict if a child had celiac disease based on the current detection guidelines.

The main objective of the study was to find out if doctors could predict the children that had undiagnosed celiac disease from using the current celiac disease detection guidelines. The study took place in Sweden and tested over 7,000 children for celiac disease. Children in the study were given a questionnaire to fill out before the screening asking questions about family history of celiac disease and symptoms commonly associated with celiac disease. The results showed that [...]

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What to do When A Gluten Free Diet Doesn’t Work

Posted on February 27th, 2014 by Margaret Shepard

Wondering what to do when a gluten free diet doesn't seem to be working? Sometimes a patient diagnosed with celiac disease goes a gluten free diet and the symptoms come back or the diet doesn't help at all. Joseph Murray, M. D., discusses different approaches doctors take to help patients with this problem.

The first approach is to review the original diagnosis of celiac disease. This involves looking back at the original biopsy and blood tests done before the patient went on gluten free diet. Sometimes a genetic test will be done to make sure the patient has the genetic type required for celiac disease. Sometimes the results will show the patient doesn't have celiac disease but have other [...]

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