Gluten intolerance (related to Celiac disease) is an immune response to a protein found in wheat and other grains. The condition can cause various symptoms such as bloating, abdominal pain, diarrhea, fatigue, rashes, and joint pain after consuming gluten-containing foods. Many patients find that eliminating gluten from their diet helps alleviate symptoms. While there is no cure for gluten intolerance, avoiding gluten-containing foods and receiving proper diagnosis and treatment can reduce discomfort and other conditions caused by gluten intolerance.
Steps
Seek Medical Treatment
- The doctor may perform tests such as blood tests, endoscopy, or capsule endoscopy to confirm whether you have Celiac disease or gluten intolerance.
- The doctor may also test for other health issues related to Celiac disease or gluten intolerance, such as anxiety, depression, migraines, thyroid disease, intestinal cancer, osteoporosis, diabetes, dermatitis herpetiformis, neuropathy, and arthritis.
- The doctor will determine if you have Celiac disease or gluten intolerance. If so, avoiding gluten is the most effective treatment.
- The doctor may prescribe additional medications or vitamin supplements to help alleviate other symptoms of Celiac disease and gluten intolerance.
- A gluten-free diet is crucial for managing gluten intolerance.
- You may need supplements such as calcium, folate, iron, vitamin B12, vitamin D, vitamin K, and zinc.
- The doctor may prescribe steroids to control intestinal inflammation.
- If you have dermatitis herpetiformis, which causes itchy rashes and blisters, the doctor may prescribe Dapsone to reduce the rash.
- A nutritionist specializing in gluten intolerance can provide comprehensive information about gluten-free foods, hidden sources of gluten, and alternatives when dining out.
- You can ask your doctor for a referral to a reputable nutritionist, search online, or join support groups for individuals with gluten intolerance.
Eliminate Gluten from Your Diet
- Barley, including malt and malt vinegar
- Rye
- Triticale, a hybrid of wheat and rye
- Wheat and wheat flour, such as semolina, durum, spelt, Graham flour, Kamut, and refined flour.
- Beer
- Bread
- Cakes
- Cereals
- Pastries (made from wheat flour)
- Croutons
- Fried foods
- Gravies, sauces, salad dressings, and condiments
- Imitation meats and seafood
- Pasta
- Processed foods
- Soy sauce
- Snacks with additives
- Soups
- If unsure, it’s best to avoid these foods. You can search online for a list of gluten-containing foods to eliminate from your diet.
- If others in your household still consume gluten, keep your food separate to avoid cross-contamination.
- You can freely enjoy naturally gluten-free foods like beans, nuts, fresh eggs, unprocessed meats, fish, poultry, fruits, vegetables, and most dairy products.
- Most grocery stores offer a variety of gluten-free products, but some may still contain gluten. Ask store staff if they have a dedicated gluten-free section that meets your needs.
- Some naturally gluten-free foods you can include in your diet are amaranth, arrowroot, buckwheat, corn and cornmeal, flax, gluten-free flour, millet, quinoa, rice, soy, tapioca, and teff.
- Common terms on food labels indicating gluten include hydrolyzed vegetable protein, vegetable protein, MSG, malt, malt flavoring, modified food starch, wheat flour, cereals, soy sauce, and thickeners.
- Avoid processed foods or those not explicitly labeled “gluten-free,” including condiments.
- Always double-check food when dining out, eating at someone else’s home, or trying a new dish.
- Plan meals for each day of the week, especially for meals eaten outside the home, like lunch or dinner. In such cases, pack your own food or carefully review restaurant menus for gluten-free options.
- For example, at the start of the week, you might have a vegetable omelet with cheese, gluten-free toast with butter, and fruit. For lunch, enjoy a salmon salad with olive oil and vinegar dressing. For dinner, try beef with broccoli and baked potatoes.
- Many restaurants clearly mark gluten-free options on their menus. If not, ask the staff or chef about potential hidden gluten in dishes.
- Research online or ask for recommendations for restaurants with reliable gluten-free options.
- Dishes to avoid when dining out include croutons, dumplings, fried onions, crispy noodles in salads, soups with wheat or barley, dishes marinated in soy or teriyaki sauce, breaded and fried foods, shared frying oil, mashed potatoes, and bread.
- Safe options include steamed vegetables, roasted meats, fruit desserts, or ice cream.
- Always have a backup plan in case the restaurant doesn’t offer gluten-free options.
- When dining out, ask if gluten-free and gluten-containing foods are prepared on the same surfaces. If you’re highly sensitive to gluten, it’s best to avoid such restaurants.
- Cross-contamination can also occur at home. Use separate cutting boards and prepare food in different areas to prevent contamination.
- Avoid sharing kitchen appliances like toasters, bread makers, or pans.
Tips
- Gluten intolerance shares symptoms with gluten sensitivity. However, gluten sensitivity does not trigger an immune response or cause intestinal damage.
Warnings
- Consult a doctor immediately if symptoms persist or worsen even after eliminating gluten from your diet.
