Dietary Recommendation in Celiac Disease: An Awakening

Celiac disease came to notice during world war II when due to wheat and other cereals shortage alternate diet was accepted and it improved symptoms in patients with celiac disease. Worldwide prevalence in white population is around 1%.With newer diagnostic techniques and high penetration of health facilities it's diagnostic reporting is increasing. Immunological testing and his to pathological examination now increased detection. Diarrhea, bloating and gas abdomen, weight loss remain chief complaints of patients with celiac disease. Nutritional deficiency depends on site and extent of involvement of small gut. Villousatrophy in small intestine is responsible for malabsorption. In cases where there is less involvement of duodenum and proximal jejunum, Iron folate and Calcium absorption is hampered due to situation of high affinity transport mechanisms in these areas. Bone mass loss, macrocytic anemia or iron deficiency anemia are the consequential clinical presentations. Nutritional evaluation is done for patients include anthropometric measurements to hematological levels of nutrients and related evaluations. Six key elements are recommended for management of celiac disease (CELIAC),Consultation with a trained dietician, Education on the disease, Life long gluten free diet, Identification of nutritional deficiencies, Access to reputable support group and Continuous follow-up. Gluten-free Diet excludes the grains wheat, barley and rye. Other grains are non-toxic unless contaminated with wheat or barley and rye. Strict monitoring is thus needed for children with celiac disease and are monitored for adherence to gluten free diet, nutritional status and other such complications of celiac disease. Celiac disease is though not very common but a suspected case should always be investigated for celiac disease as per routine and specific investigations. A strict gluten free diet is advised and it should be monitored regularly. Regular monitoring of patients with clinical assessment and other investigations must be done. Consequential clinical manifestations must be taken care of accordingly. Aregular GFD is necessary for disease. Patient should be counseled regarding regular check up and diet plans.