>> EVERY WEDNESDAY WE WORKED TO GET RESULTS FOR YOU ON YOUR IMPORTANT HEALTH TOPICS.
SOMETIMES ASKING THE AWKWARD
QUESTIONS SO YOU DO NOT HAVE
TO.
>> THAT IS RIGHT OTHER TIMES
DEBUNKING MYTHS.
SEEMS MORE PEOPLE EATING
GLUTEN-FREE THESE DAYS WHETHER
THEY HAVE CELIAC DISEASE OR
NOT.
>> BUT IS IT REALLY THAT COME
IN?
WE’RE JOINED NOW WITH ASK A
DOCTOR.
>> OKAY SO CELIAC DISEASE IS A
SERIOUS AUTOIMMUNE DISEASE FOR
THOSE WHO HAVE IT AND EATING
GLUTEN CAN MAKE THEM REALLY
SICK.
IT SEEMS WE ARE HEALING A LOT
MORE ABOUT CELIAC DISEASE AND
MORE RESTAURANTS ARE OFFERING
GLUTEN-FREE OPTIONS AND A LOT
OF INFORMATION OUT THERE.
BUT WE WANTED TO BRING IN A
REAL DOCTOR TO TALK ABOUT WHAT
THIS DISEASE REALLY IS.
SO DOCTOR EARL JAMES A GUEST OR
WHILE UROLOGIST IS HERE TO HELP
US SORTED OUT.
I WANTED TO KNOW MORE ABOUT
CELIAC DISEASE BECAUSE IT SEEMS
LIKE MORE PEOPLE HAVE IT
BECAUSE THEY ARE CHOOSING THE
GLUTEN-FREE OPTIONS.
BUT WHAT IS IT REALLY FOR THE
PEOPLE WHO HAVE CELIAC DISEASE?
>> CELIAC DISEASE IS AN
INFLAMMATORY CONDITION IN THE
SMALL INTESTINE CHARACTERIZED
BY FLATTENING OF HAIR-LIKE
PROJECTIONS CALLED FILE AND
INFLAMMATORY CELLS IN THE
LINING ALSO.
SO THIS IS USUALLY SECONDARY TO
WHEAT OR LET’S SAY GLUTEN WHICH
IS FOUND IN WHEAT OR BARLEY OR
RYE.
PRETTY MUCH PATIENTS DEVELOP
SYMPTOMS IN MOST CASES BUT
THERE CAN BE SOME ASYMPTOMATIC
PATIENTS AS WELL.
>> ARE THERE MORE PEOPLE
DEALING WITH CELIAC DISEASE AND
THERE WERE 10 YEARS AGO?
>> PREVIOUSLY IT WAS THOUGHT TO
BE AS COMMON AS ONE IN 133
PEOPLE BUT NOW THEY HAVE FOUND
POPULATIONS IN THE US WHEREBY
MAY BE AS COMMON AS 0.7 PERCENT
OF PEOPLE WHICH WOULD BE SEVEN
AND HUNDRED.
IT DEPENDS WHAT YOU LOOK FOR.
YOU REALLY HAVE TO LOOK FOR IT
THE MOST COMMONLY WE LOOK
FORWARD AND PEOPLE WHO ARE
SYMPTOMATIC.
SYMPTOMS CAN INCLUDE THINGS
LIKE DIARRHEA, ABDOMINAL PAIN
OR BLOATING.
TYPICALLY, CHILDREN MANIFESTED
BY BEING SMALLER THAN THEY
REALLY SHOULD FOR THEIR
APPROPRIATE AGE.
BUT IN ADULTS THEY MIGHT NOT BE
SO CLEAR-CUT AND MORE SUBTLE SO
PATIENTS OFTEN PRESENT WITH
ABDOMINAL PAIN OR DIARRHEA OR
BLOATING.
>> IS IT SOMETHING YOU CAN SELF
DIAGNOSE?
SOMEBODY WAS GOING INTO THE
GROCERY STORE AND SEEING
GLUTEN-FREE OPTIONS ARE SEEN
THEM IN A RESTAURANT MENU AND
EATING A LOT OF THAT IN SAYING
I’VE BEEN FEELING REALLY GOOD
LATELY I MUST HAVE CELIAC
DISEASE.
>> IT DOES NOT DIRECTLY PROVE
YOU HAVE CELIAC DISEASE BECAUSE
THERE IS A CONDITION CALLED
NON-GLUTEN SENSITIVITY.
NON-CELIAC GLUTEN SENSITIVITY.
SO THEY MIGHT NOT NECESSARILY
BE ALLERGIC TO GLUTEN BUT SOME
PEOPLE FEEL BETTER WHEN THEY
EAT GLUTEN-FREE PRODUCTS.
>> IT KIND OF REMINDS ME OF
LACTOSE INTOLERANCE WHEN PEOPLE
DO NOT KNOW IF THEY HAVE THE
CONDITION BUT THEY START TO
STRAY AWAY FROM MILK PRODUCTS
AND FEEL A LITTLE BIT BETTER IN
THEIR TELL STOMACH.
>> IT IS DIFFERENT BECAUSE AS
WE GET OLDER WE BECOME MORE
LACTOSE INTOLERANT BECAUSE THE
END ENZYME AND ART INTESTINAL
TRACT DECLINES OVER TIME.
SO AS YOU GET OLDER YOU HAVE
LESS LACTASE SO SOME PEOPLE
BECOME LACTOSE INTOLERANT.
SOME SYMPTOMS COULD BE THE SAME
WITH BLOATING OR DIARRHEA.
YOU CAN HAVE THOSE IN BOTH
CONDITIONS.
>> SO HOW DO YOU TEST FOR
CELIAC DISEASE?
>> THERE ARE BLOOD TESTS WHICH
YOU CAN DO FOR PEOPLE WHO ARE
NOT ANXIOUS TO JUMP IN TO DO AN
ENDOSCOPY INITIALLY.
THESE PRETTY MUCH CAN BE
OBTAINED QUITE EASILY.
BUT THE TEST WHICH IS MOST
ACCURATE IS REALLY DOING BIOPSY
FROM THE SMALLER TEST.
THERE YOU SEE THE FLATTENING OF
THE HAIR-LIKE PROJECTIONS AND
YOU WILL SEE THE INFLAMMATORY
SO THERE IS A TEST YOU CAN TAKE
IF YOU’RE INTERESTED IN FINDING
THAT OUT YOU CAN ALSO DO BLOOD