What is Celiac Disease?It is disorder caused by intolerance to the protein called gluten found in wheat, rye, oats, and barley. When a person with celiac disease eats food items containing these ingredients, the mucous membrane lining the small intestine gradually damaged. This, in turn, leads to failure to absorb nutrients effectively and results in growth failure. The condition must be kept in mind in children who are short and thin without a plausible explanation. Why does this occur?Individuals with celiac disease are unable to breakdown and digest the gluten protein.At what age does this occur?Any age (even adults), but 80-90 per cent individuals are diagnosed when they are between 5 to 10 years of age.Is it common?It is much more common than we think. In many children, this stay undiagnosed and untreated due to lack of appropriate diagnostic facilities and awareness.What are the manifestations of this disease in children?Growth failure (a short and thin child) which may be associated with symptoms like repeated abdominal pain, loose stools, constipation and bloating.Why is it important to detect this disease early?Celiac disease in an important cause of growth failure in children. A considerable proportion of children suffering from this disease appear very short and thin but have no digestive tract symptoms. They perform well in school and are active and alert and so are likely to escape detection. Such children end up as very short adults. How to diagnose Celiac Disease?A simple screening test is available - one can consult a specialist in digestive diseases of children for further steps.How to manaqe a child suffering from this disease?Diet modification is the main aspect of treatment, not drugs. Involvement of a dietician is very important. What are the chances of cure?Excellent. Children who receive treatment can lead a normal life, but compliance with the dietary advice is essential. The response is 100 per cent in every child who receives proper intervention.
