Nutrition Counseling  Nutrition Therapy  80538 Munich Knöbelstrasse 36  Ulrike Breunig Dipl.oec.troph.  

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Nutrition therapy for celiac disease.

Celiac disease is an autoimmune disorder affecting primarily the small intestine.Celiac disease is caused by a reaction to gluten. Upon exposure to gluten, an abnormal immune response may lead to the production of several different autoantibodies than can affect a number of different organs. Therefore celiac disease is accociated with other autoimmune dieseases, such as diabetes mellitus type 1 and thyroiditis, among others.

Gluten is found in wheat and other grains such as barley and rye. In the small bowel gluten causes an inflammatory reaction and it may produce hortening of the villi lining the small intestine (villous atrophy). This affects the absorption of nutrients, frequently leading to anaemia.

Typical Symptoms:

Diarrhea, greasy stool (steatorrhoea), abdominal pain, flatulence, cramping, loss of appetite, weight loss or failure to gain weight (in young children), fatigue, paleness, anaemia.

Sticking point:

Before you do not have a clear diagnosis, do not start with a gluten-free diet. Otherwise the diagnostic performance is adversely affected. The gluten-free diet can quickly lead to a reduction of the celiac specific antibodies in the blood and to a recovery of the villi in the small intestine.

The only known effective treatment is a strict lifelong gluten-free diet, which leads to recovery of the intetinal mucosa, improve of the symptoms and a reduced risk of developing complications.

Course of nutrition therapy

Content overview:

  • what exactly is a "lifelong strict gluten-free diet"

  • diet traps and pitfalls

  • possible consequences of inconsistent diet
  • foods with gluten and foods without gluten
  • foods with question marks
  • labeling regulation: correct reading of the ingredients
  • what to do with foods that says "may contain traces of gluten"
  • contamination (kitchen, out-of-home consumption)
  • celiac disease and weight gain
  • fiber in gluten-free diet
  • critical nutrients and balanced nutrient intake

Feature of the diet:

For a celiac patient gluten-free diet must be maintained for a lieftime. No medication exists that will prevent damage or prevent the body from attacking the gut when gluten is present. Strict adherence to the diet allows the intestines to heal, leading to resolution of all symptoms in most cases. Failure in the diet my cause relapse in the gut`s health but need not to show necessarily corresponding symptoms with discomfort in the gastrointestinal area.

For the nutritional treatment - depending on the information individually needed - about five counseling sessions of 45 minutes are calculated.