Lactose intolerance is extremely common in people who have just been diagnosed with celiac disease. That's because the tips of our villi—those tiny, finger-like projections in our small intestines—digest lactose, or milk sugar.
Those villi tips are the first things to erode away as celiac disease destroys our intestinal linings. In fact, many of us knew we were lactose intolerant long before we were diagnosed with celiac disease; lactose intolerance frequently represents an early sign of celiac disease. There's good news, though: it's possible—even likely—that your tolerance of lactose will return once your intestinal lining starts to heal on the gluten-free diet.
That doesn't mean you should run out and buy a gallon of milk to drink right away; instead, try to take it slowly and experiment with small amounts of lactose in your diet to see how much you can tolerate. Cancer is a frightening specter, and it's one that can come to mind easily when you're ill and don't know what's wrong. Once you're diagnosed with celiac disease, you'll hear that having untreated celiac disease raises the risk of certain cancers, most notably lymphoma but also other types of cancer and many new celiacs fear developing these cancers.
Still, the risk of cancer in people with celiac disease actually is really small even though it's greater than the risk of the general population.
However, lack of adherence to the gluten-free diet may increase your risk of cancer. As well as increasing the of risk of some of the other potential health problems I've mentioned. Therefore, if there's one bit of advice I'd like to give you as a new celiac, it's: Please Don't Cheat. Cheating can really impact your health. Following a gluten-free diet can be challenging.
We're here to help. Sign up and receive our free recipe guide for delicious gluten-free meals! Vitamin and mineral deficiencies are highly prevalent in newly diagnosed celiac disease patients.
Published Sep Lauret E, Rodrigo L. Celiac Disease and Autoimmune-Associated Conditions. BioMed Research International. Freeman HJ. Reproductive changes associated with celiac disease. World J Gastroenterol. Risk of endometriosis in 11 women with celiac disease.
Human Reproduction. Gastroenterology Research and Practice. Liver pathology in children with newly diagnosed celiac disease. Clin Exp Hepatol. Psychological morbidity of celiac disease: A review of the literature. United European Gastroenterol J.
Celiac Disease and Lactose Intolerance. International Journal of Celiac Disease. Medicine Baltimore. Over time, a range of problems may develop as a result of the body's reaction to gluten — from skin rashes and lactose intolerance to infertility, bone weakness and nerve damage.
These can often happen even in the absence of digestive symptoms. If you have symptoms of celiac disease, see your doctor to have them evaluated before changing your diet. Diagnosing the disease typically involves a blood test and a biopsy of tissue from the small intestine to check for damage. In a few cases, genetic testing may also be helpful. Celiac disease has no cure but can be managed by avoiding all sources of gluten.
Once gluten is eliminated from your diet, your small intestine can begin to heal. The earlier the disease is found, the less time healing takes. For example, most children diagnosed with celiac disease heal completely within six months when gluten is removed from their diets.
Full healing can take longer for adults, sometimes up to a year or two. People who have symptoms for quite a while may take longer to heal, and some never completely recover. In addition, certain advanced complications of the disease may not be reversible, including infertility and severe bone loss. For most people with celiac disease, however, symptoms ease significantly once they start to avoid gluten. Celiac disease is hereditary, meaning that it runs in families.
People with a first-degree relative with celiac disease parent, child, sibling have a 1 in 10 risk of developing celiac disease. Celiac disease can develop at any age after people start eating foods or medicines that contain gluten. Left untreated, celiac disease can lead to additional serious health problems. People with celiac disease have a 2x greater risk of developing coronary artery disease, and a 4x greater risk of developing small bowel cancers. The treatment burden of celiac disease is comparable to end-stage renal disease, and the partner burden is comparable to caring for a patient with cancer.
Untreated celiac disease can lead to the development of other autoimmune disorders like Type I diabetes and multiple sclerosis MS , and many other conditions, including dermatitis herpetiformis an itchy skin rash , anemia, osteoporosis, infertility and miscarriage, neurological conditions like epilepsy and migraines, short stature, heart disease and intestinal cancers.
Currently, the only treatment for celiac disease is lifelong adherence to a strict gluten-free diet. People living gluten-free must avoid foods with wheat, rye and barley, such as bread and beer.
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