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Celiac Disease For Dummies
1
About the Authors
7
Dedication
9
Authors’ Acknowledgements
9
Contents at a Glance
11
Table of Contents
13
Introduction
23
About This Book
23
Conventions Used in This Book
24
What You Don’t Have to Read
25
Foolish Assumptions
25
How This Book Is Organized
25
Icons Used in This Book
27
Where to Go from Here
28
Part I: Dealing with the Diagnosis of Celiac Disease
29
Chapter 1: Finding Out You Have Celiac Disease
31
Getting to Know Celiac Disease
31
Dealing with the Diagnosis of Celiac Disease
32
Knowing How Having Celiac Disease Feels
34
Treating Celiac Disease
34
Living and Thriving with Celiac Disease
35
Handling the News
36
Finding Information and Support on the Internet
39
Looking at “Real” (Non-Virtual) Support Groups
43
Chapter 2: Celiac Disease and You
45
Knowing What Causes Celiac Disease
46
Examining Gluten
54
Comparing Celiac Disease, Food Allergy, and Food Intolerance
58
Understanding How the Normal Digestive Process Works
59
Knowing What Goes Wrong When You Have Celiac Disease
65
Chapter 3: Diagnosing Celiac Disease
67
Figuring Out Whether You Have Celiac Disease
68
Understanding the Importance of Symptoms
68
Knowing What to Expect from the Physical Examination
69
Getting Blood Tests
70
Outside Looking In: How an Endoscopy Works
78
Examining What the Doctor Looks for During Your Endoscopy
81
Taking a Little Piece: Small Intestinal Biopsy
83
Diagnosing Celiac Disease When You Already Live Gluten-Free
86
Questioning Your Diagnosis
89
Chapter 4: Screening for Celiac Disease
93
Knowing When to Screen Someone for Celiac Disease
93
Determining Who Should Be Screened for Celiac Disease
94
Understanding How Screening for Celiac Disease Works
98
Asymptomatic Celiac Disease Detected by Screening
99
Chapter 5: What Type Am I? Looking at the Forms of Celiac Disease
101
What’s in a Name: The Different Types of Celiac Disease
101
Textbook Disease: Looking at Classical Celiac Disease
102
When Symptoms Suggest Something Else: Looking at Atypical Celiac Disease
104
Hushed but Not Forgotten: Silent Celiac Disease
109
Lurking in the Background: Latent Celiac Disease
111
Part II: How Celiac Disease Can Make You Feel
113
Chapter 6: Symptoms of Celiac Disease
115
Symptoms 101: Looking at the Big Picture
116
Gut Feelings: Gastrointestinal Symptoms
116
Weight Loss
124
Failure to Thrive in Children
126
Non-Gastrointestinal Symptoms and Celiac Disease
127
Chapter 7: Conditions Caused by Celiac Disease
133
Vanishing Vitamins
133
Missing Minerals
139
Low Blood: Anemia
143
Skeleton Isn’t Just An Olympic Sport: Celiac Disease and Your Bones
147
Oral Health
150
Infertility and Complications of Pregnancy
151
Hyposplenism and Increased Risk of Infection
152
Chapter 8: Conditions Associated with Celiac Disease
153
Understanding What “Associated” Means
154
Skin Deep: Dermatological Conditions
154
Feeling Down in the Dumps: Depression
160
Getting a Head Start: Neurological Manifestations
161
Hormonal Health: Endocrine Disorders and Celiac Disease
165
Disjointed: Rheumatologic Disorders
170
Liver and Bile Duct Conditions
175
Chromosomal Disorders
178
IgA Deficiency
179
Chapter 9: Celiac Disease and Cancer
181
Assessing How Great the Increased Risk Is
182
Looking at the Types of Cancer for Which You Are at Increased Risk
184
Screening for Cancer
190
Preventing Cancer
191
Part III: Treating Celiac Disease
193
Chapter 10: Treating Celiac Disease with a Gluten-Free Diet
195
Going Gluten-Free
196
Shopping Successfully for Gluten-Free Foods
202
Cooking Gluten-Free Food
204
185 Eating Out Gluten-Free
207
Planning for Emergencies
211
Dealing with Cross-Contamination
212
Sticking with a Gluten-Free Diet
213
Tracking Down Hidden Sources of Gluten
214
Chapter 11: Exploring Other Nutritional Considerations
217
Understanding Nutritional Deficiencies in Celiac Disease
217
Being Overweight and Having Celiac Disease
225
Celiac Disease and Lactose Intolerance
225
Living Gluten-Free as a Vegetarian
229
Chapter 12: Are You Responding to Your Gluten-Free Diet? (And What to Do If You Aren’t)
231
Knowing Whether Your Gluten-Free Diet Is Working
231
Exploring Why Your Gluten-Free Diet May Not Be Working
235
When Your Celiac Disease Won’t Settle Down
244
Part IV: The Long-Term: Living and Thriving with Celiac Disease
247
Chapter 13: Alternate and Complementary Therapies
249
Important Safety Info about Complementary and Alternative Medicines
250
Prebiotics and Probiotics
251
Herbal Supplements
252
Vitamin Supplements
252
Digestive Enzymes
253
Following the Specific Carbohydrate Diet
253
Treating Celiac Disease by Avoiding Foods Other Than Gluten
254
Going Gluten-Free to Treat Disorders Other Than Celiac Disease
257
Chapter 14: Celiac Disease and Pregnancy, Children, and Beyond
261
Pregnancy and Celiac Disease
262
Timing of Gluten Introduction in Infancy
267
Detecting Celiac Disease in Children
267
Starting Your Child on a Gluten-free Diet
273
Shopping and Cooking with Your Child Who Has Celiac Disease
274
Growing Up Gluten-Free
274
Chapter 15: Ongoing Care of Celiac Disease
279
Monitoring Your Celiac Disease
279
Managing Ongoing Nutrition Issues
288
Falling Off the Diet
295
Taking Charge of Your Celiac Health
296
Being an Advocate for Your Celiac Health
298
Chapter 16: What the Future May Hold
303
Devising Better Ways of Determining Your Risk of Getting Celiac Disease
304
Finding Out Why Genetically Susceptible People Get Celiac Disease
304
Improving Ways to Diagnose and Monitor Celiac Disease
306
Developing New Treatments for Celiac Disease
307
Preventing Celiac Disease: When to Introduce Gluten in a Child’s Diet
310
Increasing Public Awareness
310
Identifying Areas for Further Investigation
313
Part V: The Part of Tens
319
Chapter 17: Ten Frequently Asked Questions
321
Do I Need to Have a Small Intestine Biopsy to Diagnose Celiac Disease?
321
Can I Protect My Child from Getting Celiac Disease?
323
Should I Have My Child Tested for Celiac Disease?
323
Can You Outgrow Celiac Disease?
324
If I Have Celiac Disease, Will My Child or Sibling Also Have It?
325
How Much Gluten Can I Safely Consume If I Have Celiac Disease?
326
Can I Skip the Diet and Just Take an Iron Supplement to Treat My Low Iron?
326
Should My Whole Family Eat Gluten-free If Only One Member Has Celiac Disease?
327
Is It All Right for Me to Eat Oats?
328
Does Avoiding Gluten Protect Me from Getting Other Autoimmune Diseases?
329
Chapter 18: Ten Tips for Living Successfully with Celiac Disease
331
Strive to Be Healthy
331
Keep Informed about Your Disease
332
Discover How Avoiding Gluten Is Sexy
333
Prepare for Your Child’s Visit to Friends
334
Learn How to Eat Out without Standing Out
335
Figure Out How to Save On Your Food Purchases
336
Be Prepared for Blank Looks (Or Worse)
337
Have a Good Answer to the Inevitable Question — “What Happens When You Eat Wheat?”
338
Pack Your Bags, We’re Going To . . .
339
Deal with the Slipups
339
Chapter 19: Ten Myths, Misperceptions, and Falsehoods about Celiac Disease
341
Heavy People Can’t Have Celiac Disease
341
Eat Gluten and You Feel Immediately Ill
342
You Can Have Borderline Celiac Disease
343
You Cannot Eat Buckwheat
344
You Must Avoid All Products with Gluten
344
Vinegar Is Forbidden
345
Feeling Fine Means No Celiac Disease
345
You Are More Likely to Have Food Allergies and Food Intolerance
346
You Can’t Share Cooking Implements
347
If Your Old Symptoms Return, It’s Likely Due to Celiac Disease
347
Part VI: Appendixes
349
Appendix A: Web Sites Wor th Visiting
351
General Celiac Disease Web Sites
352
Determining Whether Your Child Is Growing Properly
353
Determining Whether You or Your Child Are at a Healthy Weight
353
General Nutrition, Vitamins, and Minerals
354
Gluten-Free Cooking and Eating
355
Ordering Gluten-Free Foods Online
356
Where to Buy Pure Oats
356
Choosing a Gluten-Free Beer
356
Eating Out Gluten-Free
357
Dietary Restrictions Apart from Living Gluten-Free
358
Other Gastrointestinal Conditions
360
Appendix B: Organizations for People with Celiac Disease
361
Celiac Disease Societies and Support Groups
361
Foundations and Organizations
363
Celiac Disease Centers at University-based Medical Institutions
364
Index
367
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