The range of irregular symptoms includes liver inflammation, arthritis, seizure disorders, bone fractures, skin rashes, anemia and lactose intolerance, says Benkov. At this point, 90% of the cases we see are atypical. Some patients have no discernible symptoms at all. YUM! GLUTEN-FREE COOKIE RECIPE FOR CELIAC KIDS Traditional treatment: The diagnosis is often the hardest part of treating celiac disease, because the symptoms can be so deceptive. For the first level of screening, doctors rely on blood tests that can detect celiac disease with 90%-95% accuracy. The blood test looks for abnormal antibodies that the immune system makes in response to wheat, says Benkov. These tests are very good, and looking at their results is how doctors realized that patients who didnt have symptoms could have the disease too. If the blood test finds antibodies that suggest celiac, the next step is confirming the diagnosis with a biopsy. These biopsies are done by endoscopy with sedation, says Benkov. The endoscopy uses a flexible tube to take a very small amount of tissue to be examined under the microscope, at which point we can actually see the inflammation and judge its severity. The endoscopy takes about ten minutes. Once the diagnosis is confirmed, controlling celiac disease is a matter of avoiding gluten. Dietary restriction is curative, which means eliminating the offending grains of wheat, rye and barley, says Benkov. Theres no medication for celiac its a disease that doesnt have to interfere with any part of your life except what you eat. For many kids, the motivation for sticking to the restricted diet is quite simple they want to grow, and eating gluten interferes with growth for celiac patients.

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