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Gluten-Related Disorders and Gluten Free Diet Plan
Gluten-related disorder screening:
Screening and testing for celiac disease: According to Rubio-Tapia A et al, the following patients should be evaluated for celiac disease (4):
Patients with signs, symptoms, or lab testing which show evidence of malabsorption.
Patients with signs, symptoms, or lab testing concerning for celiac disease who are candidates for treatment once diagnosed.
Patients with signs, symptoms, or lab testing concerning for celiac disease who have a first degree relative with the condition.
It may be appropriate to screen patients without any symptoms who have a first degree relative with celiac disease.
Patients with unknown cause of elevated liver function tests should be evaluated for celiac disease.
Diabetes mellitus type 1 patients with gastrointestinal signs, symptoms, or lab testing concerning for celiac disease.
Diagnosis of celiac disease:
Proper diagnosis may be complicated and is best accomplished by the primary care physician and gastroenterologist. Celiac disease should not be self-diagnosed by patients since the condition has non-specific symptoms which require to be distinguished from other gastrointestinal conditions. If a patient is believed to have symptoms of celiac disease, testing should ideally be done while on a diet containing gluten.
