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gluten allergy
ICD-10 Codes
Description
There is no such recognized condition as a gluten allergy, but there are other conditions related to gluten intolerance that can cause similar symptoms.
- Gluten sensitivity: This is when you feel sick after eating gluten, and common symptoms include gas, bloating, and fatigue [1].
- Celiac disease: An autoimmune disorder associated with various symptoms such as diarrhea, constipation, fatigue, chronic pain, depression, anxiety, unintentional weight loss, and more [2].
- Wheat allergy: A condition that can cause symptoms like hives or skin rash, nausea, stomach cramps, indigestion, vomiting or diarrhea, stuffy or runny nose, sneezing, headaches, and asthma [3].
The symptoms of gluten intolerance can vary from person to person but may include:
- Diarrhea
- Fatigue
- Weight loss
- Bloating and gas
- Abdominal pain
- Nausea and vomiting
- Constipation
It's essential to consult a healthcare professional for an accurate diagnosis and treatment plan if you suspect you have a gluten-related condition [4].
References: [1] - Symptoms of gluten intolerance, including gas, bloating, and fatigue. [2] - Celiac disease symptoms, which can include various physical and mental health issues. [3] - Wheat allergy symptoms, such as skin rash, nausea, and respiratory problems. [4] - Importance of consulting a healthcare professional for an accurate diagnosis.
Additional Characteristics
- Celiac disease
- Gluten sensitivity
- Wheat allergy
Signs and Symptoms
Gluten allergy, also known as non-celiac gluten sensitivity (NCGS), can manifest in various ways, affecting different parts of the body. Here are some common signs and symptoms:
- Gastrointestinal issues: Bloating, gas, abdominal distension, diarrhea, constipation, and stomach pain are all possible symptoms of a gluten allergy.
- Fatigue and energy levels: Many people with NCGS experience fatigue, which can range from mild to severe. This is often accompanied by a general feeling of being unwell or lethargic.
- Headaches and migraines: Some individuals may experience headaches or migraines as a result of gluten consumption.
- Weight loss: In some cases, people with NCGS may experience weight loss due to malabsorption of nutrients.
- Cognitive impairment: A few studies have suggested that gluten sensitivity may be linked to cognitive impairment, including memory and concentration problems.
It's essential to note that these symptoms can vary in severity and may not always be directly related to gluten consumption. However, if you're experiencing any of these symptoms regularly, it's worth exploring the possibility of a gluten allergy with a healthcare professional.
According to various sources [1][2][3], the most common symptoms of non-celiac gluten sensitivity include:
- Bloating and gas
- Diarrhea and constipation
- Abdominal pain
- Fatigue
- Headaches or migraines
If you suspect that you may have a gluten allergy, it's crucial to consult with a healthcare professional for proper diagnosis and guidance.
References: [1] Symptoms of non-celiac gluten sensitivity · 2. Bloating · 3. Diarrhea and constipation · 4. Stomach pain · 5. Headaches and migraine · 6. [2] Sep 12, 2023 — Symptoms · Diarrhea. · Fatigue. · Weight loss. · Bloating and gas. · Abdominal pain. · Nausea and vomiting. · Constipation. [3] Abdominal pain · Bloating and gas · Cognitive impairment · Constipation · Diarrhea · Depression and anxiety · Fatigue · Headaches or migraines ...
Additional Symptoms
- Cognitive impairment
- Headaches or migraines
- Bloating and gas
- Diarrhea and constipation
- weight loss
- abdominal pain
- fatigue
Diagnostic Tests
Diagnosing Gluten Allergy: A Comprehensive Overview
Gluten allergy, also known as celiac disease or non-celiac gluten sensitivity (NCGS), can be challenging to diagnose due to its complex symptoms and lack of specific tests. However, various diagnostic tests can help identify the condition.
Blood Tests
- Serology testing looks for antibodies in your blood, indicating an immune reaction to gluten [1].
- The tTG-IgA test is a commonly used blood test that has a high sensitivity (93%) for detecting celiac disease in patients on a gluten-containing diet [2].
Genetic Testing
- Genetic testing can identify genetic markers associated with celiac disease, but it cannot be used as a diagnostic test. It can only rule out the condition [15].
Other Diagnostic Tests
- Intestinal biopsy: A procedure where a small sample of tissue is taken from the small intestine to examine for damage and inflammation.
- Endoscopy: A visual examination of the upper digestive tract using a flexible tube with a camera.
Diagnostic Process
- The diagnostic process typically involves a combination of blood tests, genetic testing, endoscopy, and intestinal biopsy [5].
- If test results are inconclusive, additional tests may be recommended by a gastroenterologist [3].
Non-Celiac Gluten Sensitivity (NCGS)
- NCGS shares many symptoms with celiac disease but is not the same condition.
- Currently, there is no specific test for NCGS, and it is diagnosed through process of exclusion [8].
- A gluten challenge plan may be recommended by a doctor to confirm the diagnosis [13].
Important Notes
- Starting a gluten-free diet before diagnosis can lead to false negative test results [14].
- Genetic testing will only rule out celiac disease and cannot be used as a diagnostic test [15].
Additional Diagnostic Tests
- Genetic testing
- Endoscopy
- Serology testing
- tTG-IgA test
- Intestinal biopsy
Treatment
Treatment Options for Gluten Allergy
Gluten allergy, also known as non-celiac gluten sensitivity (NCGS), can be managed with various treatment options. While there is no specific medication that treats celiac disease, antihistamines and corticosteroids may help control some symptoms in individuals with wheat allergies.
- Antihistamines: These medications can reduce signs and symptoms of minor wheat allergy by blocking the release of histamine, a chemical released during an allergic reaction [2].
- Corticosteroids: In addition to antihistamines, corticosteroids may be prescribed to help relieve symptoms in individuals with wheat allergies [8].
However, it's essential to note that these medications do not treat celiac disease or non-celiac gluten sensitivity. A strict gluten-free diet remains the primary treatment for managing these conditions.
- Gluten-free diet: Avoiding foods and products containing gluten is crucial for managing gluten-related disorders [4].
- Alternative solutions: For individuals with true gluten intolerances, gluten digestion pills are not proven to work. Alternative solutions may include dietary changes and over-the-counter supplements [7].
Emerging Treatments
Recent research has focused on developing medications that can restore normal immune tolerance of gluten as a treatment for celiac disease.
- KAN-101: This medication, being tested in clinical trials by Anokion, aims to reprogram the body's immune system to tolerate gluten, potentially treating celiac disease [5].
- TAK-101: Another medication, TAK-101, has been shown to reverse signs and symptoms of celiac disease by reprogramming the immune system to tolerate gluten [3].
While these emerging treatments hold promise, more research is needed to confirm their efficacy.
References
[1] Not applicable (no relevant information found in search results)
[2] Antihistamines may reduce signs and symptoms of minor wheat allergy. These drugs can be taken after exposure to wheat to control your reaction and help relieve symptoms [2].
[3] With TAK-101, the body's immune system is reprogrammed to tolerate gluten as a non-threatening substance and then reverses the signs and symptoms of celiac disease [3].
[4] There is no medication that treats celiac disease. To avoid the health problems that it can cause, you'll need to go completely gluten-free [4].
[5] KAN-101, being tested in clinical trials by Anokion, is designed to restore normal immune tolerance of gluten as a way of treating celiac disease [5].
[6] Not applicable (no relevant information found in search results)
[7] Gluten digestion pills are not proven to work for people with true gluten intolerances. Learn more about gluten digestive enzymes and alternative solutions [7].
[8] Wheat Allergy Management and Treatment · Avoid foods and other products that trigger symptoms. · Control some symptoms with antihistamines and corticosteroids [8].
Recommended Medications
- Corticosteroids
- Antihistamines
- KAN-101
- TAK-101
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Understanding Differential Diagnoses for Gluten Allergy
When it comes to diagnosing gluten-related disorders, a differential diagnosis approach is often employed to rule out other potential causes of symptoms. This involves considering various conditions that may mimic or coexist with gluten intolerance.
Conditions to Consider:
- Celiac Disease: A chronic autoimmune disorder caused by a reaction to gluten, leading to small intestine damage and malabsorption of nutrients.
- Non-Celiac Gluten Sensitivity (NCGS): A condition characterized by symptoms similar to celiac disease, but without the same level of immune system activation or intestinal damage.
- Wheat Allergy: An immune system reaction to one of the proteins in wheat, which can cause a range of symptoms, from mild discomfort to life-threatening anaphylaxis.
- Irritable Bowel Syndrome (IBS): A functional gastrointestinal disorder that can cause abdominal pain, bloating, and changes in bowel habits.
Other Conditions to Consider:
- Bacterial Gastroenteritis: An infection caused by bacteria such as E. coli or Salmonella, which can lead to symptoms like diarrhea, vomiting, and stomach cramps.
- Small Intestinal Bacterial Overgrowth (SIBO): A condition where an overgrowth of bacteria in the small intestine leads to malabsorption of nutrients and various gastrointestinal symptoms.
- Microscopic Colitis: A type of colitis characterized by inflammation of the colon, which can cause diarrhea and abdominal pain.
Key Takeaways:
- A differential diagnosis approach is essential when diagnosing gluten-related disorders to rule out other potential causes of symptoms.
- Conditions like celiac disease, NCGS, wheat allergy, IBS, bacterial gastroenteritis, SIBO, and microscopic colitis should be considered in the diagnostic process.
References:
- [1] by M Hahn · 2014 · Cited by 17 — From a differential diagnostic perspective, a seronegative local form of celiac disease should be considered (local transglutaminase-IgA immune response) and ...
- [2] by SA Scanlon · 2011 · Cited by 101 — If gluten exposure is resolved and symptoms persist, other etiologies to consider include: RCD, intestinal T-cell lymphoma, small intestinal bacterial ...
- [3] Nov 29, 2019 — Differential Diagnoses · Bacterial Gastroenteritis · Bacterial Overgrowth Syndrome · Microscopic Colitis (Collagenous and Lymphocytic Colitis).
Additional Differential Diagnoses
- Non-Celiac Gluten Sensitivity (NCGS)
- Small Intestinal Bacterial Overgrowth (SIBO)
- microscopic colitis
- celiac disease
- obsolete bacterial gastroenteritis
- wheat allergy
- irritable bowel syndrome
Additional Information
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- A food allergy that develops from an immune reaction to eating gluten, a protein found in wheat, barley, rye and triticale and that is characterized by stomach cramping, diarrhea and gastrointestinal upset and is unrelated to the gluten intolerance.
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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.