May 19, 2007

Simply Said: "wheat-free"/celiac disease

The past five years have produced an increase in wheat-free products such as breads, pastas, crackers, and cookies.

Although the claim "wheat-free" also accompanies other health-related ones such as "Low in saturated fat!" or "No added sugar!", you should only be concerned with avoiding wheat if you have been diagnosed with an allergy to it or a genetic disease known as celiac disease.

Celiacs can not tolerate gluten, a protein mainly found in wheat as well as barley and rye. When gluten is consumed -- even if it's as little as 1/8 of a teaspoon -- the small intestine is damaged, and symptoms vary from extremely uncomfortable bloating and diarrhea to fatigue, mouth sores, and muscle cramping.

Although approximately ten percent of celiacs don't appear to show any symptoms, they are not immune from the nutrient malabsorption that occurs as a result of damage in the small intestine.

Avoiding wheat, rye, and barley is not as easy as it sounds. Many medicines have traces of gluten, and cross-contamination can often happen in factories (which is why you will often see food labels for products that don't contain either of those three ingredients warning consumers that the respective food was made in a factory that processes wheat).

Once diagnosed (after a simple blood test), the lifestyle change can be hard, especially when dining out. A fish and vegetable stew might sound harmless, but that tomato sauce on top might have a little flour in it to thicken it. Frozen yogurts often use gluten as a stabilizing agent! Remember, even the slightest trace of gluten is enough to set off some very uncomfortable symptoms.

Luckily, celiacs have more options than ever. Although all sorts of wheat flour (all-purpose, whole wheat, durum, farina, etc.) should be avoided, experimenting with other types (ie: chickpea, tapioca, rice) is recommended.

Celiacs often end up introducing their palate to a variety of flavors -- quinoa, amaranth, and flax often become a regular addition to their diet, rather than the "funky grain" they have once a month.

Unfortunately, the only "cure" to celiac disease is avoiding foods that damage the small intestine.

3 comments:

The Patient Connection said...

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The Patient Connection
Belinda.shale@thepatientconnections.com

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Anonymous said...

People can have an allergy to wheat and need to avoid all wheat products. CD isn't the only reason to avoid wheat.

Andy Bellatti said...

Yes, good point. I can see how my wording can be unclear. I'll edit. Thanks.