What are the treatments available to overcome celiac disease?

Question

Hello doctor,

I need a second opinion on the celiac disease diagnosis for my 10-year-old kid. We wanted to confirm the diagnosis and make sure it was not a false positive. Additionally, I was curious about how rigid the diet plan should be. Are there any other available treatments?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I have carefully gone over the accompanying biopsy report and the history. So, yes, celiac disease has been identified. To diagnose celiac disease, a blood test called serology is required. The TTG IgA (tissue transglutaminase antibodies) levels were elevated. Next, a duodenal biopsy is required, which indicates severe internal lining and mucosa damage. Internal mucosa damage severity may be categorized using the Marsh classification; class 3b indicates substantial damage to the internal mucosal linings. Because celiac disease is an allergy to gluten, which is a particular component of wheat and wheat products, rigorous adherence to a gluten-free diet is required. This is the only approach to properly treat celiac disease. Within a few months of starting a gluten-free diet, the patient's interior mucosal linings will fully recover to their pre-gluten condition. Following a patient's introduction to a gluten-free diet, compliance may be assessed by repeated blood tests for TTG IgA levels, and you can track the decline until it returns to normal range. Celiac disease cannot be treated with medicine or any other form of therapy. Strict adherence to a gluten-free diet is the most efficient and first line of therapy. Steroids along with the other drugs can be used in those cases where the condition is severely progressed and cannot be controlled with a rigorous gluten-free diet, but they are now not indicated.

I hope this helps.

Thank you.