Celiac disease

Celiac disease is a digestive and autoimmune disorder that results in damage to the lining of the small intestine when foods with gluten are eaten.

The signs and symptoms may vary between children and adults. Mild cases do not show any symptoms.

Some of the common typical signs and symptoms of celiac disease include –

Vomiting
Poor appetite
Bloating
Flatulence
Abdominal pain
Diarrhea
Constipation
Weight loss
Irritability
Short stature
Changes in mood such as anxiety
Tingling numbness in the hands and feet
Seizures
Irregular periods, infertility or recurrent miscarriage
Canker sores inside the mouth
Thinning hair and dull skin
Most of the adults have symptoms unrelated to the digestive system such as –

Anemia
Osteoporosis (or) osteomalacia
Blisters and skin rashes that itch
Damage to the dental enamel
Ulcers in the mouth
Fatigue
Damage to the nervous system
Ache in the joints and in the head
Reduced functioning of the spleen (hyposplenism)
Acid reflux and heartburn
DIAGNOSIS
Celiac disease is diagnosed by laboratory testing.
Treatment
The only way to manage this condition is to follow a strict gluten free diet.
Self-care
Life-long, strict gluten-free diet
Lactose-free diet
Daily multivitamin and calcium
Folic acid for all women of child-bearing age
Nutrition
Foods to avoid:
TIPS
Following are the food that contain gluten and therefore, should be avoided:

Wheat
Durum
Malt
Rye
Bulgur
Barley
Farina
Graham flour
Semolina
Foods to take:

Following are some of the safe to eat gluten-free food for people with celiac disease:

Meat
Fish
Fruit and vegetables
Rice
Potatoes
Lentils

DH 6/1/21
migraines and headaches
Migraine is a chronic neurological disease characterized by recurrent moderate to severe headaches often in association with a number of autonomic nervous system symptoms.
Migraine
A severe throbbing pain, generally experienced on one side of the head.

Specialist to consult
Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.

Symptoms
Prodrome- changes that indicate an upcoming migraine

Constipation
Mood swings
Euphoria
Food cravings
Increased thirst and urination
Frequent yawning
Aura- symptoms of the nervous system experienced before or during the migraine

Changes in vision
Visual disturbances
Changes in sensation and hearing
Difficulty speaking
Headache- is the actual phase of migraine attack

Pain on one or both sides of the head
Pain that radiates to the jaw
Throbbing or pulsating pain
Sensitivity to light, sounds, smell, and touch
Eye pain
Nausea and/or vomiting
Blurred vision
Lightheadedness and/or fainting
Post-drome- phase that occurs after a migraine attack

Confusion
Mood swings
Dizziness
Weakness or fatigue
Sensitivity to light and sound
Causes
Migraine is not attributed to a single specific cause but various environmental factors and genetics play a role. Further, many risk factors have been identified:

Family history
Aging
Emotional anxiety
Environmental factors such as changes in weather or altitude
Abnormal structures in the brain
Imbalance in brain chemicals such as serotonin
Hormonal changes in women
Certain foods or food additives can act as triggers
Alcohol consumption
Stress
Changes in sleep patterns
Medications such as contraceptive pills

DIAGNOSIS
Diagnosis involves assessment of symptoms and imaging tests to check any abnormalities in the brain.
Common tests & procedures
Physical examination: To rule out any other causes that might be causing the symptoms.

Blood test: To examine for infections, blood vessel problems, and toxins in blood.

Magnetic resonance imaging (MRI): MRI of the brain is performed to check for abnormalities in brain, including tumors and bleeding.

CT scan: Help to diagnose tumors, infections and bleeding in the brain.

Cerebrospinal fluid (CSF) analysis: To check for infections in the spinal cord and brain by examining the spinal fluid.

TREATMENT
Treatment helps control symptoms and prevent attacks.
Medication
Therapy
Nutrition

Tips for Prevention
Avoid foods or activities that trigger migraine
Exercise regularly but avoid strenuous activities, including intense exercises
Maintain a recommended body weight
Keep yourself well hydrated
Practice the right sleep-wake cycle
Eat your meals at the right time
Learn to manage stress

Celiac disease

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