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Is there a cure? We are here for you The only treatment for coeliac disease is to follow If you need any help, would like more information or a strict gluten free diet. This will enable the have some questions, we’re here to help. You can get regrowth of the villi in the bowel in most people and symptoms to disappear. Providing all gluten or a e s Nau miting Vo Skin Rash in touch in the following ways: has been removed from the diet, most people with coeliac disease return to normal health over a Helpline +64 (9) 820 5157 period of months. Office +64 (9) 414 7467 Eating gluten free If you are diagnosed with coeliac disease, you’ll have to follow a gluten free diet. A gluten free diet @ [email protected] www.coeliac.org.nz Cramping, Abdominal Pain or Bloating Follow Coeliac New Zealand on Facebook is the removal of wheat, barley, oats and rye (or any of their derivatives) from a person’s diet. Examples of foods containing gluten Bread, cakes, biscuits, beer, wraps, pasta, breakfast cereals, dried packet soup, pizza bases, Tiredness or Low Iron pies, crackers, gravy. Hair Loss What is gluten free? There are many foods you can still enjoy on a gluten free diet. Many foods are naturally gluten free. These include fresh fruit, vegetables, rice, potato, corn, plain meat, fish, eggs, cheese, milk, most yoghurts, pulses (peas, beans and lentils), fats and oils. There are also plenty of gluten free substitutes available in the supermarket for products such as bread, biscuits, crackers, pizza bases and cakes. © Coeliac New Zealand Incorporated 2016 PO Box 302717, North Harbour 0751 Charities Commission No CC27810 Coeliac New Zealand is not a medical organisation. People reading this material should not act solely on it. The advice of a doctor should always be sought. CBl Cono horoantincg sr tW ipiantd ion It is estimated that 60,000 to 70,000 New Zealanders have coeliac disease, although up to 80% of them are unaware they What are the signs? The symptoms of coeliac disease vary considerably. Symptoms in Children Irritability Poorly calcified teeth Weight loss in older children Poor growth Coeliac disease (pronounced see-lee-ak) is a permanent, autoimmune disease which causes an intestinal reaction to dietary gluten (found in wheat, Poor weight gain Nausea/ vomiting barley, rye and oats). In coeliac disease, the cells lining the small bowel (intestine) are damaged and inflamed. This causes flattening of the tiny finger-like projections, Diarrhoea Irritable bowel symptoms Large, bulky, foul stools called villi, that line the inside of the bowel. Damage on small intestine lining Chronic anaemia Chronic constipation Symptoms do not occur until gluten is introduced into an infant diet – later onset is also possible. Healthy Villi Damaged villi means minerals such as iron are not able to be absorbed. The function of the villi is to break down and absorb nutrients in food. When they become flat, the surface area of the bowel is greatly decreased, which interferes with the absorption of nutrients from food. This may lead to deficiencies in vitamins (such as folic acid) and minerals (e.g. iron and calcium). Neurological issues which may occur alone or in combination. have the condition. Understanding coeliac disease Symptoms in Adults These are some of the commonly reported symptoms, Difficulty concentrating Vitamin B12, A, D, E and K deficiencies Fatigue, weakness and lethargy Easy bruising of the skin Ulcerations and/or swelling of mouth and tongue Nausea and vomiting Chronic constipation Irritable bowel symptoms Miscarriages and infertility Diarrhoea Anaemia – iron or folic acid deficiency are the most common Weight loss Bone and joint pains Osteoporosis Muscle spasms due to low blood calcium levels Skin rashes such as dermatitis herpetiformis Symptoms common in adults Symptoms less common in adults What to do Step 1 Talk to your doctor Mention if a relative has coeliac disease, another autoimmune disease, dermatitis herpetiformis or anaemia. Step 2 Stay on a normal gluten-containing diet A gluten free diet should not be started as it will interfere with establishing the correct diagnosis. If a gluten free diet has already been adopted, the tests used to diagnose coeliac disease are unreliable and can be falsely negative. Step 3 Book in for a test A simple blood test can be used to diagnose coeliac disease. Step 4 Once diagnosed, see a dietitian Get advice on how to manage a gluten free diet with good nutrition.