Notes in treatment and eating when having Celiac disease (Gluten intolerance)

The article is professionally consulted by Master, Doctor Mai Vien Phuong - Gastroenterologist - Department of Medical Examination & Internal Medicine - Vinmec Central Park International General Hospital.

Celiac disease, also known as gluten intolerance, is when a person eats foods containing gluten, the body reacts and damages the small intestine. People with Celiac disease to manage the disease mainly maintain a gluten-free diet for life.

For people with Celiac disease, the main treatment is changing, managing a gluten-free diet. During treatment it is important to note:
Avoid all foods containing wheat, barley, rye products and in some types of oats, including many types of bread, pasta, cereals cups and processed foods that contain gluten. You'll have to learn to read ingredient labels and identify foods that contain gluten, and be careful when buying food at the grocery store, or when you eat out. For children, especially children in families with celiac disease, it is necessary to avoid giving the baby gluten-containing foods before 6 months of age, to avoid increasing the risk of allergies when the baby's immune system still developing. When the patient feels well and the symptoms do not appear, the gluten-free diet should still be followed daily. Continue to eat according to your own diet for your disease, to avoid recurrence of the disease. Before implementing the diet, you can see a nutritionist for specific instructions, making a diet suitable for the level of nutrient deficiency. Follow your doctor's instructions, do not arbitrarily take drugs not prescribed or arbitrarily quit drugs prescribed for you. If the application of the diet does not improve symptoms after 3 weeks, you need to return to the doctor for a suitable diet change. Follow up with scheduled appointments to monitor the progress of your symptoms as well as your health status;

2.1 Foods to eat Going gluten-free at first can be difficult to choose from, here are some food groups that can be used by people with celiac disease:
Grains like rice, maize, potato, cassava, rice flour, maize, cassava, legumes, millet, sorghum and wild rice. Eggs, meat, fish, should choose fresh, unprocessed foods. For some types of milk, see the ingredients on the label. Green vegetables and fruits. Some types of seeds. For people with Celiac disease, there is often a lack of nutrients due to the ability of the small intestine to absorb cream. You can choose foods that provide nutrients according to your needs such as:
Iron: Beef (always choose unprocessed sources), spinach, white beans, dark chocolate, lentils, beans tofu, green beans and cashews. Vitamin D: Dairy products (yogurt, milk, cheese), fat-free milk (soy milk, almonds), orange juice, sardines, salmon, and eggs. Calcium: Unsweetened milk, salmon, sardines, kale, tofu, orange juice. Vitamin B: Sunflower seeds, beans, lentils, spinach, mushrooms, chicken, broccoli, asparagus. Zinc: Beef, crab, lobster, pork, chicken and cashews. In addition, vitamin and mineral deficiencies can be supplemented with gluten-free synthetic tablets.

2.2 Foods not to eat Foods that contain gluten such as:
Wheat, rye, barley and some types of oats. Wheat starch. Desserts such as cakes and cookies. Beer and other alcoholic beverages. Some types of processed bread. Processed meats like sausages. Imitation bacon and seafood. Marinade sauce (used when marinating grilled meat). Several types of soy sauce. Host. Marinade sauce (used when marinating grilled meat). Malt, flavoring malt and vinegar malt. Certain medications and supplements. Lipstick, lip gloss and frankincense. Play dough (children with celiac disease should wash their hands after using it). The key to avoiding processed foods that contain gluten is to look at product labels.
To treat Celiac disease, the only way is to stick to a gluten-free diet, the treatment notes make it easier for you to accept a completely gluten-free diet. Whenever you see signs of illness or adjust your diet but your symptoms do not improve, you should see your doctor for advice.
With nearly 10 years of experience in the field of Gastrointestinal Endoscopy, Master, Doctor Mai Vien Phuong has successfully performed many complicated endoscopic interventions, detecting many digestive cancer lesions at an advanced stage. early, bringing health and peace of mind to many patients. Dr. Phuong specializes in early cancer diagnosis in stomach and colon, endoscopic retrograde cholangiopancreatography in the treatment of biliary tract stones, biliary atresia, cholangiocarcinoma, biliary fistula and treatment of cardiac spasm with technique of opening muscle through the mouth to treat cardiac spasms.