Celiac disease (sprue)

Alternative names:

celiac sprue; gluten enteropathy; nontropical sprue; sprue

Treatment:

A life long gluten-free diet is required. This allows the intestinal villi to heal. Foods that contain wheat, rye, oats, and barley must be eliminated from the diet. Food and drug labels should be read carefully to look for "hidden" sources of gluten. This often includes the words "vegetable protein" or "plant protein" (such as tvp--textured vegetable protein). Other "hidden" sources of gluten include grain derivatives such as malt, modified food starch, soy sauce (some types), grain vinegar (or "distilled vinegar"), and some binders, fillers, and flavorings.

Vitamin and mineral supplements may be needed to correct nutritional deficiencies.

Sometimes, corticosteroids (such as prednisone) may also be required.

The stress of a chronic disorder can sometimes be helped by joining a support group where members share common experiences and problems. See celiac disease - support group.

Expectations (prognosis):

Untreated, the disorder can cause life threatening complications. Symptoms usually disappear within several weeks after the person begins a gluten-free diet. The gluten-free diet must be followed continuously or the symptoms will return.

Complications:

Vitamin and mineral deficiencies such as rickets and osteomalacia are common complications. Other complications include pancreas disorders, damage to the nerves, infertility, miscarriage, and other disorders. People with celiac disease may be at a greater risk for lymphoma and intestinal cancers.

Calling your health care provider:

Call for an appointment with your health care provider if symptoms develop that are suggestive of celiac disease.

An appointment with a nutritionist or registered dietician may be helpful in determining dietary guidelines. Many communities have support groups such as the Celiac Disease Foundation; these groups are also a good source of information about dietary guidelines.