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Celiac Disease

Definition

Celiac disease is a common cause of malabsorption of one or more nutrients. Additionally, a disease in which the small intestine is hypersensitive to gluten, leading to difficulty in digesting food. [1]

Overview

In general, celiac disease was originally considered largely a disease of white individuals, especially persons of European descent.

Comparatively, Its incidence has increased over the past 50 years. Moreover, Celiac disease has had several other names, including non tropical sprue, celiac sprue, adult celiac disease, also gluten-sensitive enteropathy. [1]

Causes

The etiology of celiac disease is not known but following factors are mainly involved in this condition:

  1. Environmental i.e.:
  • One environmental factor is the clear association of the disease with gliadin, a component of gluten that is present in wheat, barley, also rye.
  1. Immunologic i.e.:
  • Critical also involves both adaptive and innate immune responses.
  • Immunological factors
  1. Genetic factors
  2. Auto immune disease [1]

Types

Types of Celiac Disease

1. Classical celiac disease:

Patients have signs and symptoms i.e.:

  • Malabsorption
  • Diarrhea
  • Steatorrhea (especially; pale, foul-smelling, fatty stools)
  • Weight loss
  • Growth failure in children.

2. Non-classical celiac disease:

  • Mild gastrointestinal symptoms
  • Abdominal distension also pain
  • Iron-deficiency anemia
  • Chronic fatigue
  • Chronic migraine
  • Peripheral neuropathy (tingling, either numbness or pain in hands or feet)
  • Vitamin deficiency (e.g. folic acid and B12)
  1. Silent celiac disease:
  • It is also known as asymptomatic celiac disease.
  • Patients do not complain of any symptoms, but still experience villous atrophy damage to their small intestine. [2]

Sign & Symptoms

Patient of celiac disease is either asymptomatic or having symptoms for example,

  • Malabsorption of multiple nutrients
  • Diarrhoea
  • Steatorrhea
  • Weight loss [1]
  • Constipation
  • Fatigue
  • Nausea also Vomiting
  • Bloating also Gas
  • Abdominal Pain [4]

Diagnosis

Diagnosis Celiac Disease i.e.

  • A small-intestinal biopsy
  • tTG antibody test
  • An increase in the number of intraepithelial lymphocytes
  • either Absence or a reduced height of villi
  • A cuboidal appearance and nuclei
  • Increased numbers of lymphocytes also plasma cells [1]

Treatment

Treatment Celiac Disease

  1. Firstly, Avoidance of wheat, barley, rye and oats in all forms brings about dramatic relief within weeks.
  2. Seondly, Full recovery takes a few months to years.
  3. Lastly, Apparent failure of therapy is due to inadvertent inclusion of the offending cereals in the diet.[5]

Homoeopathic Treatment

Homoeopathic Treatment Celiac Disease

Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines are selected after a full individualizing examination and case-analysis.

which includes

  • the medical history of the patient,
  • physical and mental constitution,
  • family history,
  • presenting symptoms,
  • underlying pathology,
  • possible causative factors etc.

A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why ‘this patient’ is sick ‘this way’.

The disease diagnosis is important but in homeopathy, the cause of disease is not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness are also looked for. No a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition.

The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology is not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can be greatly improved with homeopathic medicines.

The homeopathic remedies

The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications are also taken into account for selecting a remedy.

Medicines:

Antimonium Crudum
  • Specifically indicated in Celiac Disease. Head, aching from disordered stomach, especially from eating sweets or drinking acid wine. After a meal, dejection, lassitude, fullness tension; violent cutting pains. Accumulation of flatus in abdomen Headache with nausea.
  • Moreover, Heartburn, nausea, vomiting. After nursing, the child vomits Its milk in curds, refuses to eat and is very cross. Gastric also intestinal complaints < bread and pastry, acids, sour wine, cold bathing, overheating, hot weather. Constant belching. Bloating after eating. Diarrhoea after acids, over eating, sour wine, baths. Slimy, purulent stools. Additionally, Diarrhoea alternates with constipation. Eczema with gastric derangements.
  • Lastly, General weakness esp. night and on waking. Besides this, Emaciation or tendency to put on weight. Strong inclination to sleep in day. Better: open air, rest, moist warmth on the other hand, Worse: Heat, cold bathing
Pulsatilla
  • Generally, Averse to fat food, warm food and drink. Eructations. Taste of food remains a long time, after ices, fruits, pastries. Pain especially, as from subcutaneous ulceration. Flatulence. Furthermore, Vomiting of food eaten long before. Gnawing, hungry feeling. Water brash with foul taste in morning. Abdomen painful, distended, also loud rumbling.
  • Pressure as from a stone. Stool: rumbling, watery. Two or three normal stools a day. Irresistible sleepiness in afternoon. Wakes in morning languid, unrefreshed. Sad, cries readily. Symptoms ever changing. Worse: Heat whereas Better: open air
Arsenicum Album
  • Long term debility, exhaustion, restlessness also abdominal symptomatology. Irritable weakness. Should be thought of where there is anaemia, degenerative changes, gradual loss of weight from impaired nutrition Odours from discharges is putrid. Besides this, Abdominal pains are gnawing and burning. Stool -small offensive dark.
Lycopodium
  • It is especially indicated in Celiac Disease. For ailments gradually developing, functional power weakening with failure of digestive powers, where function of liver is seriously disturbed. For people intellectually keen but weak muscle power. Emaciation. Debility in morning. patient is thin, withered, full of gas and dry.
  • Pains come and go suddenly. Dyspepsia due to farinaceous and fermentable food. Excessive hunger. Aversion to bread. After eating pressure in stomach. Eating ever so little creates fullness. Abdomen- full bloated, immediately after a meal.
  • Lastly, Constant sense of fermentation. Belching. Better: Being uncovered, getting cold, warm food and drink on the other hand Worse: 4-8pm from right to left.
Iodum
  • Rapid metabolism. Individual is exceedingly thin dark complexioned, enlarged lymphatics, has voracious appetite but gets thin. Additionally, Anxious and worried if does not eat. Diarrhoea, whitish, frothy fatty. Great weakness during menses. Thyroid enlarged. Goiter. Cutting pain in abdomen worse: When quiet, in warm room whereas Better: Walking about, in open air.
Podophyllum:
  • In general, Chiefly affects small intestines, liver also rectum and duodenum. Diarrhoea of long standing. Stool watery, jellies like mucous, painless, profuse. Gushing and offensive. Furthermore, Constipation, clay coloured, hard, dry difficult. Abdomen distended. Rumbling and shifting of flatus in ascending colon.
  • Nausea and vomiting Colicky pain. Depression of spirits. . Burning sensation especially, of tongue. Many troubles during pregnancy. Worse: Early morning, hot weather.[3]
Natrum sulph
  • Good medicine for Celiac Disease. Duodenal catarrh; hepatitis; icterus and vomiting of bile; liver sore to touch, with sharp, stitching pains; cannot bear tight clothing around waist, worse, lying on left side.
  • Flatulency; wind colic in ascending colon; worse, before breakfast. Burning in abdomen and anus. Additionally, Bruised pain and urging to stool. Diarrhoea yellow, watery stools. Loose morning stool; worse, after spell of wet weather. Besides this, Stools involuntary, when passing flatus, Great size of fecal mass.
China
  • In detail, Tender, cold. Vomiting of undigested food. Slow digestion. Additionally, Weight after eating. Ill effects of tea. Hungry without appetite. Flat taste. Darting pain crosswise in hypogastric region. Milk disagrees.
  • Hungry longing for food, which lies undigested. Lastly, Flatulence and belching of bitter fluid or regurgitation of food gives no relief worse eating fruit. Hiccough Bloated ness especially, better by movement.
Carbo veg
  • In brief, Eructation, Heaviness, Fullness, also sleepiness, tense from flatulence, with pain; worse lying down. Additionally, Eructations after eating also drinking. Temporary relief from belching. Rancid, sour, or putrid eructations. Waterbrash, asthmatic breathing from flatulence.
  • Nausea in the morning. Burning in stomach, extending to back and along spine. Pain as from lifting a weight; colic from riding in a carriage; excessive discharge of fetid flatus.
Kali carb
  • This medicine is specifically indicated in Celiac Disease. Desire for sweets. Furthermore, Feeling of lump in pit of stomach. Gagging. Dyspepsia of old people; burning acidity, bloating. Gastric disorders from ice-water. Sour eructation, Nausea especially, better lying down. Constant feeling as if
  • Sour vomiting; throbbing and cutting in stomach. Disgust for food. Anxiety left in stomach. Epigastrium sensitive externally. Easy choking when eating. Epigastric pain to back. Lastly, Pain from left hypochondrium through abdomen; must turn on right side before he can rise. [6]

Diet & Regimen

Diet and Regiment Celiac Disease

Here are the foods with gluten celiac patients should avoid i.e.:

  • Wheat including spelt
  • Farro
  • Graham
  • Khorasan wheat
  • Semolina
  • Durum
  • Wheatberries
  • Rye
  • Barley
  • Triticale
  • Malt
  • Brewer’s yeast
  • Wheat starch
  • Beer
  • Bread
  • Desserts, like cake, cookies, and pie
  • Cereal
  • Crackers and seasoned potato chips
  • French fries
  • Pasta
  • Processed meat, including hot dogs and lunch meat
  • Salad dressing
  • Sauces
  • Soups

You also want to consider other more hidden sources of gluten, i.e.:

  • Medication
  • Vitamins also supplements
  • Lipstick and lip balm
  • Communion wafers
  • Eggs at restaurants
  • Play dough that you may handle before giving to your children
  • Toothpaste also mouthwash [2]

FAQs

Frequently Asked Questions

What is Celiac Disease?

Celiac disease is a common cause of malabsorption of either one or more nutrients. A disease in which the small intestine is hypersensitive to gluten, leading to difficulty in digesting food

Homeopathic Medicines used by Homeopathic Doctors in treatment of Celiac Disease?

  • Antimonium Crudum
  • Pulsatilla
  • Arsenicum Album
  • Lycopodium
  • Iodum
  • Podophyllum
  • Natrum sulph
  • China
  • Carbo veg

What are the symptoms of Celiac Disease?

  • Malabsorption of multiple nutrients
  • Diarrhoea
  • Steatorrhea
  • Weight loss
  • Constipation
  • Fatigue
  • Nausea also Vomiting
  • Bloating also Gas
  • Abdominal Pain

Which Diet should be avoided in Celiac Disease?

  • Rye
  • Wheat starch
  • Beer, Bread
  • Desserts, e.g. cake, cookies, also pie
  • Cereal
  • Seasoned potato chips
  • French fries, Pasta
  • Processed meat, including hot dogs also lunch meat
  • Salad dressing
  • Sauces, Soups

References:

  1. Harrison-s_Principles_of_Internal_Medicine-_19th_Edition-_2_Volume_Set
  2. https://www.everydayhealth.com/celiac-disease/guide/diet/
  3. Homoeopathic Body-System Prescribing – A Practical Workbook of Sector Remedies
  4. https://www.mayoclinic.org/diseases-conditions/celiac-disease/symptoms-causes/syc-20352220
  5. Textbook of medicine
  6. Materia Medica by Boericke W.