Gluten sensitivity or intolerance is a condition that causes a person to react after ingesting gluten, a protein found in wheat, barley and rye.
Symptoms vary widely and can include gastrointestinal problems, joint pain, fatigue and depression. The same symptoms are associated with celiac disease, so it’s important to get the correct diagnosis.
The first step toward diagnosis
According to the experts, gluten sensitivity should only be diagnosed after first ruling out wheat allergies, celiac disease and gluten ataxia, using blood and other tests that can pinpoint those recognized disorders. Second, diagnosis should include testing for AGA antibodies in the blood, though these are not always present. Third, there should be improvement in symptoms on a gluten-free diet.
A real condition
Though researchers are looking for biomarkers that would definitively diagnose gluten intolerance, they have not yet come up with a specific test. Still, gluten intolerance has been recognized as a real condition, after many years of being ignored by the medical community. In fact, gluten sensitivity has its own category in a list of gluten-related disorders recently created by a group of international celiac disease experts.
Scientists from the Center for Celiac Research and Treatment have also found that gluten sensitivity is a bona fide condition, distinct from celiac disease, with its own intestinal response to gluten. Although gluten-sensitive patients have the diarrhea, abdominal pain and other symptoms suffered by those with celiac disease, they do not have the intestinal inflammation, flattening of the absorbing villi or long-term damage to small intestine that characterizes untreated celiac disease.
Gluten sensitivity and celiac
Researchers found differences between celiac and gluten sensitivity in intestinal permeability and genes regulating the immune response in the gut. Intestinal permeability is the ability of the mucosal layer of the digestive tract to prevent bacteria, antigens, and undigested food proteins from seeping through the gastrointestinal barrier. Those who have celiac often have a high degree of permeability, sometimes called a leaky gut, but the study found that was not the case in those who are gluten sensitive.
Currently, the only treatment for gluten intolerance is following a gluten-free diet, which excludes all wheat, barley, rye and cross-contaminated oats.
About 6 percent of the U.S. population, or about 18 million people, have gluten sensitivity, according to the celiac center, compared to 1 percent who have celiac disease.
This material is not intended to provide medical advice, which should be obtained directly from a physician.