Celiac or NCGS is there a difference? Celiac (Coeliac in UK and Ireland) disease and the connection with wheat has been known about since the 1940’s and with gluten since 1952. Celiac disease is caused in genetically predisposed people by a reaction to a gluten protein called gliadin which can be found in wheat, barley, rye, spelt, durum, Kamut and triticale with some people also reacting to oats. Celiac Disease can vary from mild to severe usually showing destruction of the gut lining and is an Autoimmune disease.
Despite nearly 65 years of knowledge it is poorly diagnosed across all age groups and it is estimated that less than a quarter of people are diagnosed. To confirm diagnosis raised antibodies (IgA) and destruction of the villi in the gut lining have to be demonstrated. Certain populations have a higher incidence, the populations of Ireland and Italy appear to and also people with Downs Syndrome have an increased risk . Celiac disease is associated with a multitude of other chronic medical conditions, many of which are Autoimmune disorders and also some neurological disorders.
NCGS – Non Celiac Gluten Sensitivity was originally described in the 1980’s and only since 2010 has been included in the spectrum of gluten related disorders. It is also associated with Autoimmune disorders and neurological disorders where no small bowel disease has been discovered.
It is known that there may be a genetic predisposition but that a trigger such as surgery, infection, pregnancy and emotional stress can trigger symptoms of Celiac disease and NCGS.
The varied symptoms are common to both and can be:- Read More