Coeliac disease is an autoimmune disease. It shows up as a chronic disease of the small intestine, in which the gluten protein remains lifelong unbearable. The ingestion of gluten always triggers an immunologically mediated inflammation, as a result of which the villi recede. The reason for this incompatibility lies in a defense reaction of the human immune system. Genetic factors seem to play a role, as do infections and environmental factors. The disease can start at any age.
The treatment for coeliac disease is based on nutrition therapy and consists in the appropriate, lifelong elimination (omission) of the protein that causes the disease. This involves much more than buying products with a ‘gluten-free’ label.
Nutrition therapy process
What does nutrition therapy entail?
Step 1: A precise anamnesis as the basis for further procedure
A nutrition therapy session begins with an assessment of your current diet and the existing symptoms of coeliac disease.
- Review of all laboratory and examination results. Bringing copies of medical findings or lab results helps us better evaluate the initial situation.
- Evaluation of the nutrition and symptom diary you brought with you. This daily log makes it easier to uncover connections between diet and symptoms. Your existing nutritional habits are the key to finding the solution best suited to you.
- Identification of stress triggers
- Defining individual goals for nutrition therapy
Step 2: Define key areas for counselling
The substance of these sessions revolves around things that remain crucial to implementing a strictly glutenfree diet:
- Gluten-free and gluten-containing foods
- Food with unknown gluten content
- Nutritional benefit of oats
- What a ‘life-long, strictly gluten-free diet’ means
- Diet traps and stumbling blocks
- Menu – what’s left to eat
- Consequences of a diet that is not strictly gluten-free
- Consequences of accidental gluten exposure
- Do products always be labelled ‘gluten-free’?
- How are nutrition labels to be read and applied?
- How do I deal with labels that say a food may contain trace amounts of something?
- Contamination in the kitchen
- Eating out in restaurants, on holiday, with friends
- Unwanted weight gain due to a gluten-free diet
- Critical nutrients in a gluten-free diet
- Ensuring sufficient nutrients in a diet that works for you
Step 3: Define the consultation period
The duration of nutrition therapy for coeliac disease depends on the time of the initial diagnosis, the symptoms, your questions and the complexity of your personal surroundings.
Step 4: Implementation and permanent nutrition
The most important goal of nutritional therapy for coeliac disease is the consequent avoidance of gluten with the least possible restriction of total nutrition in order to avoid malnutrition and to keep the quality of life high.
Monday – Thursday: 07.45 am – 12.30 pm
Monday – Thursday: 02.00 pm – 06.00 pm
Making an appointment / telephone consultation hours
Tuesday, Wednesday, Thursday: 12.45 – 01.15 pm
The field of coeliac research is growing every day, giving us constant new insights into the condition. Keeping informed and staying up to date is an important part of preventing possible secondary diseases. The German Coeliac Society (DZG)’s scientific advisory board recommends that even ‘veterans’ of this condition – i.e. patients who have lived with this disease for a long time – have a follow-up every 15-18 months. The costs of nutrition therapy for coeliac disease patients are proportionately reimbursed by most health insurance companies.
- Weight loss
- Abdominal bloating
- Abdominal pian
- Persistent diarrhea or constipation
- Pale, fatty, foul-smelling stools
- Loss of appetite
- Muscle weakness
More than just diarrhea
Coeliac disease is a disease that should not only be looked for when it comes to abdominal pain and diarrhea.
Over 80 percent of the newly diagnosed celiac sufferers do not show the classic picture of symptoms, but completely different abnormalities such as iron deficiency, unfulfilled desire to have children, osteoporosis, depression, headache or muscle cramps. Rheumatic diseases are now considered a possible indication of coeliac disease.
Depending on the form, the absorption of nutrients is disturbed and there may be corresponding deficits that lead to further complaints.