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    Gluten Intolerance, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Gluten Intolerance, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Gluten Intolerance, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook106 pages1 hour

    Gluten Intolerance, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Gluten intolerance (Celiac Disease) is a chronic medical disorder of the small intestine which affects the lining of the small intestine to form anomalies after taking gluten.
    The small bowel mucosa shows
    1. Villous atrophy
    2. Columnal to cuboidal alterations in the absorbing cells
    3. Invasion of lamina propia with lymphocytes and plasma cells
    Gluten is a protein found in three types of cereal:
    1. Wheat
    2. Barley
    3. Rye
    Gluten is found in any food that contains the above cereals, including:
    1. Pasta
    2. Cakes
    3. Breakfast cereals
    4. Most types of bread
    5. Certain types of sauces
    6. Some types of ready meals
    It has been suggested that an autoimmune disease is the main cause of gluten intolerance (Celiac Disease).
    A protein produced by the immune system, called HLA antigen may be a possible cause of the body's reaction in the lining of the small intestinal tract resulting in inflammation.
    Gluten intolerance is an autoimmune digestive disease that injures the villi of the mucosa of small intestine and affects the absorption of nutrients from food.
    The antibodies in the body are attacking the intestinal lining every time a person with gluten intolerance consumes gluten.
    Celiac disease, also known as gluten intolerance, has been known as genetic disorder that affects at least 0.8% Americans.
    Gluten intolerance is what is known as an autoimmune condition.
    This is where the immune system (the body’s defense against infection) mistakenly attacks healthy tissue.
    Gluten intolerance is not an allergy or intolerance to gluten.
    In cases of gluten intolerance, the immune system mistakes substances found inside gluten as a threat to the body and fight them.
    This injures the surface of the intestines (small bowel), affecting the body’s ability to absorb nutrients from food.
    About 95% of people with gluten intolerance have the HLA-DQ2 gene and most of the remaining 5% have the HLA-DQ8 gene.
    Genetic testing can determine if the patient has one or both of these genes.
    It is important to note that having the gene means the patient is at risk for developing gluten intolerance, but does not mean that the patient definitely has the disorder.
    The positive genetic test should be evaluated with a gluten intolerance blood panel to determine if the patient has gluten intolerance
    Symptoms of gluten intolerance can range from the classic features, such as weight loss, diarrhea, and malnutrition, to hidden symptoms such as isolated nutrient deficiencies with no gastrointestinal symptoms.
    Diagnosis of Gluten intolerance is made on the basis of:
    1. A history of abdominal pain, diarrhea and weight loss
    2. Small bowels radiology
    3. D-xylose absorption study
    4. Fecal fat assessment
    5. Duodenal biopsy
    Antibody testing, especially immunoglobulin A anti-tissue transglutaminase antibody (IgA TTG), is the best first test for suspected gluten intolerance, even though confirmation is done by examining the biopsies
    In children younger than 2 years, the IgA TTG test should be combined with testing for IgG-deamidated gliadin peptides.
    The primary treatment of gluten intolerance is dietary.
    1. Confirmation of diagnosis.
    2. Treatment begins.
    If there is a one line treatment for Gluten intolerance, it is a gluten free diet.

    TABLE OF CONTENT
    Introduction
    Chapter 1 Gluten Intolerance
    Chapter 2 Causes
    Chapter 3 Symptoms
    Chapter 4 Diagnosis
    Chapter 5 Treatment
    Chapter 6 Prognosis
    Chapter 7 Lactose Intolerance
    Chapter 8 Food Allergy
    Epilogue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateDec 12, 2016
    ISBN9781370810710
    Gluten Intolerance, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Gluten Intolerance, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Gluten

      Intolerance,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2016 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the Gluten Intolerance, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What You Need to Treat Gluten Intolerance)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://kenmed.wordpress.com.

      From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Gluten Intolerance

      I have a patient with frequent daily diarrhea from childhood who was suspected to have gluten intolerance by his doctor.

      He has been avoiding foods like wheat, barley, rye and breads, pasta and many foods termed as having gluten.

      Since his diarrhea has improved, I decided to have a more conclusive (IgA TTG) test which came back negative.

      Other IgA tests also came back negative. He did not have gluten intolerance.

      He was able to eat all the gluten he has been avoiding all these time.

      H e could have irritable bowel syndrome (IBS) instead.

      The next step would be a colonoscopy but he was not ready for it yet.

      What is Gluten Intolerance?

      Gluten intolerance (Celiac Disease) is a chronic medical disorder of the small intestine which affects the lining of the small intestine to form anomalies after taking gluten.

      The small bowel mucosa shows

      1. Villous atrophy

      2. Columnal to cuboidal alterations in the absorbing cells

      3. Invasion of lamina propia with lymphocytes and plasma cells

      Who is affected by Gluten intolerance?

      Gluten intolerance is more frequently found in people with blood group O and certain HLA antigens.

      There is a possibility of enzyme deficiency and abnormal immunological response.

      Gluten intolerance can be found in all ages but the disease is more common in the 10-30 years age group.

      What is the Cause of Gluten intolerance?

      The exact cause of Gluten intolerance is not known.

      Gluten

      Gluten is a protein found in three types of cereal:

      1. Wheat

      2. Barley

      3. Rye

      Gluten is found in any food that contains the above cereals, including:

      1. Pasta

      2. Cakes

      3. Breakfast cereals

      4. Most types of bread

      5. Certain types of sauces

      6. Some types of ready meals

      In addition, most beers are made from barley.

      It has been suggested that an autoimmune disease is the main cause of gluten intolerance (Celiac Disease).

      A protein produced

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