At an older age up to adolescence the symptoms include diarrhea or constipation, anorexia, weight stagnation or weight loss, iron-deficiency anemia fatigue, delayed growth and puberty, short stature, dental enamel defects of the permanent teeth, osteoporosis or osteopenia.
The signs and symptoms of celiac disease can vary greatly and are different in children and adults and this why there is sometimes a delay in the diagnosis of them. The most common signs for adults are symptoms that are related to the digestive system like irritable bowel system, anemia usually resulting from iron deficiency, elevated liver transaminase levels, osteoporosis, dermatitis herpetiformis (itchy skin rash), mood disorders (depression), missed menstrual periods, infertility.
There is a wide variety of naturally gluten-free products such as meat, poultry, game and fish, milk and its products (yoghurt, feta cheese, cheese), all fresh vegetables, legumes, rice, corn, fruit, oil. These foods contain valuable nutrients for the diet of celiac disease sufferers as long as the preparation is done at home. When the food is ready-made or processed, the possibility that gluten is included in the processing is very big. For this reason special attention should always be paid when consuming those foods. Moreover it is not safe to consume food stuff where it is indicated that wheat is not contained because they may contain gluten from other grains like barley, rye and oats. Also, some medicine may contain gluten as an excipient.
Indicating on the label that the product is gluten-free, is the only way to ensure the patient.
Celiac disease is a chronic autoimmune disease, which means that you cannot “grow out” of it. The treatment for celiac disease is lifelong adherence to a strict gluten-free diet. There are many food items that may contain gluten, often in hidden or unexpected ways. Even eating a small quantity of gluten, has long-term implications on the patient’s health like a risk for iron deficiency, growth stagnation, infertility and malignancies. A strict gluten-free diet reduces these risks.