If you’ve been diagnosed with celiac disease, rest assured that you have a number of treatments at your disposal. But first, know you’ll need to omit the protein gluten from your diet.
Gluten is a protein found in grains, like wheat, rye, barley, and triticale (a hybrid of wheat and rye). It helps foods keep their shape, which is why gluten is often added to other food products during manufacturing. (1)
But when someone with celiac disease eats gluten, their immune system sees the protein as a threat and sends antibodies to attack. As a result, the lining of the small intestine gets damaged. If the lining experiences enough long-term damage, it’s unable to absorb nutrients the body needs to be healthy. This effect can cause a variety of health issues. (2,3)
Some Basic Background Info on Celiac Disease
Celiac disease affects about 1.8 million Americans, or 0.7 percent of the U.S. population, and symptoms include feeling unusually bloated after eating, constipation, and frequent diarrhea. The autoimmune disease can be found in people of all different cultural backgrounds, but it is most common in those of European or Indian descent. (4)
Researchers don’t know exactly what causes the disease. It’s likely a combination of genetic and environmental factors, which can range from getting a disease or viral infection to the climate where you live. (5) If you have close family members with celiac, you’re more likely to also have it. (2)
Doctors can find out if you have celiac by doing a blood test to look for the antibodies that are usually found when people with the disease are exposed to gluten. (6) A diagnosis is confirmed after a sample of the small intestine lining is collected through an upper endoscopy (a minor procedure) and examined.
Being diagnosed with celiac is different from having a gluten allergy or intolerance. You may experience similar digestive symptoms, but the small intestines aren’t getting damaged. (3)
Small-Batch Blueberry Jam Crumble Breakfast Bars
Breakfast rotations have a way of turning into?breakfast ruts. Smoothie, oatmeal, eggs —?rinse and repeat. To mix it up, you could always treat yourself?with a?trip to your?local cafe, but make a habit of it and that little splurge starts to add up. Instead, shake?up your morning ritual with a treat you can?enjoy?any day of the week.
One part muffin, one part crumble, these oatmeal-inspired, maple-sweetened blueberry jam bars are going to be your new?favorite! Paired with an iced coffee (or hey, treat yourself to one from the local coffee shop), a small batch of these bars are the perfect weekday breakfast treat or midmorning snack.
Oats are blitzed into a fine flour, then combined with almond butter, maple syrup, and cardamom. This dough acts as both the base and crumble topping. They're not too sweet, packed with toasty oat and nut flavor, and freeze like a dream!
CALORIES PER SERVING
PREP TIME30 min
COOK TIME50 min
TOTAL TIME1 hr 20 min
Line an 8 x 8-inch baking dish with parchment paper. Set aside.
For the blueberry jam: In a medium saucepan, combine blueberries, maple syrup, lemon juice, chia seeds, and lemon zest. Bring to a boil over high heat;?reduce heat to low and simmer for about 10 minutes, stirring frequently and using the back of a spoon to smash the berries to release their juices. The mixture will look thin. Transfer to a bowl and let cool completely. This step can be done ahead of time, refrigerated in an airtight container for up to three?days until ready to assemble.
For the crumble: Preheat oven to 350 degrees F. In a food processor, combine 1 3/4 cups oats (reserve remaining ? cup for later), baking powder, cardamom, and salt. Blitz to a fine flour, about 1 minute. Alternately, blitz oats in a high-speed blender and then mix the dough by hand.
In a medium bowl, whisk almond butter, maple syrup, egg, olive oil, and vanilla. Add mixture to food processor and pulse until a thick dough forms. Scoop out about ? cup dough for the topping. Add remaining ? cup oats. Use a fork to combine, and set aside.
Press remaining dough into the bottom of prepared baking dish in an even layer with a greased spatula. The dough will be sticky.
Pour cooled blueberry jam onto crust into an even layer. Scatter with oat crumble, using your fingers to break it up into small lumps. Sprinkle with almonds and a little flaky salt.
Bake for about 40 to 50 minutes until crumble top is firm and golden brown. Let cool completely before slicing into bars. Store in an airtight container on the counter for up to five?days, or freeze for up to three?months.
Amount per serving
What Are the Most Common Ways That Celiac Disease Is Treated?
The only way to prevent your immune system from attacking the small intestines is to remove gluten from your diet. After you are diagnosed with celiac disease, dietary changes are recommended right away. (7) In addition to grains, you’ll need to learn about all the possible foods in which gluten can be found. A nutritionist or dietitian who has experience working with people managing celiac disease can help you develop a meal plan.
Once you start a?gluten-free diet, your small intestine will recover and absorb nutrients again, says?Rudy Bedford, MD, a gastroenterologist at Saint John’s Physician Partners in Los Angeles and Providence Saint John’s Health Center in Santa Monica, California. (8)
But getting exposed to gluten again will cause symptoms to return. (9) That’s why it’s important to stick to a strict gluten-free diet plan. You’ll need to be very vigilant about what you eat, especially when eating out or buying packaged goods. Restaurants can have cross contamination and so can packaged items, warns Sheila Reddy, MD,?a?gastroenterologist at Austin Gastroenterology in Austin, Texas. For example, soy sauce can have gluten.
In addition to wheat, rye, barley, and triticale, gluten can be found in: (7,9)
- Salad dressing
- Cosmetics (lip balm, lipstick)
- Hair products
- Vitamins and supplements
Are There Alternative Therapies to Help Treat Celiac Disease?
Currently, the only effective treatment for celiac disease is going on a strict gluten-free diet for life. (10) It can take years for your small intestines to recover from the damage, leaving the body still unable to get proper nutrition. Recovery can be different for each person and happens much faster in children. It depends on the amount of gluten you were exposed to and how long you were exposed.
Possible Supplements for Celiac
Taking a multivitamin or specific supplements, like iron or vitamin D, can help provide the body with extra nutrients as the intestines heal. (11) Make sure to check the ingredients list on vitamins and supplements because some can include inactive ingredients that have gluten.
Common vitamin and mineral deficiencies that happen with celiac disease include: (11)
These are all essential nutrients the body needs. Not being able to absorb the necessary amounts over time causes complications. People who are newly diagnosed with celiac are likely to have some type of malnutrition. One study examined people recently diagnosed and found that almost 90 percent had one or more nutrient deficiency. (12)
There are enzyme supplements on the health-food market that claim to help people with celiac digest gluten by breaking down the protein. But studies show that these enzymes are unable to survive in the stomach’s acidic environment, making them ineffective. (13) Researchers did find that AN-PEP, a pure digestive enzyme that isn’t available in stores, can reduce gluten in the stomach. At this time, an AN-PEP is not recommended as a treatment outside of a clinical trial.
For now, other than eliminating gluten, there really are no proven treatments for celiac disease, says Dr. Bedford.
What Are the Possible Complications of Untreated Celiac Disease?
People with untreated celiac disease are at serious risk for complications throughout the body. When you’re not getting essential vitamins and minerals, your body can’t function or develop properly. (12)
Children are especially at risk because their bodies are still growing. They may experience: (2)
- Delayed puberty
- Trouble gaining weight
- Poor muscle and bone growth due to lack of calcium and vitamin D
- Problems with tooth enamel from adult teeth not properly developing
- Learning disabilities
Often, a delay in treatment happens because a person doesn’t know they have celiac. They may struggle with lots of different unexplained health issues before getting the right diagnosis.
- Anemia?Reddy says one of the first things medical professionals see in celiac patients is anemia, which happens when the body isn’t absorbing enough iron. Iron helps the body make the new red blood cells it needs to circulate oxygen.
- Osteoporosis When the body doesn’t have enough calcium and vitamin D to replenish bone mass, bones become very fragile. People with osteoporosis are at risk of breaking bones very easily.
- Lactose Intolerance?The damage to your small intestine caused by celiac can also make you lactose intolerant. You might have stomach pain or diarrhea after eating dairy products, even if they don’t have gluten. Once the small intestine recovers, most people can tolerate dairy again.
- Missed Menstrual Periods and Fertility Problems, Including Miscarriages?Researchers aren’t sure what the link is between fertility issues and celiac, but it likely has something to do with the body’s inability to absorb important nutrients needed for fetal development.
- Nervous System Issues?These are also a likely result of malnutrition and include tingling in the hands and feet (neuropathy), seizures, and anxiety and depression.
- Pancreatic Insufficiency?When the pancreas can’t make enough enzymes to digest food correctly, it’s called pancreatic insufficiency. About 5 percent of people with celiac also have this condition, although researchers aren’t sure exactly why they exist together.
- Gallbladder?Issues?The gallbladder helps during digestion by releasing bile to break down fats. When the small intestines are damaged, they can send incorrect signals to the gallbladder, making it release more bile than necessary. Signs of gallbladder issues include indigestion and abdominal pain.
- Liver Disease?If the liver doesn’t get the correct balance of nutrients, it can become damaged over time. Nonalcoholic fatty liver disease is a condition where the liver is storing too much fat, which interferes with its ability to store nutrients. Research shows people with celiac disease are more likely to get nonalcoholic fatty liver disease than those without celiac. (16)
What to Know About Dermatitis Herpetiformis and Celiac Disease
About 10 percent of people who have celiac disease develop a rash called dermatitis herpetiformis. (14)? The rash can look similar to herpes or shingles, forming itchy blisters on the knees, elbows, scalp, back, or butt. It usually appears for the first time between ages 30 and 40, but some people get it earlier. A dermatologist can diagnose the rash and prescribe a cream or ointment to soothe it, but you’ll need to go gluten-free to really get rid of it.
It’s common for people to find out they have celiac for the first time after developing the rash, says Bedford. That’s because it might be the only symptom they notice.
In order to make sure you’re not getting accidentally exposed to gluten,?Reddy recommends being really diligent and aware of your symptoms.
She says loose stool combined with abdominal pain is a clue that you’re being exposed to gluten.
Comorbidities Common in People With Celiac Disease
If you have celiac disease, you have a higher likelihood of having certain conditions along with it. (2,6)
Chronic or genetic conditions found to be connected to celiac disease include:
- Type 1 diabetes
- Thyroid disease
- Addison’s disease
- Down syndrome
- Crohn’s disease
- Rheumatoid arthritis
- Sj?gren’s syndrome
If you’ve been diagnosed with one of these and also have digestive system issues, experts recommend getting tested for celiac disease.
Editorial Sources and Fact-Checking
- What Is Gluten??Celiac Disease Foundation.
- Celiac Disease: Symptoms and Causes.?Mayo Clinic. August 10, 2021.
- Definition and Facts for Celiac Disease.?National Institute of Diabetes and Digestive and Kidney Diseases. October 2020.
- Krigel A, Turner KO, Makharia GK, et al. Ethnic Variations in Duodenal Villous Atrophy Consistent With Celiac Disease in the United States.?Clinical Gastroenterology and Hepatology. August 1, 2016.
- Celiac Disease.?Cleveland Clinic. January 10, 2020.
- Patient Education: Celiac Disease in Adults (Beyond the Basics).?UpToDate. March 1, 2022.
- Treatment for Celiac Disease.?National Institute of Diabetes and Digestive and Kidney Diseases. October 2020.
- Barone M, Della Valle N, Rosania R, et al. A Comparison of the Nutritional Status Between Adult Celiac Patients on a Long-Term, Strictly Gluten-Free Diet and Healthy Subjects.?European Journal of Clinical Nutrition. January 2016.
- Celiac Disease.?FamilyDoctor.org. April 2022.
- Laurikka P, Salmi T, Collin P, et al. Gastrointestinal Symptoms in Celiac Disease Patients on a Long-Term Gluten-Free Diet.?Nutrients. July 14, 2016.
- Gluten in Medicine, Vitamins, and Supplements.?Celiac Disease Foundation.
- Wierdsma NJ, van Bokhorst-de van der Schueren MAE, Berkenpas M, et al. Vitamin and Mineral Deficiencies Are Highly Prevalent in Newly Diagnosed Celiac Disease Patients.?Nutrients. October 2013.
- Study Demonstrates Current Enzyme Supplements for Celiac Disease Ineffective.?Celiac Disease Foundation. August 5, 2015.
- Symptoms and Causes of Celiac Disease.?National Institute of Diabetes and Digestive and Kidney Diseases. October 2020.
- What Is Celiac Disease??Celiac Disease Foundation.
- Celiac Disease and Non-Alcoholic Fatty Liver Disease.?Celiac Disease Foundation. July 30, 2015.
- Patient Education: Celiac Disease in Children (Beyond the Basics). UpToDate. June 3, 2022.