Gluten Intolerance

Gluten intolerance, also known as non-celiac gluten sensitivity (NCGS), is a condition where the body has difficulty digesting gluten, a protein found in wheat, barley, and rye. Unlike celiac disease, gluten intolerance does not cause damage to the small intestine but can still lead to digestive discomfort, fatigue, and other systemic symptoms.

Gluten Intolerance Diagnosis

Since there is no single test for gluten intolerance, diagnosis is typically based on:

• ElImination diet: Temporarily remove gluten from your diet and monitor symptom improvement.
• Celiac disease testing: Blood tests or an intestinal biopsy to rule out celiac disease.
• Wheat allergy testing: Identifying an allergic response to wheat proteins.
• Food sensitivity testing: Assessing reactions to gluten and other potential triggers.

Gluten Intolerance vs. Celiac Disease 

While both conditions involve a reaction to gluten, they differ significantly:

Celiac disease is an autoimmune disorder that causes the immune system to attack the small intestine when gluten is consumed. It requires strict lifelong avoidance of gluten.

Gluten intolerance does not involve an autoimmune response or intestinal damage, and some individuals may tolerate small amounts of gluten without severe symptoms.

Gluten Intolerance Symptoms

Symptoms of gluten intolerance can vary widely and may include:

• Digestive issues: Bloating, gas, diarrhea, constipation, or stomach pain.
• Fatigue: Persistent tiredness or sluggishness, even with adequate rest.
• Headaches and brain fog: Difficulty concentrating or frequent migraines.
• Joint and muscle pain: Inflammation and discomfort, sometimes mimicking arthritis.
• Mood changes: Anxiety, depression, or irritability.

Gluten Intolerance Treatment 

Managing gluten intolerance requires lifestyle adjustments, including dietary modifications and symptom management strategies:

• Gluten-free diet: Avoiding foods containing wheat, barley, and rye.
• Nutritional guidance: Ensuring a well-balanced diet to prevent nutrient deficiencies.
• Digestive support: Managing symptoms with probiotics, digestive enzymes, and hydration.

Nutrition Counseling

Transitioning to a gluten-free diet can be overwhelming, especially when learning to identify hidden sources of gluten in processed foods and restaurant meals. Nutrition counseling with a registered dietitian can help:

• Educate you on gluten-free alternatives.
• Ensure you maintain proper nutrient intake, especially for fiber, iron, and B vitamins.
• Create a sustainable, long-term eating plan that fits your lifestyle.

Talk with a Doctor 

If you suspect you have gluten intolerance, seeking expert guidance is the best way to get clarity on your symptoms and receive a personalized treatment plan. The gastroenterologists at NYGA offer comprehensive evaluations, diagnostic testing, and nutrition counseling to help you confidently navigate a gluten-free lifestyle.