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<h1>Gluten and Celiac Disease</h1>
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<section><div class="mp-exp mp-content"><h2>Video Outline</h2><p><a href="#t=10">0:10</a> Where can gluten be found?</p><p><a href="#t=37">0:37</a> What is celiac disease?</p><p><a href="#t=46">0:46</a> Prevalence of celiac disease</p><p><a href="#t=57">0:57</a> Celiac disease mechanism and pathology</p><p><a href="#t=77">1:17</a> Celiac disease symptoms</p><p><a href="#t=99">1:39</a> Celiac disease complications</p><p><a href="#t=107">1:47</a> Celiac disease diagnosis</p><p><a href="#t=130">2:10</a> Celiac disease treatment</p><p><a href="#t=150">2:30</a> NIDDK</p><p><br/></p></div>
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<section><div class="mp-exp mp-content"><h2>Transcript</h2><p><strong>Gluten and Celiac Disease</strong></p><p>From NIH MedlinePlus Magazine</p><p>Gluten: It’s all over the news, but what is it? And where can it be found?</p><p>Gluten is a protein.</p><p>It is found naturally in some grains, such as wheat, barley and rye.</p><p>Nope not you, rice. </p><p>Common food products that have gluten include pastas, cereal and bread.</p><p>Sometimes gluten can also sneak its way into products like vitamins and supplements, lip balms, and some hair and skin products. </p><p>Shh.</p><p>Most people do not have a problem with gluten. But some people cannot eat it because of an autoimmune disorder called celiac disease. The gluten makes them feel sick.</p><p>Celiac disease sometimes is hereditary, meaning it runs in families. It is also very common: as many as 1 out of every 141 people in the United States has celiac disease. </p><p>But most people who have celiac disease don’t even know they have it.</p><p>In celiac disease, gluten can trigger the immune system to attack the small intestine. </p><p>Immune cells damage small, fingerlike growths in the small intestine called villi, and the brushy intestinal lining becomes flattened.</p><p>When the villi are damaged, the body cannot get the nutrients it needs. </p><p>The immune system’s reaction can lead to other health problems as well.</p><p>Symptoms of celiac disease in adults may include:</p><ul><li>Headaches</li><li>depression or anxiety</li><li>tiredness</li><li>bone or joint pain</li><li>a very itchy skin rash with blisters called dermatitis herpetiformis</li></ul><p>and in children: </p><ul><li>stomach pain </li><li>nausea & vomiting </li><li>slowed growth </li><li>delayed puberty </li></ul><p>If untreated, celiac disease can lead to serious complications like anemia, infertility, and weak and brittle bones.</p><p>Celiac disease can be difficult to diagnose because it looks like many other diseases. </p><p>If your doctor thinks you might have celiac disease, you may need a blood test, looking for antibody markers like tTGA and EMA. </p><p>The diagnosis can also be confirmed with a biopsy. A tiny tissue sample is obtained under anesthesia using a thin tube called an endoscope.</p><p>The good news is that there is a treatment: following a gluten-free diet.</p><p>Patients need to learn what to eat and what to avoid, and to read nutrition labels carefully.</p><p>For most people, following this diet will fix the symptoms and heal damage to the small intestine!</p><p>But for some people, diet alone doesn’t work. Finding hidden sources of gluten you may still be eating or using can help.</p><p>Through the National Institute of Diabetes and Digestive and Kidney Diseases, the NIH supports research to learn more about celiac disease. </p><p>Find out more about celiac disease and other topics at NIH MedlinePlus the Magazine. <a href="https://medlineplus.gov/magazine/">medlineplus.gov/magazine/</a></p><p>You can also search online for “NIDDK Celiac Disease” or visit <a href="https://www.niddk.nih.gov/" rel="noopener noreferrer" target="_blank">www.niddk.nih.gov</a>. </p></div>
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<section><div class="mp-exp mp-content"><h2>Video Information</h2><p><strong>Published September 19, 2017</strong></p><p>View this video on the MedlinePlus playlist at the U.S. National Library of Medicine YouTube channel at: <a href="https://youtu.be/A9pbzFAqaho" rel="noopener noreferrer" target="_blank">https://youtu.be/A9pbzFAqaho</a></p><p><strong>ANIMATION:</strong> Jeff Day </p><p><strong>NARRATION:</strong> Charles Lipper</p></div>
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<li><a href="https://medlineplus.gov/celiacdisease.html">Celiac Disease</a></li>
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