Gee's disease

Gee's disease – an inborn disease at which the intolerance of some proteins which are contained in cereals is noted. It is often possible to hear wrong opinion that the Gee's disease is the new disease which developed only in the last decades. It's not true, for the first time the Gee's disease was described about one thousand years ago, and then received the name "Morbus coeliacus". In recent years thanks to improvement of diagnostic methods only it became clear that prevalence of a Gee's disease is much wider, than was considered earlier, and many hidden, and also atypical forms of a disease were taken for other pathology of digestive tract earlier.

Gee's disease reasons

The atrophic inflammation of fibers of a small intestine arising under the influence of some fractions of protein which are a part of cereals and products from them is a proximate cause of a Gee's disease. Such substance in wheat is gluten (it is gliadine), in oats – avenine, in barley – hordein, in rye – секалинин. As wheat and products from wheat flour are widespread most, still call a Gee's disease a gluten enteropathy.

The intolerance of gluten is inborn. The pathology origins are still not studied, several theories of an origin are put forward, however any of them does not offer exhaustive explanations. The most convincing is the hereditary theory of disturbance of immunity today at a Gee's disease as it is found out that at inspection of parents of children with a Gee's disease, at those in many cases the latent forms of a disease were revealed.

Gee's disease symptoms

Symptoms of a Gee's disease are shown at early children's age, at introduction to a food allowance of the products containing gluten. Most often it is semolina and oat porridges, or children's mixes which part glyutensoderzhashchy cereals are. The Gee's disease at children as intestinal frustration is shown in the beginning. The chair becomes speeded up, kashitseobrazny, plentiful, often foamy. The child grows thin, at the same time he increases a stomach, hypostases develop. If the disease is not revealed at this stage and medical measures are not taken, calcium assimilation is broken further that leads to emergence of deformations of bones inherent to rickets. Thus, the tselikaiya at children often misleads parents and pediatricians as symptoms of a Gee's disease are similar to symptoms of a number of other diseases. Nevertheless, it is very important to reveal a disease at early stages as in the subsequent symptoms of a Gee's disease can accept global character, being shown including as lag in physical and intellectual development.

The Gee's disease at adults if it was not revealed in the early childhood, as a rule, has implicit (latent) character. Muscular weakness, increased fatigue, long-term muscle and bones pains, anemia of not clear origin become the main symptoms of a Gee's disease in this case. Disorders of intestines at a Gee's disease at adults are not the main symptom, them can not be, and there can even be a tendency to locks. However at a part of patients of a digestive disturbance accept frequent, and sometimes even regular character – the speeded-up liquid chair several times a day containing foam and pieces of undigested food. The Gee's disease at adults can proceed is hidden, becoming aggravated under the influence of provocative factors: stresses, pregnancy, infectious diseases, surgical interventions.

Diagnosis of a Gee's disease

As symptoms of a Gee's disease are similar to other frustration of the alimentary system, it is very important that in case of suspicious gastroenterological pathology careful diagnosis was carried out. It has paramount value as it is easy to correct a Gee's disease, however in the started cases the disease can lead to a set of heavy complications.

At suspicion on a Gee's disease at children carry out immunoassay of blood (serodiagnosis) on the maintenance of specific antibodies. Such analysis is called GSE (Gluten-sensitive enteropathy) – glyutenchuvstvitelny tests at an enteropathy. Conduct a research a calla on the content of fat and carbohydrates. In difficult cases the biopsy of a mucous membrane of a small intestine is necessary.

The Gee's disease, in view of a neyavnost of symptoms, demands carrying out full gastroenterological inspection from adults, with an immunological blood analysis and a biopsy of a small intestine.

One of the most reliable diagnostic methods is comparison of symptoms of a Gee's disease before use of a bezglyutenovy diet. If the condition of the patient sharply improves at an exception of a diet of glyutensoderzhashchy products, once again apply gluten loading. Deterioration in health at gluten loading and improvement at a bezglyutenovy diet is also the main diagnostic character of a Gee's disease.

Treatment of a Gee's disease. Diet

The diet at a Gee's disease is the main method of therapy. Without observance of a diet the Gee's disease is not treated, irrespective of reception of medicines. The main principle of a diet at a Gee's disease – a complete elimination of the products containing gluten even in small amounts.

The basic rules of a bezglyutenovy (aglyutenovy) diet at a Gee's disease the following:

• Exception of the products containing gluten: wheat, oats, barley, rye dishes and their derivatives in any kind;
• The products causing fermentative processes are excluded;
• The products containing a large amount of allergens are excluded;
• Rice, corn, bean are resolved, potatoes, buckwheat in small amounts is admissible;
• Meat, eggs, dairy and fermented milk products, vegetables and fruit are resolved;
• In the period of an exacerbation of a disease the principle of a mechanical and chemical shchazheniye is observed, the boiled, stewed or steamed food is eaten in the wiped look.

At small children usual children's nutritious mixes are replaced special, made on the basis of soy or a hydrolyzate of casein. The Gee's disease at children, at use of a bezglyutenovy diet is exposed to involution, children quickly catch up with peers in psychomotor skills, and afterwards differ in nothing from them. After the beginning of a strict dietotherapy, symptoms of a Gee's disease pass within 3-6 months – so much time is necessary for atrophied fibers of a small intestine for recovery. The Bezglyutenovy diet has to be kept strictly and for life.

Gee's disease complications

Disease it is necessary to treat at any age, whether it be a Gee's disease at children or a Gee's disease at adults as at intake of gluten symptoms of a Gee's disease accrue, gradually leading to heavy frustration of all systems of an organism.

The most frequent are the following complications:

• Malignant tumors of intestines;
• Iron deficiency anemia;
• Ulcers of lean and ileal guts;
• Infertility both women's, and men's;
• Avitaminosis and, as a result, sharp decrease in immunity;
• The reduction of the sizes of a spleen (gipospleniye) leading to disturbances of its functions;
• Hypotonia (the lowered arterial pressure), as a result of which constant weakness, drowsiness, shortage of vital forces.