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Coeliac (Celiac) Disease — Autoimmune & Digestive Health | Needsdoctor
Gastroenterology • Autoimmune • Nutrition

Coeliac (Celiac) Disease

An autoimmune reaction to gluten that damages the small-intestine lining. Core treatment is a strict, lifelong gluten-free diet; supportive care focuses on symptom comfort and good nutrition.

Overview

Coeliac (celiac) disease is an immune-mediated injury of the small-intestinal mucosa triggered by gluten (proteins in wheat, barley, rye; oats only if certified gluten-free and tolerated). Common features include diarrhoea, weight loss, and iron-deficiency anaemia; some may have skin findings, menstrual issues, or fertility concerns. Diagnosis and follow-up are medical; diet is the cornerstone of care.

Ayurvedic Perspective (Supportive)

Classical descriptions relate symptoms to disturbed digestive fire (agni) and imbalanced doṣas. Supportive routines may emphasise gentle, warm, easy-to-digest meals, stress reduction, and herbs used traditionally to soothe the gut—complementary to a strict gluten-free diet and medical guidance.

Note: Supportive measures do not replace the gluten-free prescription or specialist care.

Gluten-Free Basics

  • Avoid: Wheat (atta, maida, semolina/sooji, daliya), barley (jau), rye, malt, and foods containing them.
  • Check labels: sauces, soups, spice mixes, confectionery, and supplements may contain gluten.
  • Safer staples: rice, maize/corn, millets (jowar, bajra, ragi), quinoa, buckwheat (kuttu), amaranth (rajgira), and certified gluten-free oats if tolerated.
  • Prevent cross-contamination: separate utensils/toasters, clean prep areas, and store GF foods separately.
  • Team up: a dietitian can help plan balanced GF meals and address deficiencies (iron, folate, B12, vitamin D, calcium, etc.).

Diet & Lifestyle

  • Prefer freshly cooked, warm, easy-to-digest meals; include pulses/legumes, vegetables, fruits, nuts, and adequate protein.
  • Hydrate well; limit alcohol and ultra-processed foods. Consider micronutrient checks as advised by your clinician.
  • Support routine: regular sleep, stress-management practices (breathwork, meditation, gentle yoga), and gradual activity as tolerated.

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