At Home Christian Jessen 2014 - 88

in your family has already suffered from it. Women
tend to develop the disease more then men.
WHAT ARE THE SIGNS? Symptoms can appear at
any time of life and may be mild or severe. They include:
Diarrhoea and/or constipation
Wind and bloating
Stomach pain and cramps
Mouth ulcers
Anaemia
Skin rash
HOW IS IT DIAGNOSED? Coeliac disease is often
mistaken for other gut conditions, in particular irritable
bowel syndrome (IBS). Some people have the symptoms for
years before being diagnosed. 'If you have an ongoing
history of gut problems - possibly ones that you've learned
to live with - or perhaps a history of anaemia, it's important
to go and discuss your symptoms with your GP,' says
Norma McGough, head of diet and health at Coeliac UK.
'A simple blood test will pick up the antibodies that
people with coeliac disease produce in response to
gluten. It's important not to stop eating gluten before
you see your GP or you won't produce the antibodies,'
she adds. The diagnosis is usually confirmed by an
endoscopy (where a small camera is passed down your
throat) and a biopsy of the gut.
WHAT CAN MY DOCTOR DO? If a blood
test shows that you have coeliac disease, your GP
Wheat cheat
should refer you to a dietitian for help with
how you can exclude gluten from your diet. In
THERE ARE 100s OF
addition you can also phone the Coeliac UK
GLUTEN-FREE BREAD,
helpline on 0845 305 2060.
WHAT CAN I DO? Excluding gluten from
CAKES AND BISCUITS
your diet will relieve your symptoms completely.
AVAILABLE FOR PEOPLE
A Food and Drink Directory listing 10,000
WITH COELIAC
gluten-free foods is available from Coeliac UK
- visit www.coeliac.org.uk for more details.
DISEASE

GASTR O- OE SO P H AGEAL
R EF LU X D I SE A S E ( GO R D)

About 20% of people in the UK have this painful
digestive condition at some point. It happens when
the one-way valve at the top of the stomach doesn't
close properly allowing stomach acid repeatedly to
leak upwards into the oesophagus.
WHO'S AT RISK? Men are twice as likely to get
GORD as women. Research also suggests you're more
likely to develop it if you are obese and if you smoke or
drink. Stress and being pregnant also increase your risk.
WHAT ARE THE SIGNS? Symptoms of GORD
can be mild or severe and include:
Burning chest pain (heartburn) after eating
Difficulty swallowing
Sour taste in the mouth (caused by stomach acid)
HOW IS IT DIAGNOSED? Your GP will ask you
a series of questions to establish whether or not you
have GORD. You may be referred to hospital for an
endoscopy to look for damage to your oesophagus. If
this doesn't find anything, doctors may suggest another
test called manometry, which tests how well the valve
between your oesophagus and stomach is working.
WHAT CAN MY DOCTOR DO? There are several
drugs that your GP can prescribe to ease the condition.
Some reduce the amount of acid in your stomach,
while others work by increasing the speed at which your
stomach empties. Your pharmacist can also give you
over-the-counter treatments to neutralise the effects of
088 | JULY 2014

stomach acid or give a protective coating to the lining
of your stomach and oesophagus.
WHAT CAN I DO? If necessary, lose weight to reduce the
pressure on your stomach. If you smoke, quit. Use pillows
to prop yourself up in bed a little at night. Avoid any food
or drinks that seem to make your GORD worse.

Now for the acid test...

HEARTBURN AND REGURGITATION INTO
THE GULLET ARE SIGNS OF ACID REFLUX
As an alternative or in addition to the telescopic
camera examination to diagnose GORD, the
gastroenterology specialist may recommend
24-hour PH monitoring. This test will measure
your level of acid reflux in the lower gullet by
inserting a long thin tube through your nose
and down your oesophagus. If the condition is
causing a change to your lower-gullet lining, it
needs to be watched as it could turn cancerous.
Occasionally, a gastroenterologist such as Mr
Ahmed Al-Bahrani (www.mralbahrani.co.uk)
will recommend keyhole surgery to tighten the
oesophagus valve and repair any hiatus hernia.


http://www.coeliac.org.uk http://www.mralbahrani.co.uk

Table of Contents for the Digital Edition of At Home Christian Jessen 2014

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