The history of Celiac sprue disease started with the description of Arataeus the Cappadocian, 250 A.D. He referred to his patients as "koiliakos," aka "suffering in the bowels." Francis Adams translated these observations from Greek to Englishin 1856, calling the patients "celiacs."
In 1888, Dr. Samuel Gee first presented a set of clinical accounts of both children and adults with Celiac Disease. September 13th is designated National Celiac Disease Awareness Day in honor of Gee’s birthday.
Dr. Willem Karel Dicke, a Dutch pediatrician, recognized in 1952 that the disease is caused by the ingestion of wheat proteins.
Heubner described celiac disease in Germany. At the beginning of the 20th century the disease was called Gee-Heubner-Herter's
Celiac disease is also called Gee-Herter disease; Gee-Thaysen disease; gluten enteropathy; gluten intolerance; Gluten-sensitive enteropathy; Huebner-Herter disease; idiopathic steatorrhea; nontropical sprue.
Skin rash does not imply a specific disease or condition and can be due to many different causes. One of them is food allergy.
The most common triggers of a skin reaction are milk, eggs, peanut, wheat, gluten, soy, fish, shellfish, nuts and sesame seeds. I mentioned it in my blog When Food is the Enemy.
These pictures are from articles on Food Allergy (left) and Celiac Disease (right). As you see, it's hard to tell what the reason is without knowing the complete history and diet habits. Dermatitis herpetiformis is an intensely itchy, blistering skin rash that affects 15% to 25% of people with celiac disease If you suspect celiac, replace your wheat, barley and rye cereal with grits, rice, buckwheat or other gluten-free cereal. Check if your toothpaste, mouthwash and other personal care products have gluten and replace them too.
IBS is a disorder of heterogeneous pathophysiology for which there are no good diagnostic tests nor effective treatments (online study on unmet needs conducted by IFFGD and UNC). Existing tests are performed to exclude diseases such as IBD, colorectal cancer, diseases associated with malabsorption, systemic hormonal disturbances, and enteric infections. Routine serologic screening for celiac sprue in patients with IBS-D or IBS-M may be useful. Lactose intolerance can cause IBS-D, intolerances to other food groups such as
The guidelines, issued by the American College of Gastroenterology were published in the January2009 issue of The American Journal of Gastroenterology.
Most IBS treatments relieve symptoms rather than resolve the condition itself.
The new guidelines encompass existing evidence on conventional treatments for IBS as well as new therapies (probiotics, for example) and alternative therapies (acupuncture and more).
Fiber products -- including psyllium, anti-spasmodic medications and peppermint oil -- may be effective in some people. "The evidence is poor, but some patients say they feel better,"
More data is needed on probiotics, live microorganisms (usually bacteria) similar to the "good" organisms found normally in the gut. The dichotomous data suggest that all probiotic therapies have a trend for being efficacious in IBS, whereas the continuous data indicate that Lactobacilli have no impact on symptoms; probiotic combinations improve symptoms; and there is a trend for Bi fidobacteria to improve IBS symptoms.Researchers and practitioners still need to figure out the species of bacteria used, how many species, and dosages.
Non-absorbable antibiotics -- those targeted to the gut only, such as rifaximin (Xifaxan) -- also seem to help some people, especially those who have "diarrhea-predominant IBS."
Selective C-2 chloride channel activators, notably lubiprostone (Amitiza), are effective for "constipation-predominant IBS." 5HT 3 antagonists such as alosetron (Lotronex) relieve symptoms of diarrhea but can cause constipation and colon ischemia, a restriction of blood flow. 5HT 4 agonists, though effective against constipation, are not available in North America because of a heightened risk of cardiovascular problems.
There is yet to be conclusive evidence on Chinese herbal mixtures, and the mixtures run the risk of causing liver failure and other problems. Differences in the content of compounds and the purity of ingredients complicate evaluation of benefits.
Similarly, the evidence on acupuncture remains inconclusive.
There is no evidence at this point that testing for food allergies or following diets that exclude certain foods alleviates IBS symptoms.
Routine diagnostic testing for IBS is not recommended, although some testing should be performed in certain subgroups of patients.
To ease IBS with diarrhea, avoid fried foods, too much fiber, especially insoluble such as apple skins, chocolate, alcohol, caffeine, carbonated drinks, the artificial sweetener sorbitol (found in sugarless gum and mints), and fructose (the simple sugar found in honey and many fruits). These can worsen diarrhea symptoms. Drink six to eight glasses of plain water a day - not with meals, but an hour before or an hour after meals. Avoid drinking hot teas.
The Irritable Bowel Syndrome Self Help and Support Group is an award-winning patient advocate group in support of self-management for IBS sufferers. Learn how sufferers are living day-to-day with IBS. Read success stories about strategies that sufferers use to cope with IBS. At the Irritable Bowel Syndrome Self Help and Support Group: You are not alone
Body Odor Support Group: An online support group for people with all types of body odor disorders, including TMAU, IBS and other medically not recognized or characterized conditions.
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