What Should Be Done After a Celiac Diagnosis?
There are many methods used for the diagnosis and diagnosis of celiac disease. Small intestine biopsy method is accepted as the gold diagnostic method for the diagnosis of celiac disease. The biopsy report showing the results of the biopsy is examined by a specialist gastroenterologist and the individual is evaluated for celiac disease. The individual is diagnosed according to the evaluation results. What should individuals newly diagnosed with celiac disease by their physician do after diagnosis?
In the first year after diagnosis, follow-up should be done frequently in order to increase compliance with the diet, provide psychological support, adapt to the patient’s new life and not lose motivation.
Immediately After Diagnosis
Currently the only known cure for a gluten-free diet is a lifelong gluten-free diet. For this reason, newly diagnosed individuals should be directed to a specialist dietician by their physician. The doctor and dietician follow the patient together in this process. Dietary counseling is initiated by evaluating the patient’s body mass index, physical examination, routine blood tests and living conditions by the dietician. Biological findings such as complete blood count, iron status, folate, vitamin B12, thyroid function tests, liver enzymes, calcium, phosphate, vitamin D are evaluated by the dietician. In order to complete the deficiencies, a suitable diet is created for the patient and if needed, it is decided to use nutritional supplements with the physician. Due to the genetic predisposition of celiac disease, it is recommended that family members of newly diagnosed individuals be screened for celiac disease. It is recommended that the patient becomes a member of national celiac societies, celiac societies, or other celiac disease-related communities after diagnosis.
After the diagnosis, individuals can apply to the Social Security Institution with their reports and apply for celiac aid allowance paid by the state every month.
3-4 Months After Diagnosis
Physical examination, symptom status and compliance with diet are evaluated by the patient physician and dietician. Compliance with the diet during the first 3-4 months is very important for the patient to improve his symptoms rapidly. In this process, the patient should start to learn about gluten-free products gradually. The individual should inform their family and environment about their illness. For individuals living with their family, it is recommended that the family of the individual also receive nutritional counseling if necessary.
6 Months After Diagnosis
The individual should go to the doctor and dietician again in this process. Dietary compliance and symptom conditions should be explained in detail. If an abnormal situation is detected by the physician or dietician, routine blood tests may be requested again.In this process, the individual should pay attention to the issue of cross contamination in preparing food at home or eating out. Foods where cross contamination may occur or how cross contamination can occur during meal preparation should be taught to the patient in detail during diet training. The patient should not eat foods that he thinks to be risky, or learn in detail the gluten-free product list prepared by celiac associations. For this reason, label reading information is very important and label information should be read when purchasing each product.Restaurants or cafes that have a gluten-free product option for eating out or that guarantee no cross contamination should be preferred.
12 Months After Diagnosis
Routine blood tests are re-examined in detail to understand the patient’s physical condition, dietary compliance and the degree of recovery at the end of one year. In this process, the patient is expected to adapt to the new lifestyle to a great extent. After the first year, the patient is asked to come for a control every 1-2 years for routine blood tests and antibody tests. This interval can be narrowed so that growth and development in children can be examined in more detail. Dietician Can KOCAKURT
Al-Toma, A., Volta, U., Auricchio, R., Castillejo, G., Sanders, D. S., Cellier, C., . . . Lundin, K. E. (2019). European Society for the Study of Coeliac Disease (ESsCD) guideline for coeliac disease and other gluten-related disorders. United European Gastroenterology Journal, 583–613.
Rubio-Tapia, A., Hill, I. D., Kelly, C. P., Calderwood, A. H., & Murray, J. A. (2013). AMERICAN COLLEGE OF GASTROENTEROLOGY CLINICAL GUIDELINE: DIAGNOSIS AND MANAGEMENT OF CELIAC DISEASE. The American journal of gastroenterology, 656-677.