Expert Treatment for Celiac Disease by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He reviews your symptoms-diarrhea, bloating, fatigue-along with dietary habits, family history of celiac disease, and other risk factors.
Blood Tests
We check celiac-specific antibodies (tTG-IgA, total IgA) and rule out other causes of malabsorption or anemia.
Endoscopic Evaluation
- Upper endoscopy visualizes the lining of the small intestine for signs of damage.
- Multiple biopsies of the duodenal mucosa confirm villous atrophy and inflammation.
Additional Testing (if needed)
Genetic testing for HLA-DQ2/DQ8 or stool markers of inflammation can help clarify the diagnosis in ambiguous cases.
Frequently Asked Questions
What is celiac disease?
Celiac disease is an autoimmune disorder where eating gluten-a protein in wheat, barley, and rye-triggers immune damage to the small intestine lining.
How is celiac disease diagnosed?
Diagnosis involves blood tests for specific antibodies (tTG-IgA) and confirmation by small intestine biopsy via endoscopy.
What are common symptoms of celiac disease?
Symptoms include chronic diarrhea, bloating, abdominal pain, weight loss, fatigue, and in children, growth delays.
Can celiac disease cause non-digestive symptoms?
Yes. It may lead to anemia, osteoporosis, migraines, skin rashes (dermatitis herpetiformis), and neurological issues like neuropathy.
What is the treatment for celiac disease?
The only effective treatment is a strict, lifelong gluten-free diet, which allows the intestinal lining to heal and prevents further damage.
How long does it take to feel better on a gluten-free diet?
Many patients notice improvement within weeks. Full intestinal healing can take months to a year, depending on age and extent of damage.
Is there a genetic component to celiac disease?
Yes. Celiac disease is linked to HLA-DQ2 and HLA-DQ8 genes. Having these genes increases risk but does not guarantee development of the disease.
Can children outgrow celiac disease?
No. Once diagnosed, celiac disease requires lifelong gluten avoidance. Symptoms may improve, but the autoimmune response persists.
How strict must the gluten-free diet be?
Very strict. Even small traces of gluten (cross-contamination) can trigger damage. Reading labels and avoiding shared cooking surfaces is essential.
Where can I find support for managing celiac disease?
Support is available through dietitians, celiac support groups (local or online), and resources like the Celiac Disease Foundation.