Name: Celiac Disease
Uploaded: Sat, 05 Aug 2017 12:41:47 GMT
Description: Few Signs You Might Be Suffering From Celiac Disease!

Dr. Sushma Narayan is a Pediatrician in Malviya Nagar, Delhi. Book Appointment, Consult Online, View Doctor Fees, Contact Number, User Reviews and Ratings for Dr. Sushma Narayan | Lybrate

Usually burns improve rapidly in children with very little scarring. Just relax and wait and watch. Silvered application is good enough.

My 21 months old son was injured due to scalding by milk and the wound is on his scalp just above left side of forehead. I am applying silverex ionic and now the wound is completely drybfrom outside and it looks like scab will fell off in 2-3 days. There is also wound on cheeks which is brown in colour and had blister but it got burst on its own. The skin is now brown in colour and there is no water coming. Its been 5 days since he got injured. Local doctor said that its not a deep burn though blister was formed. Can you please suggest what is the level of injury and will hypertrophy scar form? My child is doing well and there is no sign of pain.

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Delhi

India

NCT of Delhi

Malviya Nagar, Delhi

Few Signs You Might Be Suffering From Celiac Disease!

Hi. I am Dr. Sushma Narayan. I am a <a href='https://www.lybrate.com/pediatric-gastroenterologist' target='_blank'>Pediatric Gastroenterologist</a> working in New Delhi. I have a dedicated clinic for <a href='https://www.lybrate.com/topic/celiac-disease' target='_blank'>celiac disease</a>. Friends today I will be talking to you about celiac disease. Many of you may not have heard of celiac disease very much or you may know who is suffering from celiac disease. Now what is celiac disease? Celiac disease is a sort of <a href='https://www.lybrate.com/topic/wheat-benefits' target='_blank'>wheat</a> <a href='https://www.lybrate.com/topic/allergy' target='_blank'>allergy</a> or intolerance to wheat. More and more people are now coming to understand this disease to know that yes celiac disease exists and this is due to ingestion of wheat. Now there is a substance called gluten in wheat and <a href='https://www.lybrate.com/lab-test/allergen-barley' target='_blank'>barley</a> and also a European grain called <a href='https://www.lybrate.com/topic/rye-benefits-and-side-effects' target='_blank'>rye</a>. Now when a person injects wheat which has gluten in it there is, the person starts suffering from some sort of discomfort may be stomach ache, or you know the need to go to the toilet, or some sort of <a href='https://www.lybrate.com/topic/nausea' target='_blank'>nausea</a> or <a href='https://www.lybrate.com/topic/vomiting' target='_blank'>vomiting</a>. Now these are, these may be the initial symptoms. However in children the most predominant symptoms are diarrhea, chronic diarrhea, then severe <a href='https://www.lybrate.com/topic/anemia' target='_blank'>anemia</a> which is not responding to <a href='https://www.lybrate.com/topic/iron-benefits-sources-and-side-effects' target='_blank'>iron</a> therapy. Severe iron deficiency and growth failure. These are the 3 hallmarks of celiac disease in children. We often pick up this disease around 4 to 5 years. Thereby showing that, yes the delay in diagnosis does occur in the disease. It;s not very easy to diagnose as a list of suspicion has to be very high when you are thinking of celiac disease, also there is a presentation which is called as Atypical presentation. Now in Atypical presentation need not have any of these symptoms but may just come to you with some thyroid issues., maybe some skin allergies or the patient may come to you simply with a <a href='https://www.lybrate.com/topic/diabetes' target='_blank'>diabetes</a> <a href='https://www.lybrate.com/doctors-for-mellitus' target='_blank'>mellitus</a>. Insulin-dependent diabetes mellitus. So we have to really start thinking that is it really possible for a person to have wheat intolerance or all these symptoms. Yes it is true. But how does it come? How does this disease comes. Due to a genetic predisposition when the <a href='https://www.lybrate.com/lab-test/hla-b-27/health-feed' target='_blank'>HLA</a> dilute to or HLA due to 8 genes are present. We too are testing for this genes and if the patient is negative for these genes, it is said that they cannot celiac disease. In addition we have to very sensitive, psychology test, which one is called the anti <a href='https://www.lybrate.com/lab-test/ttg-iga' target='_blank'>TTG IGA</a> and the second test is the anti Endomysial antibody tests. The TTG test is very easily available and comparatively cheaper test and it has a very high sensitivity and specificity. Once the TTG is positive then we also check out the family history. Is there any family history of wheat allergy or tolerance in the family and then request the patient to undergo an upper GI <a href='https://www.lybrate.com/lab-test/endoscopy/health-feed' target='_blank'>endoscopy</a> along with a <a href='https://www.lybrate.com/topic/skin-biopsy' target='_blank'>biopsy</a>. Biopsy specimens are taken and these are examined and if the demonstrate that the will I have got damaged and there is a flat mucosa or there is a partial vilosetrophy then the diagnosis of the celiac disease is confirmed. Once the diagnosis of celiac disease is confirmed then we have to stop wheat. But prior to that a complete assessment of the patient has to be done with regard to the thyroid status, the liver enzymes have to be checked out and also the patient has to be thoroughly checked for other vitamins deficiencies like <a href='https://www.lybrate.com/topic/vitamin-d-benefits-sources-and-side-effects' target='_blank'>Vitamin D</a>, <a href='https://www.lybrate.com/topic/vitamin-b-benefits-sources-and-side-effects' target='_blank'>Vitamin B</a> complex and iron. And accordingly the supplementation has to be started. Now can these patients can take a little bit of wheat? No, unfortunately its not, because once the wheat allergy diagnosis that is a celiac disease that is established they cannot take even minuscule amount of wheat. The codex the national cortex elementary says that these patients cannot take more than 20 parts per million. However lot of food, glutton free food is available in the market which is not tested, which is not labeled properly, but these patients are compelled to use these foods. And these are highly containiated to treat which means that this patient never get into full recovery. So the issues here are that once we have found the patient is suffering from celiac disease we have to now help the patient to regain his full potential by stopping wheat completely and doing a regular follow up with the doctors to see if the patient compliance is good, if the glutton tree <a href='https://www.lybrate.com/topic/healthy-diet' target='_blank'>diet</a> is completely, complete in all ways. Like its neutraionaly complete. So that the patient recovers completyly. And we, lot of <a href='https://www.lybrate.com/gastroenterologist' target='_blank'>Gastroenterologist</a> are offering advice on celiac disease. We are working in Delhi. And if any of you need any consultation regarding this disease, please contact me through <a href='https://www.lybrate.com/lab-test/free-doctor-consultation-on-lybrate/health-feed' target='_blank'>Lybrate</a> or on my address which is <a href='https://www.lybrate.com/lab-test/celiac-disease-profile' target='_blank'>celiac</a> clinic, B13. Shiwalick malvic nagar. New Delhi.


Thank you.

Celiac Disease

With almost 35 years of experience in her field, Dr Sushma Narayan is one of the best Pediatricians in Delhi. She acquired a Bachelor of Medicine and Bachelor of Surgery in 1977 at the Gandhi Medical College in Hyderabad. In 1982, after obtaining a Diploma in Child Health from the Vardhman Mahavir Medical College in Delhi, she went on to become a fellow of Pediatric Gastroenterology (AIIMS) in 2002. She was a consultant in Kasturba Hospital in departmentnof Pediatrics prior to retirement.
Currently, Dr. Narayan practices as a consultant paediatrician at the Babies and Children's Centre & Celiac Clinic B13 Shivalik, Malviya Nagar, which is located in Delhi. Patients can avail of her services Monday to Saturday, from 9:30 am until 2 pm at the clinic. She is also available in the evening by appointment. She looks after new borns, malnourished and normal children and young adults upto 18 years of age., giving honest guidance for referral if needed in a sick baby.  All facilities such immunisations, blood tests and nebuliser are available at the clinic. 

Additionally she is an expert in management of new born feeding, infections, pneumonias, growth failure and all stomach related issues such as pain abdomen, acute and chronic diarrhoea, weight loss, poor appetite, thyroid disorders etc. She provides excellent, personalised dietary advise to each child according to the family circumstances. Her super-specialiisatiion is wheat and other food allergies and Celiac disease. 
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Dr. Narayan is a member of various prestigious associations like the Indian Academy of Pediatrics, the Celiac Support Organisation (Secy General) and she is also a life Member of the ISPGHAN. (Indian society for Pediatric Gastroenterology, Hepatology and Nutrition).

Sushma Narayan

Babies and Children's Centre & Celiac Clinic

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.

Pediatrics

Indian Academy of Pediatrics

Indian academy of Pediatrics, Delhi chapter

founder member "Celiac Support Organisation"

Life Member - ISPGHAN

Pediatric Gastroenterologist

Dr. Sushma Narayan - Book Appointment, Consult Online, View Fees, Contact Number, Feedbacks | Pediatrician in Delhi

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Dr. Sushma Narayan

Babies and Children's Centre & Celiac Clinic

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