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Top Health Tips on Living with Celiac Disease

What are Prebiotics and Probiotics?

B.H.Sc (Food Science & Nutrition), M.H.Sc (Food Science & Nutrition)
Dietitian/Nutritionist, Mumbai
What are Prebiotics and Probiotics?
Most of us have probably heard of probiotics and prebiotics in recent days, but do you happen to know what they are exactly and how they can be beneficial to your health? If you have some knowledge about nutrition, you will understand the prominence of prebiotics and probiotics, which aids in health improvement.

Prebiotics are non-digestible food components which are natural and acts as an excellent support for the natural growth of useful bacteria in the human body. They are termed as good bacteria promoters. Consumption of the prebiotic food will enhance calcium level in the body, and they are also responsible for gastrointestinal health improvement. There is no necessity to consume separate pills for prebiotic development; they are available in certain food items like onions, garlic, bananas, soybeans, whole-wheat foods, asparagus, artichokes and much more.

Probiotics are nothing but good bacteria which are naturally available in the body and are responsible for repopulation of intestinal bacteria. Probiotics are also responsible for management of bowel syndrome symptoms. Other than these, probiotics will help in the prevention of allergic symptoms, reduction of lactose intolerance etc. Probiotics are available in non-dairy food products like miso, cultured non-dairy yogurts, kimchi etc.

Advantages of Prebiotics and Probiotics

Prebiotics:

Reduces the symptoms of asthma.
Prevents eczema in children.
Controls the development of colorectal cancer.
Improves immune system
Normalizes the bowel function.
Probiotics:

Improves immune system.
Helps in the digestion process.
Helps in nutrient absorption.
Helps in detoxification.
Improves health.
Other than the above-listed benefits, prebiotics and probiotics offer multiple benefits. Probiotics present in the body will work round the clock balancing both good and bad bacteria within the GI tract and prevents numerous problems like the poor elimination of waste, poor digestion, stress, oral contraceptives, etc. Overall, both prebiotics and probiotics are highly essential for humans to improve their health.

There are many probiotic and prebiotic supplements available in the market, but it is advisable for consumption of probiotics and prebiotics in a natural way by adding probiotic and prebiotic enriched food items to your daily diet.
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Soy Milk - Should You or Should You Not Drink it?

Diploma in dietetics, PG certificate in Diabetes Education, BPTh/BPT, Verified Certificate in Nutrition for health promotion and disease prevention
Dietitian/Nutritionist, Gurgaon
Soy Milk - Should You or Should You Not Drink it?
Do you consume soy milk on a regular basis? Soy milk is full of essential nutrients and is a source of complete protein for vegns and vegetarians. However, some people avoid taking soy milk as several compounds similar to the female hormone estrogen are present in soy milk. In spite of having several cons, the pros of drinking soy milk are significant and essential for maintaining good health.

Nutrients in soy milk: Soy milk contains protein in large amounts and is fortified with micro nutrients such as vitamin D, calcium, phosphorous, vitamin A, vitamin B 12 and Riboflavin. One cup of soy milk contains about 8 grams of protein. Soy milk also contains Alpha Linolenic Acid or ALA, an Omega-3 fatty acid, which the body requires for proper functioning. The micro nutrients contained in soy milk are similar to those present in cow milk.
It is lactose-free: Cow milk contains lactose, which is a natural sugar and many people find it hard to digest it. Soy milk is completely lactose free. Hence, if you have a milk allergy or are lactose intolerant, soy milk serves to be an ideal nutritional replacement without having any negative side effects on your body.
Health benefits
There are several health benefits, which are obtained by drinking soya milk. It is free of dietary cholesterol, trans fat and saturated fat, which indicates that your risk of heart disease is reduced. Drinking 25 grams of soy milk as a part of a healthy diet prevents the occurrence of heart diseases. Soy contains isoflavones which help in the prevention of hormone associated cancers such as breast cancer, prostate cancer and endometrial cancer.

Concerns
In spite of having several health benefits, there are some potential concerns associated with soy milk and its consumption. According to some studies, soy can affect or impact fertility in men. Soy may also increase the activity of thyroid hormone and reduce thyroid function. Moreover, milk is considered to be more effective than soy protein in boosting lean muscle mass.

Soy milk accounts for being one of the most ideal non dairy milk varieties, if you are concerned about matching its nutrient content with cow s milk. Recently, there have been some controversies regarding the benefits of soy milk as GMOs or genetically modified organisms are used in it. However, there are many soy milk manufacturing brands which do not use GMOs. Moreover, there is no evidence about GMOs being harmful to the body.
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Irritable Bowel Syndrome - What Should You Eat?

Diploma in Diet and Nutrition, B.Pharma, MD - Alternate Medicine
Dietitian/Nutritionist, Gurgaon
Irritable Bowel Syndrome - What Should You Eat?
Irritable bowel syndrome (IBS) is a blend of stomach discomfort or pain and issues with bowel routines: either constipation or diarrhea; or having a different kind of stool (slender, hard, or delicate and fluid). A healthy routine diet by and large comprises of eating a wide number of nutritious, low-fat nourishments with some restraint. Be that as it may, you may see an increase in your symptoms after you eat certain kinds of food when you have an irritable bowel syndrome (IBS). Since side effects can fluctuate between patients, there is not just one list of off-limit foods, but with that said, there are a plenty of foods that are good for your health and do not irritate your bowel habits. By staying away from the most basic irritants of IBS, you may see more consistency and also less cramps and bloating. Some of the foods that you can consume during IBS are as follows:

Fiber adds bulk to your digestive system. It is broadly accessible in grains, vegetables and natural products. Eating a lot of insoluble fiber as grains can increase your trips to the bathroom. Concentrate on soluble fiber. This includes vegetables and natural products.
While the insoluble fiber content in whole grains might be an irritant in IBS indications, certain grains cause different issues. Items containing rye, wheat, and grain contain gluten. This is a sort of protein that can harm your digestion tracts and increase symptoms of IBS. While a hypersensitivity to gluten is known as celiac infection, in any case half the patients in IBS are gluten-intolerant. Fortunately, more gluten-free items are available in the market these days. In case you cannot manage without pizza, pasta, cakes, you can simply substitute them with gluten-free products of the same kind.
Consume plenty fruits and vegetables.
Take carbohydrates in required quantity like bread, rice, oats, pasta, potatoes, chapattis and plantain.
If you happen to be lactose intolerant, include substitutes like soya, rice or oat, milk and yogurts that are rich in calcium.
Some meat, fish, eggs and alternatives like beans.
Take a limited amount of foods high in fats and sugars. Decrease intake of saturated fat that is found in butter, ghee, cheddar, meat, cakes and baked goods. Substitute these with unsaturated fats found in vegetable oils, for example, sunflower, rapeseed and olive oil, avocados, nuts and seeds.
Drink a lot of liquid, no less than two liters every day, for example, water or natural teas.
Whenever you go out to eat, make sure you ask for gluten-free food. Sometimes, certain kinds of food might appeal to you but try not to get tempted too often by the menu and harm your health because of it. Stick to a healthy diet.
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Homeopathic Treatment For Gluten Intolerance!

BHMS
Homeopathy Doctor, Faridabad
Homeopathic Treatment For Gluten Intolerance!
Gluten allergy refers to the abnormal reaction of the immunity system that is caused as a result of the protein content in the wheat grain. Wheat is normally composed of the two main protein variants called glutenins and gliadins, combining together to form gluten. This gluten induces particular immunoglobulin E (IgE) mediated responses and leads to various symptoms of wheat allergy. Regardless of what your gluten intolerance reactions are, they can be easily treated with proper homoeopathic treatments and medications.

Gluten intolerance can lead to atopic dermatitis and in most cases, urticarial and asthma. In some rare instances, it leads to exercise induced anaphylaxis. It is important to note here that the gluten intolerance should never be confused with celiac disease, which can be explained as sensitivity to gluten in wheat and various other grains. People who are suffering from celiac disease must try to avoid rye, barley and oats. Wheat comprises of four allergens namely, albumin, gladian, globulin and wheat gluten.

What should you not eat?
If you are suffering from gluten intolerance, then you must stay away from breads, crackers and cookies as well as other baked foods along with certain beverages such as beer, ale and malted milk. It is advised to stay away from ice cream, batter fried items, burgers and other items containing meat loaf and follow a restrictive diet altogether. There are various other sources of gluten, and you must speak with your doctor to find out which food items are restricted for your health condition and what are the possible homoeopathic treatments for alleviating gluten allergy?

How can homoeopathy help in treating gluten intolerance?
Homoeopathy is regarded as a popular system of medicine where the selection of medicines is done by assessing the individual health condition and medical history of the patient. As far as therapeutic medication is taken into consideration, there is a wide array of medications available for treating wheat allergy, and you must consult a doctor before administering any medication. The best part of the homoeopathic treatment is that it doesn t cause any side effects, and you will be able to get rid of your problem of gluten intolerance entirely with homoeopathic medications.

Homeopathy is normally termed to be organic and natural treatment, which has been going on for a very long time and is gaining popularity across the globe today. However, it is very important for you to understand how the treatment works and what are the restrictions imposed for helping in the eradication of the gluten intolerance.
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Diagnosis and Treatment for Lactose Intolerance in Kids

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
Diagnosis and Treatment for Lactose Intolerance in Kids
Lactose intolerance is a condition wherein you are not able to digest lactose, which is a sugar found in milk. Other foods that contain lactose include cheese and ice-cream. Inadequate production of the lactase enzyme in children causes lactose intolerance. This enzyme is produced in the intestine that helps in the digestion of lactose.


Lactose intolerance is often confused with milk intolerance. The symptoms are similar but they do not share the same cause. Milk allergy is an adverse reaction towards milk and it is a problem of the immune system, whereas lactose intolerance involves the digestive system.


Symptoms-
The symptoms of lactose intolerance are:
Bloating; on consumption of milk over a period of time
Diarrhea is also very common
Stomach pain
Nausea


Diagnosis-
It is self -diagnosable; just strike out foods containing lactose from your child s diet and see if the symptoms get better with time. If the symptoms happen to fade away gradually, then it certainly must ve been lactose intolerance.
However, it can be tricky as many non-dairy products also contain lactose.
If the child is lactose intolerant, then he/she might have to undergo a lactose breath test. This is used to test the levels of hydrogen in the child s breath after the child consumes a lactose solution. Usually, hydrogen levels are low in one s breath. However, if the lactose solution is not digested properly, then it will lead to a temporary increase in the levels of hydrogen in the breath, thus indicating lactose intolerance.


Treatment-
This disorder does not have a cure; so in case your child has lactose intolerance, you need to adjust his/her diet accordingly. Over-the-counter lactase is also available that helps in digesting lactose based foods. You can also go for the lactose- free milk variety for your child.
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Lactose Intolerance In Children - Causes And Treatment

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Lactose Intolerance In Children - Causes And Treatment
The sugar found in milk and other dairy products such as yoghurt and cheese is called lactose. An enzyme in the small intestine called lactase breaks lactose into galactose and glucose. When the lactose is not digested properly by the small intestine, it passes unbroken into the colon. The bacteria in the colon break the lactose down into hydrogen and carbon dioxide. People who fail to digest lactose in their small intestines are diagnosed with lactose intolerance.

Usually lactose intolerance only affects adults, but sometimes children do suffer from it. For children, their symptoms can be mild or very severe (for example, cramps, diarrhoea in children, etc.)
Normally, parents can confuse milk allergy with lactose intolerance. They do share the same symptoms, but they are completely different medical conditions. Milk allergy is caused by the immune system while lactose intolerance is a problem with the digestive system.

The causes of lactose intolerance include:
1. Absence or deficiency of the lactase enzyme
2. Infections in the gastrointestinal tract that damage the lining inside the small intestine
3. Gluten intolerance (It affects lactase production)
4. Genetics (Lactose intolerance can run in the family)

When the lactose is broken down in the colon, certain gases are produced. These gases can cause symptoms such as:
1. Abdominal inflammation and pain
2. Excessive burping
3. Loud sounds in the bowel
4. Excessive diarrhoea and gas
5. Explosive and watery bowel movements
6. A feeling of urgency when it comes to bowel movements (In children, they might feel like they need to get to the bathroom as soon as possible or they might embarrass themselves)

How best to treat it?
Living with lactose intolerance usually involves dietary modifications and taking supplements such as over-the-counter lactase to aid in digestion. For instance, you can replace milk with soy milk, or take lactase before ingesting any dairy product. Or alternatively, you can consume lactose-reduced or lactose-free milk and dairy products.
Calcium deficiency is a serious side effect of lactose intolerance. So incorporate calcium-rich foods such as broccoli, kale, tofu, almond, dried fruits, soybeans, turnip greens, collard greens and fortified orange juice in your diet.
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Celiac Disease in Children - Tips to Deal With it!

M. Ch (Pediatric Surgery), MNAMS (Membership of The National Academy) (General Surgery), DNB (General Surgery), MBBS, Sardar Vallabhbahi Rashtra Ratna Award 2017 Winner
Pediatrician, Pune
Celiac Disease in Children - Tips to Deal With it!
Celiac disease is an autoimmune disease caused due to intolerance to the protein called gluten found in common foods like wheat, barley, and rye. The exact reason for the disease is not known, but gluten attacks the small finger-like projections in the intestine called the villi, which help absorb nutrients during the digestion, leading to malnourishment.

Onset of the disease is usually once the child has started on solid foods and can include diarrhea, abdominal discomfort, underweight, skin rashes, anemia, mouth sores, etc. Diagnosis usually happens with a detailed discussion and checking the level of antibodies against gluten in the blood. In rare cases, an intestinal biopsy may also be required. Once confirmed, the following are ways to manage celiac disease.

Dietary changes: Avoiding gluten-containing foods is the first step to treating celiac disease. These are common food substances like wheat and barley. In some cases, the entire family may choose to or need to take this diet, just to provide moral support to the child.

Breads, cakes (made from wheat)
Creamed or breaded vegetables
Processed meats
Dry roasted nuts (as agents used in processing could have wheat)
Fried chicken
Pastas
French fries (that are coated in flour)
Spreads, soft cheeses, and dips
Salad dressings
Gravies and sauces (including some tomato and meat sauces)
Soup mixes and canned soups
Crab or other seafood
Malt or malt-flavored drinks (usually made from barley)
Modified food starch (modified corn starch is OK; modified wheat starch is not)
Nondairy creamer
Soy sauce and soy sauce solids (may be fermented with wheat)
Wheat-free products (may contain barley or rye flour)
Yogurts containing wheat starch
Read the labels of foods to ensure they are free of gluten. Organic/natural food stores and health food stores contain wide range of gluten-free products that can be used with minimal effect on the child's food habits.

Eating out: Just because the child has celiac disease, eating out is not ruled out. Carefully choosing what to eat is suggested. Also, letting the chef know is a good idea, as most chefs will prepare something safer for the child.

Cross-contamination: Avoid cross-contamination: In schools or in cases where the child could potentially eat from other children's boxes, make sure the child is well informed and ensure he does not eat from other kids' lunch boxes. It is also a good idea to keep the class teacher and a couple of his close friends informed of the child's condition.

Most children are easy to educate and adapt well to the changes required, knowing very well that it is for their own good.
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Lactose Intolerance - How to Deal With It?

MBBS, Diploma In Child Health
Pediatrician, Hyderabad
Lactose Intolerance -  How to Deal With It?
People suffering from lactose intolerance find it difficult to digest the lactose or sugar in milk, which results in gas, bloating or even diarrhea. An inadequacy of an enzyme called lactase, produced in the small intestine, is the root of lactose intolerance, a condition also known as lactose malabsorption.

How to deal with lactose intolerance in your child?

Cutting out on dairy products does not mean you would be deprived of sufficient amount of calcium. Find alternate sources of calcium in your food apart from dairy products, for instance, spinach, rhubarb, pinto beans oranges, milk substitutes such as rice milk or soy milk, canned salmon, juices, breads and broccoli. Do give your child foods rich in vitamin D such as liver, eggs and yogurt. Asking your child to spend some time out in the sun can be a great idea in this regard, as well. Your physician will prescribe you with calcium and vitamin D supplements.
Limit your child s intake of dairy products. Opt for small servings of milk so as to reduce the chances of gastrointestinal troubles. Your child should consume milk with other foods to delay the digestive process. Try out a variety of dairy products as not all of them possess the same amount of lactose. Buy lactose free products or use lactase enzyme drops or tablets that may aid your child in digesting different dairy products.
Probiotics are living organisms that exist in your intestine and help you in maintaining a healthy digestive system. Yoghurt and other supplement capsules are rich in probiotics. Hence, they can be perfect choices for your child.
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Celiac Disease

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Play video
Few Signs You Might Be Suffering From Celiac Disease!
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Celiac Disease - How To Track It?

DNB (Surgical gastroenterology, MS( General Surgery), MBBS, Fellowship in Minimal Access Surgery, Diploma in Minimal Access Surgery, Fellow of International College of Robotic Surgeons
Surgical Gastroenterologist, Delhi
Celiac Disease - How To Track It?
Also called gluten-sensitive enteropathy and celiac sprue, celiac disease is an autoimmune digestive disorder, wherein the consumption of gluten-based foods leads to damage of the tissues that line the small intestine. This hinders the ability of your body to absorb the essential nutrients from the foods you eat.

Causes
Under normal conditions, the immune system of the body offers protection against external intruders. When individuals diagnosed with celiac disease consume gluten-based foods, gluten resistant antibodies are formed by the immune system. This causes them to attack the linings around the intestines, thus causing irritation in the digestive tract and harming the villi (hair-like structures on the covering of the small intestine which absorb nutrients from the food). This impairs the nutrient absorbing capacity of the individual, thus increasing chances of malnourishment.

Symptoms
Celiac disease has symptoms that vary from patient to patient. Some of the common symptoms include:

A severe skin rash called dermatitis herpetiformis.
Digestive problems such as:
Pain
Gas
Abdominal Bloating
Diarrhoea
Weight loss
Pale stools
Musculoskeletal problems such as bone and joint pain as well as muscle cramps
Seizures
Aphthous ulcers which are basically sores occurring in the mouth
Tingling sensation in the legs which are caused by low calcium and nerve damage
Growth issues in children since they cannot absorb the required amount of nutrients
Irregular menstrual cycles

Other complications associated with celiac disease

Miscarriage or Infertility
Osteoporosis. This is a disease which weakens the bones and causes fractures. It is caused because of a deficiency of Vitamin D and calcium.
Intestinal Cancer
Other birth defects: Such as irregular spinal shape because of the deficiency of certain nutrients, especially folic acid.
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