Celiac disease is a condition where the body cannot handle gluten, a protein found in wheat, barley, and rye. The common cause is a problem with the immune system, but there are some rare causes or triggers that can also lead to celiac disease. Here they are :
Rare Causes Of Celiac Disease
- Major Stress or Illness
- A big health problem (like a serious infection, surgery, or childbirth) can sometimes trigger celiac disease in people who already have the genes for it.
- This does not happen often but is possible.
- Certain Medications
- Some rare cases started after using medicines which used to treat hepatitis or other immune system drugs.
- This may change how the immune system works and cause celiac disease.
- Organ Transplant or Cancer Treatment
- After a transplant or cancer treatment, the immune system becomes weak or confused.
- In rare cases, this can lead to celiac-like problems, even in people who never had gluten issues before.
- Infections
- Some viruses, like adenovirus or rotavirus, have been linked to celiac disease in a few cases.
- Scientists are still not sure if these infections directly cause the disease or just trigger it in people who are already at risk.
- Other Autoimmune Diseases
- Rarely, a person with another autoimmune disease (like type 1 diabetes or thyroid disease) may later develop celiac disease.
- This is because the immune system is already more active or confused.
Important Note:
These causes are rare. Most people get celiac disease because of a mix of:
- Genetics (family history)
- Eating gluten
- Immune system reaction
Risk Factors Of Celiac Disease
Here are the main risk factors for Celiac disease — the things that increase your chances of developing it :
- Family History
- If a parent, child, or sibling has celiac disease, your risk is much higher.
- It is a genetic condition, so it often runs in families.
- Certain Genes (HLA-DQ2 or HLA-DQ8)
- Most people with celiac disease have special genes called HLA-DQ2 or HLA-DQ8.
- Having these genes does not guarantee you’ll get celiac disease, but it makes it more likely.
- Other Autoimmune Diseases
People with these conditions have a higher risk:
- Type 1 diabetes
- Thyroid disease
- Autoimmune liver disease
- Rheumatoid arthritis
- Down Syndrome or Turner Syndrome
- People with Down syndrome or Turner syndrome are more likely to develop celiac disease.
- Early Gluten Introduction (in the past)
- In the past, giving babies gluten too early or too late was thought to increase the risk.
- Now, experts say timing is less important, but genetics and immune response still matter.
- Gut Infections or Surgery
- Serious gut infections or intestinal surgery may trigger celiac in people who already have the genes.
- Low Immune System Health
- People with weakened immune systems, such as after an organ transplant or cancer treatment, may have a higher risk.
Celiac Disease Management Guidelines
- Strict Gluten-Free Diet (for life)
The most important treatment is a 100% gluten-free diet.
This means no wheat, barley, or rye.
Avoid:
- Bread, pasta, cookies, cakes made with wheat
- Beer (unless gluten-free)
- Soy sauce (unless gluten-free)
- Foods with ingredients like malt, semolina, durum, farina
Safe to eat:
- Rice, corn, potatoes
- Fruits and vegetables
- Meat, chicken, fish (not breaded)
- Eggs, milk, cheese (check labels)
- Gluten-free bread and pasta (marked clearly)
- Naturally gluten-free grains: quinoa, buckwheat, millet
- Read Food Labels Carefully
- Look for labels that say “gluten-free.”
- Check for hidden gluten in sauces, soups, and snacks.
- Watch out for cross-contamination (gluten touching gluten-free food).
- Avoid Cross-Contamination
- Use a separate toaster, cutting board, and cooking tools.
- Clean surfaces before preparing gluten-free food.
- Don’t share butter, jam, or other spreads with people who eat gluten (use separate spoons).
- Take Supplements if Needed
Celiac disease can cause problems absorbing:
- Iron
- Calcium
- Vitamin D
- Vitamin B12
Your doctor may suggest blood tests and vitamin supplements.
- Regular Check-ups
- Visit your doctor regularly.
- Get blood tests to check for healing and nutrition levels.
- In some cases, a repeat endoscopy is needed.
- Join a Support Group
- Talking to others with Celiac disease can help.
- You can learn recipes, tips, and how to handle eating out.
- Watch for Symptoms
If you eat gluten by mistake, you may get:
- Stomach pain, diarrhea, or bloating
- Tiredness or skin rash
- Notice Mood changes or brain fog