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The inflammatory process is characterized by: an imbalance of the antioxidant-oxidant mechanism increased production of radical oxygen species (ROS) and cytokines which sustain the autoimmune process and perpetuate the disease

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Signs and Symptoms Chronic diarrhea Abdominal pain and bloating Weight loss Fatigue Iron-deficiency anemia Growth failure in children Skin rash called Dermatitis Herpetiformis Complications Malnutrition Osteoporosis Infertility Increased risk of intestinal lymphoma Diagnosis Blood tests (antibodies such as anti-tTG) Small intestine biopsy Genetic testing in some cases Treatment Strict lifelong gluten-free diet Nutritional supplements (iron, calcium, vitamins) Regular medical follow-up Foods to avoid: Wheat Barley Rye Foods generally safe: Rice Maize (corn) Potatoes Fruits and vegetables NonCeliac Gluten Sensitivity (Gluten Sensitivity) Gluten sensitivity is a condition where people develop symptoms after eating gluten without having celiac disease or wheat allergy