Constipation as a Symptom of Celiac Disease
Celiac disease is a chronic digestive and immune disorder that damages the small intestine. It is triggered by eating foods containing gluten, which is a protein found in wheat, barley, rye, and other grains. The damage to the small intestine can lead to long-lasting digestive problems and prevent the body from absorbing all the necessary nutrients from food. This can result in malnutrition and other serious health issues. Celiac disease is different from gluten sensitivity and wheat allergies, as it specifically damages the small intestine. The exact cause of celiac disease is not known, but it occurs in individuals with certain genes who consume gluten-containing foods.
While celiac is most known to cause diarrhea, ongoing damage to the intestinal lining and a low fiber gluten free diet can cause constipation. Recognizing constipation as a symptom of celiac disease can be important for early diagnosis and treatment. Some signs of constipation may include feeling the need to have a bowel movement but being unable to, passing hard stool that looks like dry pebbles, experiencing pain when trying to pass stool, or having smaller bowel movements. It's important to note that constipation can occur whenever there is a decrease in the number of bowel movements someone has, not just when it meets the medical definition of fewer than three bowel movements per week.
When constipation occurs as a symptom of celiac disease, there are actions and treatments that can help. Lifestyle changes such as drinking plenty of water and other liquids, eating more fiber-rich foods, and getting regular exercise may help relieve constipation. Additionally, there are medications available for constipation, including fiber supplements like Citrucel, FiberCon, or Metamucil; stool softeners like docusate; and prescription medications like lubiprostone, which increases fluid in the digestive tract.
If constipation persists or worsens as a symptom of celiac disease, it's important to contact a doctor or seek medical help. This is especially crucial because untreated celiac disease can lead to complications such as malnutrition and malabsorption. Seeking medical advice promptly allows for a proper diagnosis and the start of appropriate treatment. If eliminating gluten from the diet does not alleviate symptoms, a doctor may refer someone to a registered dietitian for expert guidance or conduct tests for other conditions that may be causing the symptoms.
Remember, it's always best to consult with a healthcare professional for personalized advice and guidance regarding any health concerns or symptoms related to celiac disease or constipation.