Is gluten-free flour-free?

Q: I have gone no flour, no sugar in my life and was told that gluten-free products are no flour. Is that true? Do you recommend it for this lifestyle?

A: Gluten-free (GF) does not mean flour-free. Gluten is a type of protein found in several types of grain, including wheat, barley, spelt, triticale, kamut and rye. Oats are gluten-free but must be harvested separate from gluten-containing grains to avoid cross-contamination. Individuals who are gluten-sensitive or gluten-intolerant (celiac disease), cannot properly digest and consume gluten. Symptoms can include gastrointestinal upset or distress, diarrhea, headaches, bloating, gas, itchy skin, fatigue, constipation, depression, irritability, malnutrition, and more. The gluten actually causes damage to the intestinal linings which, in turn, causes malabsorption of nutrients but this damage can be reversed by avoiding all sources of gluten.
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Celiac disease may cause abdominal pain

DEAR DR. GOTT: This is in regard to your article about the 15-year-old with chronic abdominal pain. Why didn’t you think of celiac disease? My granddaughter was diagnosed at age 6 after developing severe abdominal pain. She managed her celiac and is doing very well on a gluten-free diet.

DEAR READER: Your letter is just one of many I have received about this young girl’s problem.

Celiac disease (also known as celiac sprue, nontropical sprue and gluten-sensitive enteropathy) is a digestive disorder. These people cannot tolerate the protein gluten, which is found in wheat, rye and barley. These grains are present in many foods, even some nonfood items, such as vitamins and medications.
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