Gluten Intolerance Symptoms and Testing Information
Know all about gluten intolerance, what it is, common symptoms, causes, diagnosis and treatment options. Learn about the diet and lifestyle tips for gluten intolerance symptoms.
Introduction
Gluten intolerance, also known as non-celiac gluten sensitivity (NCGS), is a condition where the body reacts negatively to gluten—a protein found in wheat, barley, and rye. Unlike celiac disease (an autoimmune disorder), gluten intolerance does not damage the intestines but can still cause discomfort and health issues.
If you suspect you may have gluten intolerance, recognising the symptoms and getting the right tests can help you manage your condition effectively. Let’s explore the signs, causes, and ways to diagnose gluten intolerance.
Consult a Gastroenterologist for Personalised Advice
Common Symptoms of Gluten Intolerance
Gluten intolerance can affect digestion, energy levels, and overall well-being. Some common symptoms include:
Digestive Issues
• Bloating
• Gas
• Diarrhoea or constipation
• Stomach pain or cramps
Fatigue and Brain Fog
• Feeling tired after eating gluten-rich foods
• Difficulty concentrating
• Memory lapses
Skin Problems
• Itchy rashes (dermatitis herpetiformis in rare cases)
• Eczema or acne flare-ups
Joint and Muscle Pain
• Unexplained aches
• Inflammation
Mood Changes
• Irritability
• Anxiety or depression
These symptoms usually appear within hours or days after consuming gluten and improve when gluten is removed from the diet.
What Causes Gluten Intolerance?
The exact cause of gluten intolerance is still unclear, but possible factors include:
• Digestive Sensitivity: Some people struggle to break down gluten properly, leading to discomfort.
• Gut Bacteria Imbalance: An unhealthy gut microbiome may contribute to sensitivity.
• Immune Response: While not as severe as celiac disease, some immune reactions may occur.
Unlike celiac disease, gluten intolerance does not cause long-term intestinal damage, but it can still significantly impact quality of life.
How Is Gluten Intolerance Diagnosed?
Since gluten intolerance shares symptoms with other conditions (like celiac disease or irritable bowel syndrome), proper testing is essential.
1. Elimination Diet
The most reliable way to identify gluten intolerance is by:
• Removing gluten from your diet for 4-6 weeks.
• Monitoring if symptoms improve.
• Reintroducing gluten to see if symptoms return.
2. Blood Tests (To Rule Out Celiac Disease)
Before assuming gluten intolerance, doctors may recommend:
• Celiac disease antibody tests (tTG-IgA, EMA-IgA).
• Genetic testing (HLA-DQ2/DQ8 genes).
Note: These tests require you to be eating gluten for accurate results.
3. Other Tests
• Stool tests (for gut inflammation).
• Breath tests (for bacterial overgrowth).
If tests rule out celiac disease and wheat allergy but symptoms persist, gluten intolerance is likely.
Managing Gluten Intolerance: Diet and Lifestyle Tips
If diagnosed with gluten intolerance, the best approach is a gluten-free diet. Here’s how to manage it effectively:
Foods to Avoid
• Wheat (bread, pasta, cereals)
• Barley (malt, beer)
• Rye
• Processed foods with hidden gluten (sauces, soups, snacks)
Safe Gluten-Free Alternatives
• Rice, quinoa, buckwheat
• Corn, potatoes
• Gluten-free oats
• Fruits, vegetables, lean meats, fish
Reading Food Labels
• Look for "gluten-free" certifications.
• Avoid ingredients like "modified food starch" or "malt flavouring."
Eating Out Safely
• Inform restaurant staff about your intolerance.
• Choose naturally gluten-free dishes (grilled meats, salads without croutons).
Supplements and Gut Health
• Probiotics may help improve digestion.
• Vitamin B12 and iron supplements (if deficiencies occur).
When to See a Doctor?
If you experience persistent symptoms, consult a healthcare provider to:
• Rule out celiac disease or wheat allergy.
• Get personalised dietary advice.
• Check for nutrient deficiencies.
Final Thoughts
Gluten intolerance can be challenging, but with the right diet and medical guidance, you can manage it effectively. If you suspect gluten is causing your symptoms, try an elimination diet and consult a doctor for proper testing.
Consult a Gastroenterologist for Personalised Advice
Consult a Gastroenterologist for Personalised Advice
Dr. Shivaraj Afzalpurkar
Gastroenterology/gi Medicine Specialist
13 Years • MBBS, MD General medicine (Gold medalist), DrNB (Gastroenterology), MNAMS
Bengaluru
Apollo Clinic, JP nagar, Bengaluru
Dr. Vijay Kumar Rai
Gastroenterology/gi Medicine Specialist
18 Years • MBBS , MD (General medicine) , DM (Gastroenterology)
Kolkata
LivGastro, Kolkata
Dr Harish K C
Gastroenterology/gi Medicine Specialist
15 Years • MBBS MD DM MRCP(UK) (SCE-Gastroenterology and Hepatology)
Bengaluru
Apollo Clinic, JP nagar, Bengaluru
Dr Rohit Sureka
Gastroenterology/gi Medicine Specialist
15 Years • MBBS, DNB General Medicine, DNB Gastroenterology
Jaipur
Apollo 247 virtual - Rajasthan, Jaipur
Dr. Nikhil Patil
Gastroenterology/gi Medicine Specialist
10 Years • MBBS
Bengaluru
Apollo Medical Center, Marathahalli, Bengaluru
Consult a Gastroenterologist for Personalised Advice
Dr. Shivaraj Afzalpurkar
Gastroenterology/gi Medicine Specialist
13 Years • MBBS, MD General medicine (Gold medalist), DrNB (Gastroenterology), MNAMS
Bengaluru
Apollo Clinic, JP nagar, Bengaluru
Dr. Vijay Kumar Rai
Gastroenterology/gi Medicine Specialist
18 Years • MBBS , MD (General medicine) , DM (Gastroenterology)
Kolkata
LivGastro, Kolkata
Dr Harish K C
Gastroenterology/gi Medicine Specialist
15 Years • MBBS MD DM MRCP(UK) (SCE-Gastroenterology and Hepatology)
Bengaluru
Apollo Clinic, JP nagar, Bengaluru
Dr Rohit Sureka
Gastroenterology/gi Medicine Specialist
15 Years • MBBS, DNB General Medicine, DNB Gastroenterology
Jaipur
Apollo 247 virtual - Rajasthan, Jaipur
Dr. Nikhil Patil
Gastroenterology/gi Medicine Specialist
10 Years • MBBS
Bengaluru
Apollo Medical Center, Marathahalli, Bengaluru
