* Newsletter September               2019
* Celiac disease or gluten           sensitivity without celiac?
* Latest news
Newsletter September 2019
Dear reader,

Celiac disease is a hypersensitivity to gluten and can be diagnosed with a blood and bowel test. However, there are also patients with an increased gluten sensitivity. Opinions about gluten sensitivity have been under discussion for years; according to many doctors gluten sensitivity is a "hype", others believe you can get just about anything from gluten. In this month´s newsletter we would like to give you some more information on this matter.
With kind regards,
Bernadette Veeger
Celiac disease or gluten sensitivity without celiac disease?
The occurrence of celiac disease (gluten hypersensitivity) has increased sharply in the last 20 years. Patients with symptoms such as abdominal pain, abdominal distension, diarrhea, constipation, fatigue, iron deficiency anemia or reduced length growth or a lack of motor skills development should be tested for celiac disease. In case of an initial negative result, blood tests should be repeated within 1-2 years.
Gluten sensitivity without celiac disease (NCGS: non-coeliac gluten sensitivity) is a diagnosis made in patients where the symptoms decrease if they follow a gluten-free diet and where the tests for celiac disease and a wheat allergy are negative. NCGS is estimated to occur in 0.6-6% of the general population. Possibly 25-30% of patients with irritable bowel syndrome have NCGS.
Psychological problems, headaches, joint pains, tiredness, and feeling of  'fog in the head' can occur because of NCGS.
The diagnosis is preferably made with a double-blind, placebo-controlled gluten provocation test. The treatment consists of a gluten-free diet. There are individual differences in the tolerance for small amounts of gluten. It is not yet clear whether the patient should follow the gluten-free diet for life.
For more information on this subject, you may make an appointment with our doctor.
Latest news
  • Our specialists will be available for appointments on the following dates:
    • Dr. Pedro Chinchurreta, cardiologist: Friday 26/09.
    • Dr. Manio Maravic, neurologist:Wednesday 30/10 and 6/11.
    • Dr. Vicente Aneri Más, dermatologist: Friday 13/09 and 11/10.
    • Dr. Victor Aguilar, gastroenterologist: Friday 4/10, 8/11 and 13/12.
    • Janet van Dam, Thermal Imaging Therapist: 17/10 and 18/10.
  • For more information or to make an appointment you can contact us on 952 532 065 or
Centro Mar Y Salud, paseo marítimo 4, El Morche,