Prof. Dr. Vedat Göral made important warnings about celiac disease, which causes many ailments. Prof. Dr. Göral stated that celiac disease is encountered frequently in the world and said, “In the society; Some of the people suffering from gas, bloating, nausea and anemia in the abdomen have celiac disease, or gluten disease. Although it can occur at any age, it is more common in 8-12 months old children and 30-40 years old. Celiac disease is a lifelong and chronic allergy to the protein called gluten in the small intestine, wheat and some foods. It is an autoimmune disease. Grains such as wheat, barley, rye, and oats contain gluten. The prevalence of celiac disease, which is the most widely known and genetic disease in the world, is around 1 percent in Turkey. In the last 50 years, it has started to be used in the structure of foods such as bread, cake, pasta, noodles, sauces, chips, cold meats, salami and sausages, which are frequently consumed in the food industry.


Noting that when celiac patients are fed a gluten-free diet, the damage in their intestines is improved. Dr. Göral continued as follows:

“However, if they start consuming foods with gluten again, the symptoms of the disease reappear. Autoimmune, genetic and environmental factors play a role in the development of celiac disease. In 10 percent of patients, there are other members of the family with celiac disease. This shows the relationship between the disease and genetics. Surgical interventions, pregnancy, giving birth, some viral infections and severe mental distress may cause the disease to emerge. When celiac disease is not treated, a deficiency of vitamins, minerals and other nutrients occurs in the body over time due to malabsorption in the small intestines. “


Prof. Dr. Göral evaluated the deficiencies caused by celiac disease as follows:

“Anemia is one of the most common symptoms, which can have varying degrees of severity, especially as a result of iron, folic acid and vitamin B12 deficiency. Vitamin D and calcium absorption is impaired, calcium level decreases, bone resorption and fractures occur. Visual disturbances due to vitamin A deficiency, skin problems, if due to deficiency of B vitamin derivatives, nervous system problems such as balance disorder and sensation defects can be seen. Coagulation disorders and bleeding due to vitamin K deficiency, muscle weakness due to deficiency of electrolytes such as sodium, potassium and magnesium, leg edema due to protein (albumin and other proteins) deficiency, weakening of the immune system are other findings that may occur.


Stating that the treatment of celiac disease is based on a strict gluten-free diet, Prof. Dr. Göral gave the following information:

“For this purpose, foodstuffs made using gluten-containing grain products (wheat, barley and rye) should never be eaten. For patients with celiac disease, all fruits and vegetables, pulses, unadulterated fats and oils, eggs, honey, jam, simple granulated sugar, olives, meat, fish, chicken, canned foods not soaked in flour are safe foods. Natural foods should be given importance in a gluten-free diet. Careful choices should be made in school and eating out. Attention should be paid to wheat flour, mixed cornmeal and rice flour. Caution should be exercised in consuming unlabeled food. Medicines, cosmetics, shampoo, creams should be used carefully in terms of gluten content. Safe foods should not be contaminated with gluten foods during the cooking and preparation phase. It is especially important to keep gluten and gluten-free foods separately and away from each other at home. Foods such as corn, rice, potatoes, chickpeas, lentils, chestnuts, soy, beans, hazelnuts and flour and starches obtained from these foods should not be preferred. Nuts such as walnuts and hazelnuts, figs and raisins should not be missing from the food chain. Corn bread can be eaten instead of wheat bread. Currently, there is no drug treatment for celiac disease. However, drug and vaccine development studies are continuing. “

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