Is coeliac disease curable in infants?
In infancy coeliac disease occurs mostly after 3-6 months, after introducing food containing gluten (semolina etc). The classic symptoms are: growth disturbances with weight stagnation or even weight loss, lack of appetite vomiting diarrhoea (however also a normal stool or constipation do not rule out coeliac disease) bloated stomach The following are also possible: personality changes including weepiness or surliness lack of interest in playing The older the children are when the illness begins the more often there are untypical processes without the known classical picture of coeliac disease. The illness can also make itself known through one symptom alone. With the so-called temporary (transient) coeliac disease in infancy (mostly under the age of 2) distinct clinical, serological and histological findings concerning a coeliac disease are given. Through a gluten-free diet these results are reduced. If gluten is re-introduced into the diet in later years the patients remain symptom-free. Infectious and allergic bowel illnesses are responsible for this form of coeliac disease. Should a coeliac disease diagnosis be made in children under the age of two, experts suggest a further exposure to gluten. With the transient Coeliac disease the symptoms do not reappear after a certain period of time, even with a gluten exposure, and there are no serological or histological reactions. One often mistakenly speaks of a cure from the disease. However, if in these children there is also no genetic predisposition, we cannot speak of coeliac disease in the narrower sense. Therefore we cannot speak of a cure either.