Lifestyle Changes to urinary incontinence

Kidneys and urinary disorders:

Here you will find advice on which factors in your life you can change to prevent urinary incontinence.

Food and drink
Some beverages and foods seems a diuretic and makes it even harder to have bladder control. This is especially beverages containing caffeine or spindle, tea, coffee and alcohol. You may want to reduce your intake of these beverages, especially if you are going to participate in social activities where it is important for you to avoid accidents.

Avoid constipation
Constipation and printing on the toilet leads to weakening of the pelvic floor muscles. Stool can also squeeze the bladder and further contribute to leaking urine. This can be prevented by trying to keep the stool soft. Larger intake including fiber, prunes, bran and fermented milk products could contribute to this.

Quitting smoking
Constant coughing is a strong pressure on the abdominal and pelvic floor muscles. By quitting smoking you can control the cough.

Weight loss
Obesity contributes to increasing pressure on the bladder and pelvic floor, and the weakening of the pelvic floor muscles. Weight Decline can thus prevent and improve urinary incontinence.

Avoid heavy lifting
Those who feel that they leak when they lift heavy should avoid it in the degree they can. If you must lift something heavy, you should pinch back the pelvic floor muscles all you can and hold the contraction until after the lift. (The same applies when you cough or sneeze.)

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Why should I train

Sports and exercise:

There are some obvious benefits of exercise: you can bear more; the body becomes tighter, and you may be going down in weight. But there are some medical benefits? Can you extend your life by exercising?

Live longer
It's never too late to start exercising. Even after 50 years of age can prolong life by starting with physical activity, even regular walks increase's survival in the elderly. And even if you smoke or have high blood pressure, your life expectancy will be better if you exercise. Additional effect of exercise is increased muscle mass, less loss of bone large-scale and soft joints and muscles.

Cardiovascular disease and exercise
There are four major risk factors for heart disease: high cholesterol, high blood pressure, smoking and inactivity. You can work out the heart in the same way as other muscles in the body. Frequent exercise improves resting heart rate, blood pressure and the pump capacity per heartbeat.

Heart Failure
Although the training was previously advised for heart patients, it turns out now that controlled training with medical supervision does not increase the risk of heart attack - on the contrary, increases oxygen uptake and blood flow in arteries.

Diabetes
Diabetes is also affected in a positive way of training. Sensitivity to insulin increases, blood pressure drops, cholesterol levels drop and the weight is reduced. The risk of getting diabetes is reduced in moderate activity. Do you use insulin, talk with your doctor before you start training hard?

What about bones and joints?
The motion device is designed to move, and it is natural enough beneficial for both muscles, bones and joints to remain active. Exercise keeps muscles elastic, soft joints and increases calcareous and ferocity of the skeleton. Do you lose weight also reduces the load on the major joints and bones? Exercise helps prevent osteoarthritis, osteoporosis and chronic musculoskeletal disorders / pain. Have you been diagnosed with osteoporosis should be careful high-energy workout, but rather build up the skeleton of regular moderate exercise such as brisk walking?

Back pain is a highly common complaint, and exercise is very important to prevent back pain. Obesity, poor posture and stress aggravate back pain, and training will have a positive effect also on those factors. Swimming, walking and skiing are sensible training methods.

And not enough of it!
Exercise has beneficial effects on constipation, excess weight, muscle strength, reaction time, mood and sexual orientation. There is evidence that exercise can also reduce the risk of colon cancer, prostate cancer and breast cancer, and in the future there will be evidence of such relationships. Furthermore, exercise prevented stiff muscles and joints.

Regular moderate exercise is an inexpensive health insurance. Make to exercise a daily activity, and live healthier, better - and longer!

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Zinc effective at colds?

Alternative Medicine:

A U.S. study found that taking large doses of zinc can shorten the course of the disease in common colds. Moreover, experienced subjects taking zinc tablets, the symptoms were less.

It has long been debated whether zinc can have a beneficial effect on colds. Previously, five clinical studies provided evidence for such an assertion, while five other studies have found no such effect. It has been argued that the studies that showed the income used at low doses of zinc.

In the latest issue of the Annals of Internal Medicine described a study in which participants had a high intake of zinc. 50 students or employees at Wayne University in Detroit who had had symptoms of colds less than 24 hours attended. Half received sham pill (placebo) while the rest received pills who contained 12.8 g of zinc. These pills should be taken every three hours as long as the symptoms lasted. (12 g of zinc is recommended daily intake in the Nordic countries).

There were significant differences in the duration of colds in the two groups. In the group receiving zinc, colds lasted on average for 4.5 days, while it lasted for eight days in that receiving placebo. The greatest difference was found in duration of cough. For the placebo, group did cough for an average of six days, but it lasted for three days for that receiving zinc.

The researchers are uncertain what mechanism behind the observed effects. In the study, it was noted that the amount of cytokines, which is substances the body produced during infections was lower in patients treated with zinc. The results are not so statistically significant that one can rule out that due to chance. So the question is still open.

Zinc supplements in this set is not completely side effect free. Some of the participants who received zinc reported dry mouth and constipation. There were no reports of serious side effects.

It is difficult to draw any clear conclusion of such an inquiry, especially when past performance varies as much as they do. Zinc taken up in the body part at the expense of iron, and an intake above 200 mg. today, could have adverse effect on iron absorption. Larger doses may cause serious side effects. Zinc supplement sold in pharmacies on prescription and is not intended for the treatment of colds. Therefore, pocket doctor not recommended zinc supplements for this purpose before it reaches further research.

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Stomach ache

Mom, I have a stomach ache!

Abdominal pain is very common in children, from infancy and well into their teens.

As many as 20 percent of all children are afflicted with stomach pains that come and go over a long period. There can be many causes of pain but at most there is fortunately a harmless condition that eventually will heal by itself.

For the doctor is abdominal pain in children is one of the states where it is difficult to put an exact diagnosis. This is because there are often many and complex causes of pain, and that especially the younger children will sometimes describe the malaise as "stomach ache" even if there is another reason.

It can also be difficult to understand whether it is a purely medical or a more psychosomatic cause of the pain.

Gastric Stress in children

Sometimes it can be quite easy to understand that there are psychological causes of abdominal pain. This applies if the pain comes when the child joy or dread to something very, or in situations where the child is experiencing a lot of stress. Children who have difficulties at home or at school will often react with stomach pains. The pain is sometimes described by the children themselves as a "fist in the middle of the belly" and will often go relatively quickly and then come back in similar situations.

It also appears that children with long-standing abdominal pain is often more secluded, the school good and dutiful children than their peers. These children may also have additional symptoms such as anxiety and depression.

Could there be something in the food?

Different types of food allergies and intolerances can also cause abdominal pain. One of the most common are cowed's milk protein allergy in the smaller children and lactose intolerance in the larger children. The child will also often feel bloated and have a tendency to loose stools.

If the child also seems listless and is poorly absorbed into the weight, it is important to think about celiac disease, where the gluten in a wheat floor leads to a chronic inflammatory disorder of the intestine.

Another very common cause of abdominal pain in children is constipation. This is often caused by a combination of too little fiber in the food, and the child for various reasons are reluctant to go to the toilet. Children who have a lot of dairy products in their diet, are sometimes at increased risk for constipation.

Other, rarer causes

In a few children can stomach pain caused by various chronic inflammatory diseases of the intestine, for example. Crohn's disease and ulcerative colitis. Other children may have a chronic inflammatory disorder of the stomach or esophagus. These children are usually plagued by heartburn and a burning sensation in the diaphragm.


It is also important to consider inflammatory diseases outside the digestive system as an explanation for the pain. Long-term urinary tract infections can cause symptoms such as fatigue, abdominal pain and nausea.

When to see a doctor?

If abdominal pain is very acute, or has lasted for over three months, one should take the child to the doctor for examination. Sometimes we find disease that can be treated, but in ca. 80% of cases end up without a clear diagnosis.

Your doctor will do a thorough physical examination of the child in the stool sample and blood samples. On rare occasions, it is necessary to further reference to the X-ray, ultrasound and examination of the esophagus, stomach or colon.

What can parents do?

If you suspect that your child reacted to cow's milk, you can eliminate this from your diet for four weeks to see if that helps. It is important to have a diet that is rich in water and fiber from fruits, vegetables and whole-grain products. Make sure your child eats regular meals, and takes your time instead of devouring the food.

It is also important to take the time to talk to your child about what ev. Ailments that - and together try to find a way the child can cope with problems. In many children's abdominal pain is a way to try to reach out to parents on a day that is often stressful for both large and small.

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Metabolic disorders - hypothyroidism

Hormone system:

Thyroid Diseases with too little thyroid, hypothyroidism

Causes of hypothyroidism
The most common cause of hypothyroidism is the body's defense suddenly (and we have no idea why!) Bearing substances (antibodies) that attack the thyroid gland. The disease called Hashimoto's thyroid inflammation.

The disease destroys the thyroid gland so much that it fails to make enough thyroxine. It is mostly women who have Hashimoto's thyroid inflammation. Most are over 50 years.

Iodine
In other parts of the world is lack of iodine in food and beverages, common cause of hypothyroidism. Iodine is in fact necessary to make thyroxine. There is no iodine deficiency. In some places, too much iodine in food and drink lead to disease of the thyroid gland.

Signs of hypothyroidism
Everything is slow: Hypothyroidism is also known as hypothyroidism. When it gets too little thyroxine in the blood, everything is slow. They simply can not do much, and your mind is slow. A person with hypothyroidism can sit for hours looking at a desk she should clean without getting started. Arms and legs working, but the measure and the energy is gone. Many people have difficulty concentrating, and memory may be poor. The body does not produce enough heat, so one begins to freeze. The intestines are working slowly and it leads to constipation. It is normal to gain weight because the metabolism of nutrients is slow. The skin becomes dry and thick and some loss of hair. The heart beats slowly.

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All about stress incontinence

Kidneys and urinary disorders:

Stress incontinence is the most common form of urinary incontinence in women. It is estimated that 10 - 20% of all women are struggling with this.

What is stress incontinence?
Stress incontinence is the most common form of urinary incontinence. It is characterized by involuntary urine leaks when coughing, laughing, lifting heavy, sneezing and other activities or movements where tightens bukpressen / abdominal muscles.

What causes it?
These are usually the muscles, tendons, nerves and tissues in the pelvic area that surrounds the urinary bladder, and urethra are weakened. Pregnancy, childbirth, surgery, obesity and chronic constipation, chronic cough, menopause and aging are among the factors that may contribute to the development of stress incontinence.

Who is affected by stress incontinence?
It is believed that at least 1 in 10 women are in need of treatment stress incontinence. However, here there is uncertainty. Many women do not go to the doctor with their problems, but solve the leakage problem by obtaining pads or diapers.
Men also suffer from stress incontinence, particularly after operations on the prostate.

Can it sometimes heal by itself?
Yes. Sometimes stress incontinence is transient. Many cases of stress incontinence caused by conditions that can be treated or are transitory. Urinary tract infections, constipation, and medicines are among the causes of stress incontinence that is often temporary.

What problems have stress incontinence?
Most people are anxious for odors, afraid that others will notice that they use pads / diapers, and stains on clothing. Several independent surveys confirm this.

They are often afraid to have accidental leaks at inappropriate times.

As a result, many ending in activities they previously enjoyed: social activities with friends, exercise, dance, and even play with children or grandchildren. They may pull away from sexual activities and reject overtures, in fear of leaking urine during sexual activities. This can be perceived by your partner as if she no longer interested in him. Urine leaks may also lead to depression and isolation, and bring with it a host of other negative emotions of shame and low self-esteem.

Myths about stress incontinence

Stress incontinence is a disease of old ladies and is a natural part of getting older. This is incorrect. Women of all ages can have stress incontinence, and it is not a normal condition.

Stress incontinence cannot be processed. Wrong. Stress incontinence may, in fact, in most cases either improved or healed completely.

Stress incontinence affects only women. Wrong. Men also suffer from this.

Whom to consult?
There are many doctors who can treat urinary incontinence. The obvious first step is to go to your doctor. He or she will study, and after setting the essential questions and made the necessary tests, consider whether you should be referred to a specialist. This will be either a gynecologist or a urologist.

What treatment options are there?
Custom pads, medication, lifestyle changes, pelvic floor exercises, bladder training, electrical stimulation, medications, and surgery ringpessar are among the many treatment options.

Absorbent pads
There are many different types of absorbent pads and diapers, which are specifically designed for those with urinary incontinence. These are good tools, and for those with only small leaks may be satisfactory. They do nothing about the cause of your incontinence.

Medications
The drug duloxetine (Yentreve) is a new treatment that helps with stress incontinence. The medicine helps in some already by year ¨ n week. Read more here. Towards the overactive bladder drug, Detrusitol may be an option.

Vaginal Posts
There are devices that can be inserted into the vagina and lift the urethra, eg. The material Conveen. This can help - at least in anticipation of surgery.

Behaviour Change
Changing their fluid intake: Reduce the intake of diuretic drinks such as coffee, tea and alcohol. Some also think it helps to cut down on spices, chocolate, artificial sweeteners, tomatoes and citrus fruits. Read more here.

Pelvic floor exercises
This is a very important part of treatment. Pelvic floor exercises do something about the cause of the leaks: namely, the weakening of muscles.

Through the pelvic floor, exercises do you do pelvic floor muscles strong and helps keep the bladder and nearby organs in the abdominal cavity. Sometimes women need the help of electrical stimulation or biofeedback to identify and gain control over pelvic floor muscles You can read more about pelvic floor exercises here.

Bladder training:
By emptying the bladder regularly trained bladder up too. You can read more about bladder training here.

Is there medication that helps?
The most common drug is the replacement of the female hormone, estrogen.

Estrogen
stimulates blood flow to the pelvic area, making the muscles strong and mucosal, thick and juicy. After menopause, the ovaries stop producing estrogen. Then the mucous membranes thin and dry / sore and muscles deteriorate easily.

You can read more about menopause and urinary incontinence here.

You can read more about hormone-replacement therapy during menopause here.

Surgery:
All sorts of operations for stress incontinence involve the same: To support the bladder / urethra, and get them in the correct position of the pelvic floor muscles. Of the common types of surgery are bladder neck suspension, where the bladder neck is lifted up and secured in position. There may be loops of tissue around the bladder neck to help keep the sphincter closed.

American figures show that about 50% of patients are cured of urinary incontinence by surgery, 25% improved, while 25% do not experience any improvement. For stress incontinence, the figures are better, Ca. 80% are cured!

TVT
TVT is the abbreviation for "Tension free vaginal tape." This new method of surgery has become almost supreme as operating against urinary incontinence in the vast majority of hospitals.

Unlike previous operations, it may occur in only a local anesthetic, and it also means that it can be done outpatient (ie in and out the same day).

The surgeons enter through a small opening in the anterior vaginal wall. Behind the urethra puts the loosely into a tape made ​​by Prol. Both ends pulled up against the abdomen just behind the pubic bone.

During the procedure, the patient is awake; it also has another advantage: By asking the patient cough with full bladder, this band is tightened up control of leakage has been achieved.

Operating time is short: only approx. 20 minutes.

Investigation of this method of surgery is estimated that approx. 85% gets rid of his urine leakage. A few (less than 5%) have difficulty emptying the bladder after surgery. There is otherwise little complications associated with surgery.
The operation is simple and can be performed on most patients regardless of age and health.

Who should have surgery?
Surgery is rarely the first choice of treatment. First, we see if we can get to your goal with others, so-called non-invasive treatment methods. If it does not help, your doctor will work with you whether you should operate.

Ringpessar:
A ringpessar is a fairly stiff rubber ring that is inserted into the vagina and helps hold up the bladder in place and keep the urethra closed. Such a call must be adapted and inserted the first time by a doctor. Most relevant for women who experience problems with urinary incontinence due to the sunken uterus.

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Treatment of stress incontinence

Kidneys and Urinary disorders:

If you suffer from incontinence, you should contact a physician. Even if you find it embarrassing, this is something that general practitioners are used to. Together you can arrive at a solution that improves your situation.

General advice

If you do not drink very much, it will not help you much to drink less. Therefore, you can safely drink normal amounts of fluid.

Avoid constipation. Constipation we increase the pressure in the stomach, allowing the pressure on the bladder becomes larger.

Go to the bathroom in time. Make it a habit to urinate before you do anything that might provoke a leak.

Weight loss. Obesity increases the pain. Therefore, you should try to lose weight if you are overweight.

Cough. Many people have problems with leakage when they cough. Therefore, you should strive to prevent coughing. An important asset is smoking cessation. If you have asthma or bronchitis, you should discuss this with your doctor.

Pelvic floor exercises are the main treatment. It is cheap and effective and without side effects. It is best to get advice and information on how to perform these exercises. Ask your doctor about this. If there are physical therapists who are good with these exercises in your area, your doctor may refer you there.

There are other principles of treatment, including electrical stimulation and a type of solder that is placed in the vagina (vaginal cones). According to a Doctoral thesis from 1999, however, pelvic floor exercises that method with the finest results. You and your doctor can together find the method that best suits you.

Other aids
There are many aids that can be tried. Many people will feel safer and aided by using a diaper or a pad or a tampon. There are also disposable plugs that can be used if you have the problem with leaks when exercising. There are as well medications that can help the individual. There is good information about these tools at the pharmacy.

Operation
In some cases, surgery may also be relevant, but only after trying other methods .. The methods are then out to support the transition between the bladder and urethra.

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Pregnancy 7 weeks

Pregnancy and birth:

Fetal age: five weeks

The facilities for hands and feet are now minute buds and at the end of the next hand. there are small grooves that will develop into fingers. The head grows much this week because the brain is growing rapidly. The length of the embryo is now about. 10 mm.

You might feel weak and have increased need for sleep. It is normal to have frequent urinating. The reason for this is that hormonal changes in your body affects kidney function and that the growing uterus presses already a little on the bladder.

Indigestion with constipation, bloating, heartburn and nausea are common complaints. They caused all the hormonal changes in your body. Try a bit and find out what can relieve your ailments.

Many people find it helps to have served a biscuit or toast and a cup of tea in bed before standing up. This can often prevent the nausea. A few extra pillows under your head can help with heartburn. Plenty of drinks and movement can be started intestines.

It is possible to treat nausea with acupuncture and acupressure. Many benefits of ginger as antiemetic.

There are also medications you can take if you are very troubled and unable to overcome the problems with simpler means. You may then ask your doctor for advice.

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Pregnancy 9 week

Labor and birth:

Fetal age: 7 weeks

The small embryo is moving cautiously now, but you can unfortunately not notice it yet. The head is large relative to the rest of the body. More body parts are now recognized; fingers are clearly present, but they hang together as a fan. The external genitalia began to emerge, but it is still impossible to determine the gender by ultrasound.

You probably have the same symptoms with nausea and constipation. Some feel a strong aversion to certain foods and smell, maybe you feel the urge to wash out of the drawers and cupboards to clean up. Follow your instincts!

Your breasts are still sore, and the surrounding area brystknoppen may become darker. They are maturing and getting ready for the great task they will soon face. The breasts are growing the most in the first few months; middle of pregnancy, they are not as sore anymore, and increases usually not in size. Immediately, after delivery, however, they looked even bigger, virtually mature and can be felt almost bursting and milk sprinkled.

Maybe you feel terribly tired and slightly bored. Remember to pay attention to your body to sleep on a little extra and nurturing yourself. Many will handle it all better if they can share concerns and problems with their partner. This is admittedly not for everyone; some women think that men do not understand the traces of what is happening. However, most men will take part in the woman's pregnancy is certainly better equipped to be of help, and will easily be able to feel that pregnancy also affect them.

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Many years of stomach problems? It may be celiac disease?

Stomach and intestine:

There is an average of 10 years with symptoms of celiac disease diagnosis is made. In the series of autoimmune diseases, we present an intestinal disease that gives a lot of complaints but can be kept in check with proper diet.

On a doctor's office, every week, there are many complaints about his distress of stomach problems. Abdominal pain, diarrhea and constipation, all people experience in their lives for a shorter or longer period. The symptoms are related to what you eat is most aware of. However, some will not get rid of their symptoms, even if time passes, and you adhere to the stout food. Some of these patients have celiac disease.

An old disease
Celiac disease has probably existed on Earth for a very long time. Symptoms similar to celiac disease have been found in historical sources from way back. The last century has been clear that the symptoms represent a separate disease, but as with all forms of intolerance, it has been difficult to pick out the substance that causes pain. During the First World War, when the supply of food was sparse in Europe, there were fewer who had these symptoms. After the war, when flour was more accessible, the symptoms came back.

First, in 1949's scientists could establish that the substances that caused symptoms were gluten. Before this occurred would a celiac disease in severe cases lead to death because the patient was not in the industry.

How often do you eat gluten?
It is not certain you have heard about gluten before, and perhaps you will deny having had it on the menu this week. However, you have probably eaten a lot of gluten in your life. Gluten is a protein found especially in wheat, but also in rye, barley and urhvete (played). Think of how many times a week you eat something containing these grains! Then think about how different your menu would be without them!

What happens in the gut?
In the small intestine, surface consists of little growths; villi. The reason that the surface is not flat and so is to increase intestinal surface so that all absorption of nutrients can be quickly and adequately.

Those who have celiac disease have a harmful immune reaction in the small intestine when they eat gluten. Villi disappeared, and the intestinal surface is flat. This means again that the intestines cannot absorb enough nutrients to the body. The body will eventually develop deficiencies because of this.

Do I have celiac disease?
Symptoms can vary from mild to very severe symptoms. Often onset symptoms in 20 - or 30-years, and women are more sometimes affected than men.

Symptoms:

• Fatigue

Slit-Unit

• Abdominal pain
• Air Problems
• Rumbling in the stomach
• Diarrhoea and / or constipation,
• Frequent bowel movements that may be offensive, in large quantities and contain lots of fat. (Stool becomes light and "fat" floating in the toilet bowl / is difficult to draw down)
• Weight Loss
• Slow growth (child)
• Deficiency Disorders

The symptoms are nonspecific, that is not typical for a specific disease, and many may have these symptoms without celiac disease means. However, your doctor will think about the possibility if the problems are longstanding.

Studies have shown that there are on average 10 years of pain for patients with celiac disease get that diagnosis. As knowledge increases among physicians and patients will hopefully that number go down.

Who is celiac disease?
It is a hereditary component in celiacs. It is 10-15% chance of close relatives of a coliaker for even getting the disease. We know that certain tissues are more common in celiacs than in others (tissue types are inherited). It is estimated that 1 in 300 people has celiac disease, but many of these have not been diagnosed. The figures vary, and some believe that as many as 1 in 100 have the disease. However, what this really means is that no one knows yet.

What does the doctor?
Once the doctor has thought of celiac disease is a series of surveys that are available. The most important is the sampling of the lining of the intestine. It subsequently made a gastroscopy which also is taken with a minute biopsy of the small intestine surface. This is examined under a microscope, and you can then determine if the changes fit with celiac disease or not. Since the gut is normal when you cut out gluten, it is important that you have been eating regular food before such a study be done.

To avoid gastroscope anyone with stomach problems, there are blood tests that can prove who has celiac disease or not. The doctor will take along with some other blood tests to determine whether the disease has led to any deficiencies that must be corrected.

The treatment is simple - or?
The short version of the treatment: Avoid gluten! On a gluten-free diet would be the normal intestine with regular villi, and the function will return. Patients will receive a new life largely without symptoms. However, the new life also means that the diet must be carefully checked for gluten.

Since gluten is found in all grain types mentioned above, a clackers life difficult. Celiac Society has on its website information about what is safe to eat, and recipes. Health food shops and, increasingly, other stores often offer gluten costly and good food labeling makes it easier for a person with celiac disease to find its food.

Complications
If your diet is gluten-free, a Kolliker could live a life with little symptoms compared to before. A new flare-up of symptoms even though he is on the same diet should always be examined by a doctor. Celiacs have slightly increased risk of lymphoma / lymphoma of the gastrointestinal tract, but also here is that this probability decreases if the diet is correct. Celiacs as well have slightly increased risk of a particular skin condition called dermatitis herpetiformis. The disease rarely pops up if the diet is gluten-free.

The symptoms of celiac disease may be diffuse and many people with problems for several years. Once the diagnosis is made, a gluten-free diet gave patients a new life.

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