Can children under the age of 2 be cured of celiac disease?
Celiac disease usually occurs 3-6 months after feeding small children with food containing gluten (semolina, etc.). The classic symptoms are growth deficiencies with no increase in weight (or even weight loss), loss of appetite, vomiting and often diarrhoea. Even normal bowel movement (or even constipation) does not exclude celiac disease. A bloated stomach is typical for many children. Changes in character, such as tearfulness, discontentment and lack of interest in playing, are also observed. The older children are when the illness starts, the more common are atypical characteristics without the familiar classic picture of celiac disease. But the indisposition is only noticeable via a single symptom.
In the case of so-called transient “celiac disease”, unique clinical, serological and histological diagnostic findings are produced for celiac disease in infancy (usually at an age below 2). These findings reduce with gluten-free dieting. Patients remain free of this complaint when gluten is reintroduced into the diet years later. Infectious and allergic gastric diseases are held responsible for this form of celiac disease.
If celiac disease diagnoses are to be performed on children under the age of two, re-exposure to gluten is recommended by many experts. In the case of transient “celiac disease”, the symptoms no longer occur after a time after re-exposure to gluten and there is no serological or histological reaction. We then often speak (misleadingly) of a cure for celiac disease. But when there is no genetic disposition in the children affected, this is not celiac disease in the narrower sense. Strictly speaking, this therefore means we cannot speak of a cure for them.