Gastroenterology and Hepatology from Bed to Bench

Abstract

The spectrum of gluten related disorder might be much broader than currently believed. It is unknown why Non-coeliac gluten sensitivity affects individuals at different ages. It is quite possible the triggering factors like infection might play an essential role in manifestation of this disorder. Similar to secondary lactose intolerance, gluten intolerance might be a common occurrence behind persistent symptoms after gastroenteritis. The presenting symptoms depending on the etiological factor and the affected portion of gastrointestinal (GI) anatomy. Therefore the symptoms might be related to upper GI tract like functional dyspepsia, diarrhoea lower GI tract like diarrhoea and constipation or a combination of both like in our patients. This case highlight that intolerance to gluten might develop in people who experience gastroenteritis and there is potential of at least partial recovery from this condition with elimination of lactose and gluten. Clinical recovery with a concomitant gluten and lactose (mainly milk) free diet over a period of time, might be an effective strategy in treating these patients.