When gluten sensitivity isn�t celiac disease - Financial Express

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My nephew, sister-in-law and several others I know are on gluten-free diets, helping to support a market for these foods that is expected to reach $15 billion in annual sales by 2016.
Supermarket shelves are now packed with foods labelled gluten-free (including some, like peanut and almond butter, that naturally lack gluten). Chefs, too, have joined the cause: many high-end restaurants and even pizza parlours now offer gluten-free dishes.
Those who say they react to gluten, a protein in wheat and other grains, report symptoms like abdominal pain, bloating, gas, diarrhoea, headache, fatigue, joint pain, foggy mind, numbness in the legs, arms or fingers, and balance problems after eating gluten-rich food.
I suspected at first that the gluten-free craze was an attempt by some to find a physical explanation for emotional problems, similar to the �epidemic� of hypoglycemia in decades past. But a growing body of research indicates that many may be suffering a real condition called non-celiac gluten sensitivity, or NCGS.
It is not celiac disease, a far less common autoimmune condition that can destroy the small intestine. Indeed, no one has conclusively identified a physical explanation for gluten sensitivity and its array of symptoms.
Recent studies have strongly suggested that many, and possibly most, people who react badly to gluten may have a more challenging problem: sensitivity to a long list of foods containing certain carbohydrates.
In 2011, Peter Gibson, a gastroenterologist at Monash University in Victoria, Australia, and his colleagues studied 34 people with irritable bowel syndrome who did not have celiac disease, but reacted badly to wheat, a gluten-rich grain. The researchers concluded that non-celiac gluten sensitivity �may exist�.
Many of their subjects still had symptoms on a gluten-free diet, however, which prompted a second study of 37 patients with irritable bowel syndrome and non-celiac gluten sensitivity who were randomly assigned to a two-week diet low in certain carbohydrates, collectively called Fodmaps.
All patients on the special diet improved, but got significantly worse when fed gluten or whey protein. Only 8% of the participants reacted specifically to gluten, prompting the researchers to conclude that Fodmaps, not gluten, accounted for most of the distress.
Fodmaps is an acronym for fermentable oligosaccharides, disaccharides, monosaccharides and polyols, sugars that draw water into the intestinal tract. They may be poorly digested or absorbed, and become fodder for colonic bacteria that produce gas and can cause abdominal distress. They are:
Fructose: A sugar prominent in apples, pears, watermelon, mangoes, grapes, blueberries,
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