Celiac disease is a condition that exists when a person cannot tolerate gluten, a protein found in food items containing wheat, rye and barley. Untreated celiac disease can lead to damage to the small intestine, which can lead to lactose sensitivity. If lactose sensitivity develops, depending on the level of severity, some dairy products may still be tolerated. However, special dairy products can be consumed to help prevent aggravation to the intestinal tract, if necessary.
Celiac Diet
A gluten-free diet is the only current treatment for celiac disease. This special diet must not contain any food or beverage sources of gluten. This includes any items which have been processed using these ingredients, such as beer, or which could have come into contact with them during processing, like in a factory. Despite conflicting research, The National Digestive Diseases Information Clearinghouse indicates that oat-containing foods can be safely consumed, provided they have not been processed with wheat, barley or rye.
Lactose Sensitivity
Not following a strict gluten-free diet can cause damage to the small intestine in people with celiac disease and this can result in many issues, including a sensitivity to lactose, the sugar found in milk and milk products. Items like cheese, ice cream, butter, cream or yogurt all contain lactose. The American Dietetic Association recommends trying special versions of these dairy products which contain lactase, the enzyme that allows lactose to be digested. Many people with lactose sensitivity find that these items allow them to eat dairy without negative intestinal side effects.
Calcium Replacement
Dairy products are a good source of calcium, and there are a few considerations with lactose sensitivity. First, there are varying degrees of this condition; some dairy products may be tolerated while others are not. Yogurt is one food item commonly tolerated despite lactose sensitivity. Second, lactase-containing dairy items are good sources of calcium. Third, there are many non-dairy food items, such as fortified orange juice, tofu and spinach, as well as over-the-counter (OTC) supplements which are good sources of calcium.
Hidden Gluten
Due to the risk of intestinal damage and digestive side effects, it is important that a gluten-free diet is followed in those with celiac disease. Some food items are sources of hidden gluten, many of which you may not realize. These should also be avoided on a gluten-free diet. As the Celiac Disease Foundation warns, be wary of croutons, energy bars, imitation bacon, sauces and gravies, herbal supplements, some vitamin and mineral supplements, imitation seafood, some OTC medications, soy sauce and flour, among other items. Always check food labels to ensure an item is gluten-free. Consult your pharmacist about supplements and medications.
Considerations
It may help to meet with a registered dietitian to establish a well-balanced menu plan and to ensure that all the essential vitamins, minerals and nutrients are being accounted for. With additional lactose sensitivity, meeting daily nutritional needs may become more difficult. Health care assistance may be helpful in preventing malnutrition.
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