Gluten Intolerance or Sensitivity in Orlando, FL

Orlando Doctors Identify Symptoms of Gluten Intolerance/Sensitivity

People who are sensitive to or intolerant of gluten in foods experience bloating, gas, abdominal pain, diarrhea, constipation, nausea, headaches, joint pain, fatigue, and mental fog.

These symptoms may also indicate celiac disease, so it is important to visit your Orlando Gastroenterology doctor. Treatment for gluten sensitivity differs from treatment for celiac disease.

Is it gluten sensitivity or celiac disease?

Two simple tests will distinguish whether a patient is gluten sensitive or has celiac disease. Celiac disease produces antibodies that are present in blood, stool, and saliva. Collecting and testing samples of these substances quickly show the presence or absence of celiac antibodies. If no antibodies are present, doctors usually determine that a patient is simply gluten sensitive or gluten intolerant.

What causes gluten intolerance?

The cause of gluten intolerance, also called non-celiac gluten sensitivity, is not fully understood. Unlike celiac disease, it does not involve the immune system producing antibodies that damage the small intestine, and unlike a wheat allergy it does not produce an allergic response. Research suggests that gluten, and possibly other components of wheat, trigger symptoms in some people without causing the intestinal damage seen in celiac disease.

Because the symptoms overlap with celiac disease, wheat allergy and irritable bowel syndrome, testing matters. At Orlando Gastroenterology we test for celiac antibodies first, then work with you to identify what is actually driving your symptoms.

Treatment for gluten intolerance or sensitivity

The treatment for this condition is simple: eliminating gluten in one’s diet.

What kind of doctor treats gluten intolerance?

A gastroenterologist is the doctor who diagnoses and treats gluten intolerance. Your primary care physician can order an initial screening blood test, but a GI specialist is the one who can tell the three overlapping conditions apart — celiac disease (an autoimmune disease that damages the small intestine), wheat allergy (an immune reaction to wheat proteins), and non-celiac gluten sensitivity (real symptoms without the antibodies or intestinal damage). They look similar from the outside and are managed very differently.

Do not go gluten-free before you are tested

This is the single most common mistake, and it matters. Celiac blood tests and biopsies look for the damage and antibodies that gluten produces. If you have already removed gluten from your diet, those markers fade and the tests can come back falsely negative — which means a celiac diagnosis can be missed entirely. Keep eating gluten normally until your gastroenterologist has completed testing, then change your diet with their guidance.

How is gluten intolerance diagnosed?

  • Celiac antibody blood tests (tTG-IgA and related markers), with total IgA to rule out a false negative
  • Upper endoscopy with small bowel biopsy if antibodies are positive, to confirm celiac disease and assess intestinal damage
  • Allergy testing where a wheat allergy is suspected
  • Structured elimination and reintroduction, once celiac disease has been excluded, to confirm non-celiac gluten sensitivity and check whether something else — such as SIBO, IBS, or a FODMAP intolerance — is the real driver

Seeing a gluten intolerance doctor in Orlando

Orlando Gastroenterology evaluates gluten intolerance, celiac disease and related conditions at four Central Florida offices: MetroWest (1507 S Hiawassee Rd Ste 105), East Orlando (1300 N Semoran Blvd), Kissimmee (1132 Cypress Glen Circle) and Clermont (255 Citrus Tower Blvd #207). Offices are open Monday–Friday, 8:00 AM – 4:00 PM. Call (407) 445-9224 or text (407) 759-5041. Many insurance plans allow you to schedule directly without a referral.

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