The Celiac Disease Clinic offers a comprehensive next step for patients who have received a possible diagnosis of celiac disease. We can confirm if you have celiac disease and provide ongoing support for managing this condition.
Initial appointments to the clinic require a physician referral. To refer a patient, call (615) 322-0128 and request Dawn Wiese Adams, M.D.
1211 21st Avenue
Medical Arts Building, Suite 514
Nashville, TN 37232-2713
Celiac disease is an autoimmune disorder involving severe sensitivity to gluten, a protein found naturally in wheat, rye and barley. If someone with celiac disease eats food that contains gluten, their immune system reacts by attacking the lining of the small intestine. Celiac disease is sometimes called by other names: coeliac disease, celiac sprue, non-tropical sprue, and gluten sensitive enteropathy.
Over time, damage to the small intestine leads to an inability to absorb nutrients. This can lead to anemia, nervous system disorders, thin bones, vitamin deficiencies and other serious conditions.
Celiac disease is hereditary. People with a parent, child or sibling with celiac disease have a 10 percent chance of developing celiac disease themselves. Some people with celiac disease have other autoimmune diseases.
Some people with celiac disease feel no symptoms. Others may experience:
In children, additional symptoms can include:
Advanced diagnosis of celiac disease involves a biopsy of the lining of the small intestine. This can confirm the initial diagnosis from a blood test. This biopsy will be performed while the patient is still eating gluten.
Patients will also be screened for vitamin and mineral deficiencies common to people with celiac disease.
Because the most important treatment for celiac disease is avoiding foods, medications and other products containing gluten, our dietitians help patients create balanced, gluten-free eating plans. In rare cases, additional treatment such as medication may be required.