- 74-B, Jawahar Colony, Near Glass Factory Tonk Road
About Clinic
Celiac Disease Clinic is Managed By
The Celiac Disease Clinic is managed by Dr. Gaurav Agrawal, a Consultant pediatric gastroenterologist and interventional endoscopist who specialises in treating Celiac Disease.
He is incharge of Pediatric Gastroenterology and Hepatology Division at Mathama Gandhi Medicial College and Hospital, Jaipur.
Celiac Disease can manifest at any time during whole life but it often does so between the ages of 6 and 9. The cause of this varied presentation is unknown. It is crucial to have them checked if a child displays the first signs of Celiac Disease or if the ailment runs in your family. A parent, sibling, child, or other first-Degree relative of the patient (index case) has a one in ten (10%) chance of acquiring Celiac Disease.
The intensity of the symptoms varies widely, many Children have symptoms within minutes to hours of consuming gluten, and they frequently go away within a few hours.
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Our Team.
Dr. Gaurav Agrawal
Consultant: Pediatric Gastroenterologist Hepatologist and Interventional EndoscopistFormerly at: J.K. Lone Hospital SMS Medical College, Jaipur
Lokranya Tilak Muniapal Medical College and SION, Mumbai
MBBS, MD (Pediatrics), FPGHN, FGIE
Dr. Vineeta Bansal
(Ph.D., R.D., D.Y.N.)Associate Professor & Chief
Dietitian - Dept of Clinical
Nutrition & Dietetics
Mahatma Gandhi Medical
College & Hospital,
Jaipur Clinical work
experience > 12 years
What is Celiac Disease?
Celiac Disease is a serious autoimmune disease that occurs in genetically predisposed people
where the ingestion of gluten leads to damage in the small intestine. It is estimated to affect 1 in
100 people worldwide. Many Indians are undiagnosed and are at risk for
long-term health complications.
When people with Celiac Disease eat gluten (a protein found in wheat, rye and barley), their body
mounts an immune response that attacks the small intestine. These attacks lead to damage on the
villi, small fingerlike projections that line the small intestine, that promote nutrient absorption.
When the villi get damaged, nutrients cannot be absorbed properly into the body.
Celiac Disease can be hereditary, meaning that it runs in families. People with a first-degree relative
with Celiac Disease (parent, child, sibling) have a 1 in 10 (10%) risk of developing Celiac Disease.
Celiac Disease affects children in different ways,depending on their age
Infants and Toddlers
Infants and toddlers tend to have more obvious symptoms which usually manifest in the gastrointestinal tract. Symptoms include, but are not limited to:
- 1. Vomiting
- 2. Bloating 3. Irritability
- 3. Poor growth
- 4. Abdominal distention
- 5. Diarrhea with very foul stools
- 6. Malnutrition
School-Age Children
Vomiting is less common in school-age children than in infants and toddlers. Symptoms include, but are not limited to:
1. Stomach aches or abdominal pain
2. Abdominal distention
3. Diarrhea
4. Constipation
5. Trouble in gaining weight or weight loss
1. Stomach aches or abdominal pain
2. Abdominal distention
3. Diarrhea
4. Constipation
5. Trouble in gaining weight or weight loss
Older Children and Teens
Older children and teenagers may have symptoms or concerning signs that are not
obviously related to the intestinal tract, which are called “extra intestinal” or “atypical”
symptoms.
These symptoms are what may convince a physician to test for Celiac Disease. Some of these manifestations include:
1. Stunted growth
2. Weight loss
3. Delayed puberty
4. Achy pain in the bones or joints
5. Chronic fatigue
6. Recurrent headaches or migraines
7. Itchy skin rash (dermatitis herpetiformis)
8. Recurring mouth sores, called aphthous ulcers, which look like canker sores Adolescents with Celiac Disease may also have mood disorders, including anxiety and depression, as well as panic attacks.
These symptoms are what may convince a physician to test for Celiac Disease. Some of these manifestations include:
1. Stunted growth
2. Weight loss
3. Delayed puberty
4. Achy pain in the bones or joints
5. Chronic fatigue
6. Recurrent headaches or migraines
7. Itchy skin rash (dermatitis herpetiformis)
8. Recurring mouth sores, called aphthous ulcers, which look like canker sores Adolescents with Celiac Disease may also have mood disorders, including anxiety and depression, as well as panic attacks.
Celiac Disease in Children with No or Mild Symptoms
Associated condition in which testing for
Celiac Disease is recommended:
1. Family member with Celiac Disease
2. Type 1 diabetes
3. Thyroid disease
4. IgA deficiency
5. Juvenile Chronic Arthritis
6. Down syndrome (Trisomy 21)
7. Williams syndrome
8. Turner syndrome
1. Family member with Celiac Disease
2. Type 1 diabetes
3. Thyroid disease
4. IgA deficiency
5. Juvenile Chronic Arthritis
6. Down syndrome (Trisomy 21)
7. Williams syndrome
8. Turner syndrome
Severe Celiac Disease in Children
Severe cases of Celiac Disease in childhood are now very rare.
Symptoms of severe cases include:
1. Chronic fatigue
2. Very low blood pressure
3. Excessive water loss in stool, leading to “electrolyte disturbance”
4. Abdominal obstruction called “intussusception”
1. Chronic fatigue
2. Very low blood pressure
3. Excessive water loss in stool, leading to “electrolyte disturbance”
4. Abdominal obstruction called “intussusception”
HAPPY Patient
What Says Our Patients
Best Dr. and more than Dr sir is very kind and humble human being...bcoz of sir we know that why Dr are called God on earth...my 4 month old son came with cough and cold but after x ray we found ring in his neck. He was in very critical condition but Dr. Gaurav sir with the help endoscopy took it off from his neck...and after that he put all his efforts to make him stable on that day....he was running here and there with us to maje my son stable, after he was stable Dr went back to his OPD... whenever at night aur day when my baby needs his care he was always there's for him .I am very thankful to Dr. He make my son alive, he gave my son a new life ..he made my smile again.... After discharge of my baby he oftenly ask about my baby's health status... Thank you sir with respect from bottom of my heart...
This doctor is very good, my friend's son is not well, after getting treatment from him, he got cured. Dr. nature is very good, his fees are also very reasonable.
Doctor gaurav Agarwal has very good aptitude of understanding patient problems in a holistic approach by giving much time in hearing the patient and suggesting best medications with proper guidance of taking medicines that suits and solves the problems.
Excellent Doctor, God bless him.
Lot of thanks to Doctor Dr Gaurav for giving best medications to my daughter during her cyliac disease.
(Suresh Raj police)
