Celiac Disease, autism & Developmental disorders - is there a link?

">manifested in the first 3 years of life and characterized
Like ‘Chinese whispers’, for several yearsby dysfunction in social interaction and
there has been the belief that putting autistic childrencommunication” AND although not included in the
on a gluten free diet will in time reduce the symptomsdiagnostic criteria, there have been many reports
of their autism. Many mothers in forum groups stilldescribing gastrointestinal symptoms in 9% to 84% of
stand by this assertion. The latest tests indicate thatchildren with autism.
there is no specific link between celiac disease andHowever the very latest papers released in January
autism, however there are cautions to ruling out2010 suggest that “care providers should be aware
potential benefits of going gluten free for children withthat problem behavior in patients with ASD's may be
developmental disorders.the primary or sole symptom of the underlying medical
It appears that the basis of this story traces back to acondition, including some gastrointestinal disorders.”
1998 medical paper that suggested that autistic(Ref 2)
children often suffered from a problem called "leakyAnother study confirms that a “Significant
gut" /  "autistic entercolitis".  The idea was thatdifferences between autism case and control subjects
opiates found in gluten and casein (dairy) werewere identified in the cumulative incidence of
released when gluten food was improperly digested.constipation (33.9% vs 17.6%) and feeding issues/ food
This happened when the GI tract was damaged byselectivity (24.5% vs 16.1). BUT No significant
such things as celiac disease. The opiates thenassociations were found between autism case status
supposedly were released into the bloodstreamand overall incidence of gastrointestinal symptoms or
causing or increasing obvious autistic like symptoms.any other gastrointestinal symptom category.”
This paper is now widely discredited and retracted.( Ref 3) Which leads to the conclusion that “as
The current concern is that the ‘bounce backconstipation and feeding issues/food selectivity often
effect’ from such a retraction is the discreditinghave a behavioral etiology, data suggest that a neuro
of celiac disease in healthy and autistic children. Forbehavioral rather than a primary organic gastrointestinal
those unaware of ‘Developmental disorders’etiology ” is the cause — that is, the autism
in children they cover five main categories. These are:was not specifically affected by gluten.
      AutismCONCLUSIONS
      Attention deficit hyperactivity disorderThe American Association of Pediatrics reports clarify
(ADHD)that children with autism and other Developmental
      Attention deficit disorder (ADD)disorders often do have untreated gastrointestinal
      Non-verbal learning disorder (NLD)issues. However they stress that there is no higher
      Pervasive development disorder (PDD)rate of GI disorders in children with autism than any
COELIAC DISEASE SYMPTOMS IN CHILDRENother children.
Some of the symptoms of celiac disease and/ or milkFurther to this they add the caution that a central
intolerance on the Gastro Intestinal (GI) tractdifficulty in recognizing and characterizing gastro
in children are:intestinal dysfunction with ASDs is the communication
•    Bloating/swollen tummydifficulties experienced by many affected individuals.
•    Breaking wind frequentlyThat is, GP’s and parents often fail to recognize
•    Constipationthe symptoms of GI because they are handling some
•    Craving/ dislike for certain foodsgreater behavioral disorders and hence GI disorders,
•    Dark shadows under the eyesincluding celiac disease, can easily go undiagnosed for
•    Diarrheaeven longer than the regular population (which can
•    Eating non-food items e.g. earth, paper, sand,take ten years).
soapOne can draw the conclusion from this latest research
•    Excessive sweating, especially at nightthat just as easy as it is for celiac disease to go
•    Giggling/ screaming for no apparent reasonundiagnosed in healthy children and adults, gluten
•    Gut disorders in the familyintolerance would very easily be ignored in symptoms
•    Inability to control body temperatureof a child with strong behavioral disorders such as
•    Pale skin/pasty faceautism.
(Ref 1)If you are at all concerned with whether someone you
It appears that the most rigorous research into theknow with autism or a related disorder may have a GI
possible links between celiac disease (or other GIsuch as celiac disease, it is best discussing this with
disorders) and autism (or other related Developmentalyour doctor. However do remember, that for a full
disorders) are coming from American PEDIATRICSconfirmation of the disease a biopsy will usually need
department studies.to be taken which requires that the person is still
One definition of Autism is that that it is “a pervasiveingesting gluten at the time.
developmental disorder (PDD) that is generally