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What is Which cereal is not to be given in celiac sprue? and explain in detail?
Ans. (a) WheatRef.: Harrison 19th ed. /1940* Coeliac disease is caused by a reaction to gliadin found in wheat, oats, rye and Barley. Upon exposure to gliadin, there is production of anti-tissue transglutaminase antibody which cross-reacts with small-bowel tissue, causing an inflammatory reaction.* This leads to villous atrophy and leads to osmotic diarrhea.