Cynthia S. Rudert, M.D., F.A.C.P.
Gastroenterologist / Celiac Doctor
Celiac Disease & Gluten Intolerance Specialist
2nd Opinion Consult for all Gastrointestinal Disorders
Physician / Speaker / Consultant
For Information or
To Schedule An Appointment
5555 Peachtree Dunwoody Rd.
Atlanta, GA 30342
Patient Resources /
The Gluten-Free Solution, by Gigi Stewart, M.A.,
CEO / Founder, Gluten Free Gigi, LLC
Editor-in-Chief, Food Solutions Magazine
Now available on Amazon!
"The Gluten Free Solution is the ultimate guide to answer all your questions about celiac and all gluten related disorders. Gigi Stewart has certainly put her training as a research scientist to use. She has a gift that allows her to easily explain some very complex subjects and has beautifully reviewed the literature making this book an invaluable resource. It is wonderful to have a book that covers everything from research to recipes. I will be recommending her book to all my patients from the newly diagnosed to those who have followed the gluten free diet for years. Everyone will learn something new. I know I did!"
Forward by Cynthia Rudert, M.D., F.A.C.P.
Now available online for download!
Gluten-Free Recipes for All Seasons: Cooking Gluten-Free! by Karen Robertson, author and blogger of CookingGlutenFree.com blog.
Woolfred Cannot Eat Dandelions, by Claudine Crangle, Magination Press, Washington DC, American Psychological Foundation
“Woolfred Cannot Eat Dandelions is a wonderful and beautifully illustrated story that helps to explain food intolerances to children. Claudine Crangle captures the essence of ‘being true to your tummy.’” — forward by Cynthia Rudert, M.D.
Gluten Free Diet by Shelley Case, Registered Dietician
"This is the book I have been waiting for, to recommend to ALL my patients with celiac disease. It is a MUST READ for everyone who needs a gluten-free diet." Dr. Cynthia Rudert, M.D., F.A.C.P., Gastroenterologist, Atlanta, Georgia
www.gluten.net (Gluten Interoerance Group of North America, GIG)
Celiac Q & A /
(CNN) -- An estimated 3 million Americans have celiac disease, but most don't even know it. CNN medical correspondent Judy Fortin learned more about the ailment from Dr. Cynthia Rudert, gastroenterologist and medical adviser for the Celiac Foundation, a national awareness organization. (March 7, 2007)
Fortin: What is celiac disease?
Rudert: Celiac disease is an autoimmune illness. An autoimmune illness is when your body turns against itself. Celiac is not an allergy and it's not a food intolerance. People with celiac need to avoid anything that contains gluten. Gluten is in breads, cereals, soups, sauces, pizza and even medication.
Fortin: What happens when someone with celiac disease eats gluten?
Rudert: Their villi in the small intestine start to break off. You can take a biopsy in the small intestine and under the magnifying glass those villi look like long fingers. They should be nice and long. In celiac disease, if you have the gene and you're eating gluten those tips start to break off. You can develop malabsorption of nutrients.Fortin: Is gluten often a hidden ingredient?Rudert: Yes, and it's these hidden glutens that are initially really challenging. You really have to re-educate yourself how you're going to shop, and that can take months. I tell patients there is about a four-month learning curve because you will look at foods differently.
Fortin: How common is celiac in the United States?Rudert: Celiac disease is the most common inherited autoimmune illness in America. It's thought to affect 1 percent of the entire U.S. population. Ninety-eight percent of them do not know they have the disease.
Fortin: How long does it usually take to get a diagnosis?
Rudert: It's been published that the average patient has a seven-year delay in diagnosis. In seven years, many of these folks have seen five, six, seven or more physicians. They languish under other misdiagnoses, commonly: irritable bowel syndrome, spastic colon, abdominal pain, reflux. But you don't have to have gastrointestinal or GI symptoms to have celiac disease.
Fortin: Why is it so difficult to recognize the disease?
Rudert: I think because physicians were taught it was very rare, so they never screened for it and they didn't look for it. It wasn't until maybe 10 years ago that really good blood testing was available and that is the first line of diagnosis. If you think someone has celiac you should pursue it. The first step may be blood testing. It looks at certain components and antibodies.
Fortin: Can the disease be triggered?
Rudert: There are triggers that initiate the onset of celiac disease and we haven't figured out all the triggers that could be involved in the equation. Is it post-partum? I see that a lot. Is it pregnancy itself? Infections can also be a trigger, or overuse of antibiotics. Researchers are looking at a way to turn off the gene.
Fortin: Is it hereditary?
Rudert: Forty percent of all Americans have the gene. It's now recommended if you have a family member with celiac, then you be screened.
Fortin: Can the damage to the intestines be repaired?
Rudert: The damage can be repaired and that's the good news. Once you initiate a gluten-free diet, the villi will start to heal and completely heal in children in six months, adults within one, maybe two, years or less.
Judy Fortin is a correspondent with CNN Medical News.