Celiac Disease

Overview

Celiac disease is a digestive disease that interferes with the absorption of nutrients and causes damage to the small intestine. People with Celiac Disease cannot tolerate gluten, a protein found in wheat, rye, and barley, and which also may be found in products such as medicines, vitamins, and lip balms.

When people with celiac disease eat foods or use products containing gluten, their immune system responds by damaging or destroying villi. Villi are tiny, finger-like protrusions in the small intestine that normally allow nutrients to be absorbed through the small intestine into the bloodstream. People without healthy villi will become malnourished, no matter how much food they eat.

Celiac disease usually runs in the family, but it can also be triggered by events such as surgery, pregnancy, childbirth, viral infection, or severe emotional stress.

 

Applicable Procedures

EGD

 

Is there a cure for celiac disease?

Doctors and medical experts do not know a cure for celiac disease, but many people can manage the condition and heal the intestine by adhering to a strict gluten-free diet.

 

What causes celiac disease?

Genes might contribute to celiac disease, but the exact cause of this condition is not known. Sometimes, celiac disease may develop as a result of childbirth, pregnancy, surgery, infection, or severe distress. Gastrointestinal infections, gut bacteria, and the way that infants are fed may also contribute to the condition. Risk factors for celiac disease include having a family history of the condition, suffering from type 1 diabetes or autoimmune thyroid disease, and having certain conditions like Down syndrome, Turner syndrome, Addison’s disease, or microscopic colitis.

 

How do doctors treat celiac disease?

The only way to manage celiac disease is to maintain a strict gluten-free diet, which means eliminating wheat, barley, durum, rye, spelt, graham flour, malt, bulgur, farina, triticale, and semolina from the diet. A dietician can work with you to plan a gluten-free diet and help you to identify and eliminate potentially hidden sources of gluten in your diet. You may also have to take supplements to treat issues like anemia. A doctor may also prescribe medications to help the intestine heal if you have severe celiac disease, or you do not respond to treatment. In some cases, celiac disease is refractory, meaning it does not get better with a gluten-free diet. In this case, a specialist will need to evaluate your condition to determine the cause.

 

Common Symptoms

  • “I was experiencing signs of gastrointestinal distress, such as abdominal pain, constipation, nausea, and vomiting. I also felt tired all the time and started to lose weight.”
  • “I started to get headaches and feel extremely tired all the time, and I noticed ulcers in my mouth.”
  • “My son was irritable all the time and started to lose weight, and he suffered from chronic diarrhea. His belly also appeared swollen, and he complained of constipation.”

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What They Are Saying

Tonya T.
Dr. Bologna was great. Listen to my problems and we came up with a plan. Very happy with him.
Kristen B.
Great nurses and quick turnaround in and out for colonoscopy.
Patrick P.
I was alerted ahead of time about the tele-visit. It was a good experience. The Doctor had good advice and we made a plan for the next week.
Margaret P.
Good experience with the doctors including all staff.
Rose R.
On time, listened to me, made sure I understood what was happening, had a clear understandable plan. I strongly recommend Dr. Donat.
K S.
Procedure was quick and painless. Everyone was nice and professional.
Colleen W.
Dr. Nandi, & his entire staff, are absolutely “top-notch”! Everyone was friendly, professional, & efficient! Dr. Nandi took the time to listen to my concerns & respect my input. Together, we created a plan to move forward, & I feel very confident that I’m in excellent hands! What a pleasant experience it was to sit with such an intelligent, educated kind & caring physician, partnering with him in advocating for my good health. I can’t say enough positive things about Dr. Nandi…. & I’m a Registered Nurse, so I know EXEMPLARY HEALTH CARE when I see it! If you are fortunate enough to be one of Dr. Nandi’s patients, be grateful! I know I am! 🙂
William S.
These folks are on top of their game. Outstanding professionalism with everyone I interacted with. Roger my RN was amazing. Got my IV started painlessly and was a pleasure to talk with. Highly recommend
David P.
Preparation details were clear and manageable. Staff, even VERY EARLY on the day of procedure, were cheerful and professionally efficient. A potential medical issue was successfully resolved, and the procedure completed without incident. Post procedure communication was cheerful, detailed and complete. Excellent work and follow up!
Meg M.
Dr Bologna is easy to talk to on the phone.
Erica L.
Very excellent experience here. Nursing, front desk staff, snd all doctors were great, informative and helpful
Valentin
Very satisfied ! Doctor and staff Very professional !
Jeff P.
Always professional and helpful.
alijas B.
Great place and helpful staff!
Kathy P.
Had a virtual visit with the PA Jennifer P. She was very pleasant, and knowledgeable. She address all of my concerns. Good experience.
MIke B.
I couldn’t have had a better experience. The staff members were kind, polite and professional. I would not hesitate to recommend this office to anyone looking for great care.
Tom G.
I would like to sincerely thank you for the excellent care I received during my recent colonoscopy. From start to finish, the professionalism, kindness, and clear communication helped put me at ease and made the entire experience much more comfortable than I expected. I truly appreciate your attention to detail and compassionate approach, and I would not hesitate to recommend your practice to others seeking high-quality care. Thank you again for everything you do.
Doug G.
Cindy, Lauren and Ashley were welcoming and professional. Dr Nandi is always a great choice!
Toni T.
This was a very easy procedure 1. Very professional staff 2. Everyone was very nice and easy going 3. Everyone explained what they were going to do. 3. Everyone introduced themselves but for the life of me I can't remember their names 4. Dr Fogel was wonderful 5. I would recommend Center for Digestive Health
Jennifer G.
Everyone was so very considerate and nice that I had contact with from when I checked in, to nurse, to doctor and in recovery. Definitely recommend. I still don’t really get why your ride has to stay there the entire time, but other than that it was very positive experience.
Kate P.
Dr Desai has been my gastroenterologist for nearly 25 years. He spends time, he is kind, he answers questions and again, he spends time when you need it. I never mind waiting for him when I have to because I know that he is doing for someone else what he does for me – he takes the time to talk to his patients and explain things. He is a five star – a 10 star – Dr. I am so fortunate that I am in his care. Dr. Tusar Desai is located in the Beaumont/Corewell Royal Oak medical office building at 13 Mile Rd. and Woodward Avenue
Ted M.
I felt everyone that helped me truly cared and Dr Amir Abadir also had time to actually listen to my issues. Thanks to all of you.
sarah R.
The staff MEC was absolutely amazing, thank you so much for all you do.
Ophelia A.
Absolutely wonderful staff! They’re all very kind and patient and extremely helpful ❤️
MARCUS C.
Staff was extremely friendly, helpful, and professional. Every aspect of my visit ran smoothly like clockwork.
Cindy W.
Recently underwent a fourth procedure here at the Center with Dr. Nandi. The entire staff is professional, caring and skilled in their work and patient concerns. Dr. Nandi is skilled and caring and takes time to listen to his patients. The staff works well together which helps put the patient at ease.
chris C.
From being greeted at the Reception area, all the Nurses and Dr. Sante Bologna my experience was excellent. I have been going every 5 years and my experience is always professional and friendly.
Krista W.
Prompt, professional, friendly. Excellent aftercare as well, called to make sure I’m doing ok later in the afternoon.
Geraldine K.
Dr Bakker was very attentive. She listened to me and was very gentle with her examination. She made me feel very relaxed.

Our Doctors

We’re proud of our team here at Digestive Health Institute. Our health care providers include some of the very best colorectal surgeons, gastroenterologists and physician assistants. To learn more about our qualified team of specialists, please visit our providers page.

Anezi E. Bakken MD, MS

Sante D. Bologna MD, FACP

M. Emin Donat MD, FRCPC

Partha S. Nandi

Jack Tocco DO

John R. Weber MD

Richard T. Wille MD

Tusar Desai MD

Aalia Saeed, MD

FAQs

What happens during my first visit?
If you are a new patient, you can expect to have a complete physical exam. You will also be asked detailed questions about your current problems and your past medical history, your current medications, allergies, your family history and other pertinent medical information. If you are taking medications, please bring a completed medical history form with you to your appointment. Once the physician has reviewed your medical information and completed the physical examination, a plan of care will be developed. You may need to be seen again in the office, be referred back to your family physician for follow-up care, or require additional testing. If additional tests are needed, we will assist you in scheduling these tests.
What if I need to schedule an endoscopic procedure?

An endoscopic procedure allows the physician to visualize a part of your gastrointestinal tract with a special instrument called an endoscope. If your family physician has ordered testing, you will be contacted by telephone by one of our staff members. If a physician orders testing and you are in the office, the procedure can generally be scheduled during the course of your visit. You will be given a date, time, and location for the test, as well as written instructions telling you how to prepare for the test. If you have any questions about the procedure, please feel free to ask one of our staff members or the physician.

How do I get test results?

We ask that you wait 10 to 14 days before contacting us for results. Often results come from several different sources. This information needs to be compiled and reviewed by your physician before you can be appropriately advised. 

What insurances do you accept?

We accept payment from most insurance companies including Medicare, Blue Cross/Blue Shield, Blue Care Network, Physicians Health Plan, Cofinity, Sparrow Professional Health Network, Medicaid, McLaren, Health Plus, and several others. Accepted insurances are subject to change at any time without notice.

If your insurance requires an authorization from your primary care physician, you may be asked to assist us in obtaining this authorization.

All patients are responsible for all copays and deductibles at the time of service.

If you have any questions regarding your benefits or insurance coverage, please contact our Billing Department at 248-844-9710.

What if I need to contact the doctor?

To contact your doctor during business hours please call our main number 248-844-9710. If you have an urgent need to speak with the doctor after hours, you will be rerouted to our after hours answering service, and your doctor will be paged. In the case of a medical emergency please proceed directly to the nearest hospital emergency room.

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