Hi Doctor, I recently found out that my 6-year-old child has celiac disease. I’m worried about what he can eat. Which foods should he avoid, and what can he safely have?

Good Morning Joe! The good news is that children with celiac disease can still enjoy a healthy and varied diet. The key is avoiding gluten completely and preventing cross-contamination.

Your child should strictly avoid wheat, barley, and rye, as well as foods made from them. This includes many types of bread, pasta, cereals, biscuits, cakes, and some processed foods. Always check food labels for gluten-containing ingredients, and be particularly careful with sauces, snacks, and packaged foods. Additionally, read the labels of shampoos, shower gels, etc...

Naturally gluten-free foods include fresh fruits and vegetables, meat, poultry, fish, eggs, milk and most dairy products, rice, potatoes, corn, quinoa, and legumes. Gluten-free oats may be suitable for some children, but they should be clearly labeled gluten-free because regular oats can become contaminated with gluten during processing.

Cross-contamination is also important. Even a small amount of gluten can trigger intestinal damage, so use separate or thoroughly cleaned utensils, cutting boards, toasters, and preparation surfaces when needed.

Because children are still growing, a pediatrician or dietitian experienced in celiac disease can help ensure your child receives enough calories, protein, iron, calcium, vitamin D, fiber, and other nutrients while following a strict gluten-free diet.

The most important message is: celiac disease is manageable, and a gluten-free diet allows the intestine to heal and supports healthy growth.