Click for appointments or call (707) 927.5622 Home header

Celiac Disease & Gluten Sensitvity

Dr. Burkhart has spent the last 10 years working in conjunction with the Celiac Community Foundation of Northern California, functioning as both a board member and a medical advisor.  She and the other members of the foundation have been diligently working to increase awareness of celiac disease and gluten sensitivity-now known as non-celiac gluten sensitivity (NCGS) in the community. They have done this through a multitude of avenues such as educating physicians and other health care workers, sponsoring Camp Celiac and public events and authoring the White House petition for allergen labeling. Through her work with the foundation and encounters with many patients with these issues, Dr. Burkhart saw the need for appropriate care for patients with celiac disease and NCGS. It is her hope that her knowledge and experience can help you be the healthiest person you can be.

                                  Celiac Disease

An autoimmune, genetic condition affecting 1/133 people in the United States.


  • Vary from person to person and can affect many different bodily systems
  • Not an all-inclusive list but include:
  • General: Fatigue, generalized ill feeling, frequent colds, illnesses
  • Neurologic: Headaches, Numbness/Tingling, Memory/Concentration Problems ( Brain Fog)
  • Gastrointestinal: Diarrhea, Constipation, Pain, Bloating, Gas, Cramps, Reflux/Heartburn,vague non-specific abdominal complaints
  • Hormonal: PMS, Alteration in menstrual cycles, Correlated with thyroid disorders,infertility
  • Musculoskeletal: Muscular Pain, Knots ( Fibromyalgia like symptoms), Back pain
  • Skin: Nonspecific rashes, eczema

Diagnostic evaluation includes:

  1. Symptoms prior to testing
  2. Antibody Testing on a gluten containing diet
  3. Intestinal biopsy on a gluten containing diet
  4. Symptom relief/change after intitiating gluten-free diet
  5. Genetic Testing

Treatment: Lifelong, strict, gluten -free diet

Prognosis: Excellent if dietary adherence is strict. If long term dietary non-complaince occurs the risk of other illnesses such as autoimmune disorders, osteoporosis and cancer increases.


                           Non-Celiac Gluten Sensitivity

The possiblity of celiac disease and wheat allergy have been ruled out by appropriate, validated symptoms yet the person experiences symptoms when ingesting gluten. In abbreviation it is known as NCGS. Other common terms used for NCGS are gluten sensitivity or gluten intolerance.


Equivalent to the symptoms of celiac disease.


Diagnosed is made only after negative, appropriate testing for celiac disease and wheat allergy.


There appear to be several different reasons for NCGS. This is a rapidly evolving topic. Treatment will be based on the reason for NCGS.

  1.  Fructose Malabsorption- treat with low FODMAP diet
  2. ATI- intolerance-wheat free or gluten free diet
  3. Other reactions to other components of wheat-wheat free or gluten free diet


Good with dietary adherence. Due to the lack of information in this area, long term complications/risks are unknown.


Photo by


“I have always been a very active person and enjoyed a full life, however, I had various health problems for more than 11 years that began taking their toll on my body. I sought help from many health care professionals during that time. I went from Medical Doctors (including a Gastroenterologist), Osteopaths, Acupuncturists, Chiropractors, Physical Therapists to Massage Therapist’s and no one was able to provide me with a correct diagnosis. Nor did they go beyond treating my symptoms and search for the etiology of my illnesses. It wasn’t until I met Dr. Amy Burkhart that my road to wellness began. 5 years ago, I was diagnosed with Celiac Disease after Dr. Burkhart suggested I be tested. I was told by the Gastroenterologist to adopt a gluten free diet and offered an appointment with a dietician. For me, this wasn’t sufficient. I went on a strict gluten free diet and my symptoms and health improved, but I still wasn’t well. I had developed multiple food sensitivities from years of damaging my gut with gluten. Dr. Burkhart put together a comprehensive individualized program that put me on the path to wellness. She helped me discover my food sensitivities, replenish lost vitamins and minerals with high quality supplements and was available to see me through this process. Through her care, I became healthy again, resumed and surpassed all physical activities I had enjoyed many years earlier.”

6 months ago

Stone Brewing company Stone Brewing - Napa opened recently in Napa in an historic building adjacent to the river. A great venue to enjoy life! The gluten free menu options are coming (per the manager ) but please visit and inquire about GF options. The more people who show interest and discuss cross contamination the more likely they are to get it right! Wine is available. Maybe they will even consider a GF beer! . ... See MoreSee Less