Celiac.com 09/25/2008 - Even after identifying yourself as having a
wheat or gluten allergy and asking for a specially prepared meal, it is
a common mistake to have a server deliver soup with crackers, or the
entree with a side of Texas toast. I get frustrated just thinking
about the number of times my salad has arrived with croutons. However,
getting upset, or pointedly reminding the server can ruin the ambiance
of the meal, as well as leave a bad impression with your dinner
companions. It is helpful to remember that you are in the very small
minority of their customers, and simply consider it an honest mistake.
Do not remove the croutons, crackers, cheese, etc. and eat your
contaminated food—SEND IT BACK TO THE KITCHEN—politely, please. State
that you cannot eat what they have brought you, and repeat that you are
allergic to the offending food. Use the opportunity to gently remind
your server and educate them about gluten. Hopefully the next time
they will be more conscientious.
If you are wheat or gluten
intolerant, and have the genetic component that leads to celiac
disease, there is no going back to gluten. As your body heals, you may
think that you will be able to cheat once in a while, and that your
sensitivity to gluten will decrease once you are not getting "too
much". In fact, the opposite seems to be true. Once the body begins
to get rid of its toxic load, heal damaged tissues, and regain health,
it becomes more sensitive to gluten. I see this over and over again in
the clients I counsel, and in my cooking class students. You will know
right away if you cheat, or if you are accidentally "glutened". Your
body, fortunately or unfortunately, will tell you. It is important to
learn techniques to sooth your symptoms as much as possible until
recovery takes place.
Symptoms of gluten exposure in a
gluten-intolerant person can vary widely, but some commonly reported
ones are abdominal discomfort, bloating, pain, swelling (sometimes
extreme) and cramping, followed by diarrhea, or loose stools. For
those with Dermatitis Herpetiformis (DH), even very minor exposure can
provoke itching and a return of a healed or nearly healed rash. Others
report headaches, or experience a sudden decrease in alertness and
clarity of thought.
Short-term treatment strategies for gluten
exposure include taking an over-the-counter anti-histamine (check with
your pharmacist for gluten ingredients), drinking nettle leaf tea (a
natural anti-histamine), and using a warm castor oil pack over your
upper or lower abdomen, wherever the pain and cramping are centered.
Longer-term
strategies include rebuilding your intestinal health through following
an anti-inflammatory diet, taking supplements like L-Glutamine, coconut
oil, fat-soluble vitamins A, E, D, and K, Calcium, Magnesium,
B-Vitamins, Essential Fatty Acids (EFA's), and probiotics. Dr. Thomas
O'Bryan, a nationally recognized speaker on celiac disease and gluten
sensitivity, also recommends Carnitine, an amino acid, in the treatment
of celiac/gluten intolerance. L-Carnitine helps in the absorption and
transport of essential fatty acids into cells, and also helps to
protect nerve membranes from free-radical damage.
You may have
good results with the tummy rescue smoothie recipe below, which I
developed in response to a "gluten emergency" of my own. The healing
properties of each ingredient are also listed. Puree in blender until
smooth, and slightly thickened. It is most soothing when consumed
while still warm from the hot tea
Tummy Rescue Smoothie:
- 1 cup hot freshly brewed nettle leaf tea (anti-histamine, anti-spasmodic)
- ¼ cup Santa-Cruz pear juice (flavoring/sweetener - pears are the least allergenic of fruits)
- ¼ - ½ teaspoon whole fennel seed (reduces gas & bloating)
- 2 Tablespoons slippery elm powder (healing & soothing to mucous membranes and the gut)
- 1 Tablespoon flax seed oil (soothing, anti-inflammatory)
- ¼ - ½ cup rice milk (hypoallergenic, use to thin to desired consistency)
This
smoothie is best consumed in small sips over an hour or so. Magnesium
also helps with pain and relaxes muscle spasms, so taking a little
extra magnesium may be of benefit. For severe symptoms, drink the
smoothie while reclining in bed, with a warm castor oil pack over the
abdomen, covered by a heating pad set on low. Do not leave the pack in
place for more than an hour.
There is also an enzyme coming on
the market that may help reduce some symptoms of gluten exposure,
although this product is in no way meant to replace the gluten-free
diet. Use it only for emergencies.