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Ibs Vs. Celiac


Kayleen007

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Kayleen007 Rookie

Okay..maybe I'm just too spazzed into trying to find out what is really wrong with me. I'm just so damn tired of being sick. But I was diagnosed with IBS about 10 yrs ago (also saw on my medical records that I could have Inflammatory Bowel Disease...anyone know the difference in that and IBS?) Anyway..what exactly are the differences, symptom-wise between IBS and Celiac? As I mentioned in a previous post, I can't afford to see a doctor to be tested for Celiac..can't afford that other one, the one that tests your stool by mail, the name escapes me. So..is there anything I should look for that would make me think it might be one or the other? I am on the gluten-free diet. Just started that about a week and a half ago. But it's not helping yet (and I know that can take a long time), and EVERYTHING I eat right now is making my intestines go crazy...so I can't narrow it down by foods. Any other suggestions?? :(


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Guest jhmom

I am not sure what Inflammatory Bowel disease is (I assume it's inflammation ;):P ) but I DO know that with IBS there are NO physical signs of it (no inflammation, nothing to point to and say "that's your problem").

I knew I did not have IBS because I dropped 40lbs in 2 months, that usually is NOT a sign of IBS and something inside me was just not satisfied with that dx.

Since money is an issue for you stay on the diet, but give it a few months to see an improvement. Some docs out there do accept an improvement on the gluten-free diet as a way of testing and will not give you a hard time about it and if they do.... oh well, it's your body and your health!

You take care!

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    • trents
      You might consider asking for a referral to a RD (Registered Dietician) to help with food choices and planning a diet. Even apart from any gluten issues, you will likely find there are some foods you need to avoid because of the shorter bowel but you may also find that your system may make adjustments over time and that symptoms may improve.
    • Ello
      I wish Dr’s would have these discussions with their patients. So frustrating but will continue to do research. Absolutely love this website. I will post any updates on my testing and results.  Thank you
    • trents
      Losing 12" of your small bowel is going to present challenges for you in nutritional uptake because you are losing a significant amount of nutritional absorption surface area. You will need to focus on consuming foods that are nutritionally dense and also probably look at some good supplements. If indeed you are having issues with gluten you will need to educate yourself as to how gluten is hidden in the food supply. There's more to it than just avoiding the major sources of gluten like bread and pasta. It is hidden in so many things you would never expect to find it in like canned tomato soup and soy sauce just to name a few. It can be in pills and medications.  Also, your "yellow diarrhea, constipation and bloating" though these are classic signs of a gluten disorder, could also be related to the post surgical shorter length of your small bowel causing incomplete processing/digestion of food.
    • Ello
      Yes this information helps. I will continue to be pro active with this issues I am having. More testing to be done. Thank you so much for your response. 
    • trents
      There are two gluten-related disorders that share many of the same symptoms but differ in nature from each other. One is known as celiac disease or "gluten intolerance". By nature, it is an autoimmune disorder, meaning the ingestion of gluten triggers the body to attack it's own tissues, specifically the lining of the small bowel. This attack causes inflammation and produces antibodies that can be detected in the blood by specific tests like the TTG-IGA test you had. Over time, if gluten is not withheld, this inflammation can cause severe damage to the lining of the small bowel and even result in nutrient deficiency related health issues since the small bowel lining is organ where all the nutrition found in our food is absorbed.  The other is NCGS (Non Celiac Gluten Sensitivity or just "gluten sensitivity") which we know less about and are unsure of the exact mechanism of action. It is not an autoimmune disorder and unlike celiac disease it does not damage the lining of the small bowel, though, like celiac disease, it can cause GI distress and it can also do other kinds of damage to the body. It is thought to be more common than celiac disease. Currently, we cannot test for NCGS. Celiac disease must first be ruled out to arrive at a diagnosis of NCGS. Both disorders require elimination of gluten from the diet.  Either of these disorders can find their onset at any stage of life. We know that celiac disease has a genetic component but the genes are inactive until awakened by some stress event. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% develop active celiac disease. The incidence of NCGS is thought to be considerably higher. I hope this helps.
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