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Specifically bad reaction to malt/maltose?


tooth-whisperer

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tooth-whisperer Apprentice

Hi all,

Still working on my diagnosis (first GI appt today, excited!), but have a question for you all.  I know a lot of celiac a suffer panic attack like symptoms from gluten exposure - dizzy, lightheaded, jittery, anxious, feeling like about to pass out.  Obviously I have to be eating gluten right now, most of the time I don't have that kind of reaction, but I do get it from time to time, and I'm starting to wonder if it could be caused by maltose and/or malt flavoring?  I can recall at least 3 specific instances recently where I've gotten the feeling after having alcoholic drinks made with malt (porter beer twice, brewer's malt, once lastnight from a hard root beer, a malt drink I believe).  Also, my coworker made me some gluten-free goodies this week, one of them was an Oreo ball that had a cream cheese-chocolate filling, and had a bit of Bailey's Irish Cream in it as well, although she said a very small amount.  Wondering if the Bailey's or something else in that treat had malt in it.  Just a theory right now.  Anyone?


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squirmingitch Veteran

I have a theory that there are subsets of celiacs. That there are celiacs who react more strongly to barley than perhaps to wheat. I have almost always had a problem with barley. When I was a teen experimenting with alcohol, I quickly discovered beer was NOT for me! Every time I had beer, it felt like a metal rake had been raking the inside of my intestines & I ended up in the bathroom numerous times and those screaming gut cramps accompanied. Same thing with malted milk balls. When I came home with my halloween bag I would go through it & give all the malted milk balls away to anyone who would have them. Same thing with Carnation Instant Breakfast malt chocolate flavor -- got me every time. I quickly learned to avoid anything with malt or barley. To this day I have never tasted barley soup because I didn't dare. I always wanted to as it sounds so warm & hearty but I stayed away from it.

My theory is that there are also subsets who react more strongly to rye like I do to barley. 

Until there is a big study done on that theory we can't actually prove it.

Darren Apprentice

The fact is everyone has different symptoms, so yes you could react differently to different sources.  Either way you'll need to eliminate all sources of gluten even if you don't have any symptoms from some things.  I never used to have any symptoms from any sources prior to being diagnosed until I became anemic and it was discovered that way. I'm fortunate it was discovered early. So just focus on getting diagnosed and prepare yourself to become 100% gluten-free as it is very tricky at first. Best of luck to you!

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      Since you compromised the validity of the antibody testing by experimenting with gluten withdrawal ahead of the testing, you are faced with two options: 1. Reintroduce significant amounts of gluten into your diet for a period of weeks, i.e., undertake a "gluten challenge". The most recent guidelines are the daily consumption of at least 10g of gluten (about the amount found in 4-6 slices of wheat-based bread) for at least two weeks leading up to the day of testing. Note: I would certainly give it more than two weeks to be sure. 2. Be willing to live with the ambiguity of not knowing whether gluten causes you problems because you have celiac disease or NCGS (Non Celiac Gluten Sensitivity). There is no test for NCGS. Celiac disease must first be ruled out and we have tests for it. Celiac disease has an autoimmune base. NCGS does not. GI symptoms overlap. In the early stages of celiac disease, other body systems may not be showing stress or damage so, symptomatically, it would be difficult to distinguish between celiac disease and NCGS. Both conditions require elimination of gluten from the diet for symptom relief. Some experts feel that NCGS can be a precursor to celiac disease.
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