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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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    • Rogol72
      Hey @Butch68, I also have dermatitis herpetiformis but don't suffer from it anymore. I used to drink Guinness too but I drink Cider now when out on social occasions. I assume you are in Ireland or the UK. If it's any good to you ... 9 White Deer based in Cork brew a range of gluten-free products including a gluten-free Stout. I'm not sure if they are certified though. https://www.9whitedeer.ie/ I haven't come across any certified gluten-free stouts this side of the pond.
    • Scott Adams
      This is a very common question, and the most important thing to know is that no, Guinness is not considered safe for individuals with coeliac disease. While it's fascinating to hear anecdotes from other coeliacs who can drink it without immediate issues, this is a risky exception rather than the rule. The core issue is that Guinness is brewed from barley, which contains gluten, and the standard brewing process does not remove the gluten protein to a level safe for coeliacs (below 20ppm). For someone like you who experiences dermatitis herpetiformis, the reaction is particularly significant. DH is triggered by gluten ingestion, even without immediate gastrointestinal symptoms. So, while you may not feel an instant stomach upset, drinking a gluten-containing beer like Guinness could very well provoke a flare-up of your skin condition days later. It would be a gamble with a potentially uncomfortable and long-lasting consequence. Fortunately, there are excellent, certified gluten-free stouts available now that can provide a safe and satisfying alternative without the risk.
    • MogwaiStripe
      Interestingly, this thought occurred to me last night. I did find that there are studies investigating whether vitamin D deficiency can actually trigger celiac disease.  Source: National Institutes of Health https://pmc.ncbi.nlm.nih.gov/articles/PMC7231074/ 
    • Butch68
      Before being diagnosed coeliac I used to love Guinness. Being made from barley it should be something a coeliac shouldn’t drink. But taking to another coeliac and they can drink it with no ill effects and have heard of others who can drink it too.  is this everyone’s experience?  Can I drink it?  I get dermatitis herpetiformis and don’t get instant reactions to gluten so can’t try it to see for myself. 
    • trents
      NCGS does not cause damage to the small bowel villi so, if indeed you were not skimping on gluten when you had the antibody blood testing done, it is likely you have celiac disease.
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