Jump to content
  • You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.


  • Celiac.com Sponsor (A1):
    Celiac.com Sponsor (A1-M):

Celiac and emergency room visits


RoxPet

Recommended Posts

RoxPet Rookie

Hello- I was DX Celiac 2 years ago.  Last week I had a terrible accident, broke ankle and had to be taken to emergency. I was pumped full of drugs mostly Versed and Fentanal  via IV. After the usual couple days of constipation following these sort of drugs I began having GLUTENED intestinal issues.  I've had non stop bathroom runs for 2 days now and everything about it feels like I've been seriously glutened.  I've done some research but found no conclusive answers.  Did any of those things stir up my Celiac disease and cause me to have an autoimmune response? Has anyone had any similar experiences they can share with me?  This is my first post.  Thank you


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Ennis-TX Grand Master

Hospitals and the ER....will normally ignore your dietary requirements with celiac. If they gave you so called gluten-free food...it had gluten. You have to have your own brought in or ask for plain whole foods. I wear medical dog tags with emergency contact info, allergies, blood type, and medical info on them. And my emergency contacts have been told where I keep emergency room stashes...IE Julian Protein Bar, MRM meal shakes to take up there if I get stuck in the hospital.

Victoria1234 Experienced

Your first post stated that it took you 7 days of continuously eating gluten to get symptoms. So maybe it's not related to gluten at the hospital at all? Maybe you picked up an illness from the hospital?

if I hadn't read your first post I'd say that the hospital food probably glutened you. Imho they don't do a great job at following dietary restrictions. Which may have still happened, and your symptoms kicked in faster this time.

fyi any gluten exposure, even a crumb, kicks in the autoimmune response for celiac.

PinkyGurl Explorer

Nothing the MDs give you via IV contains gluten.  Gluten is found in oral drugs because it's a binding agent or filler.  Since IV meds are liquid they don't need bindings agents.  So the versed and fentanyl yo received are not the issue. 

ravenwoodglass Mentor

If this continues for more than another day or so get to your doctor. Go now if you are showing signs of dehydration. Hospitals are full of nasty bacteria and viruses you need to make sure that you haven't picked up something.

I hope this resolves for you soon.

RoxPet Rookie

Thank you Victoria for reading my other post about getting sick a week after ingesting gluten. I've worked backwards in what I ate prior to the emergency stint and it occurred to me a few minutes ago that it's possible I got cross contaminated at Boston Market the night before. I didn't eat anything at the hospital I was wondering if they used gluten in IV meds.  The timing would be very accurate if that's the case.  Thanks everyone for your responses. 

Victoria1234 Experienced
21 minutes ago, RoxPet said:

Thank you Victoria for reading my other post about getting sick a week after ingesting gluten. I've worked backwards in what I ate prior to the emergency stint and it occurred to me a few minutes ago that it's possible I got cross contaminated at Boston Market the night before. I didn't eat anything at the hospital I was wondering if they used gluten in IV meds.  The timing would be very accurate if that's the case.  Thanks everyone for your responses. 

Oh my, I tried something that was supposed to be ok from Boston market over a year ago, and it made me very, very ill. Just thinking about them makes me feel icky!

Happy to have helped you. It's really nice to have such a great community here to look at problems from all angles.

but you still might have picked up an illness from the hospital, so keep an eye on your symptoms.


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



gilligan Enthusiast
7 hours ago, Ennis_TX said:

Hospitals and the ER....will normally ignore your dietary requirements with celiac. If they gave you so called gluten-free food...it had gluten. You have to have your own brought in or ask for plain whole foods. I wear medical dog tags with emergency contact info, allergies, blood type, and medical info on them. And my emergency contacts have been told where I keep emergency room stashes...IE Julian Protein Bar, MRM meal shakes to take up there if I get stuck in the hospital.

It's unfair to make such a general statement about ER's and hospitals.  Unfortunately, I've been to the ER several times and hospitalized three times in the past few years.  The staff took me seriously when I told them I had celiac.  Popsicles and drinks were checked for gluten, and a good laugh took place when a nurse came in to remove the cheesecake that was brought to me when the staff found out it was our anniversary. Dietary services were called and Lucy's gluten free cookies were given to me instead. Once admitted to the hospital, a dietician was sent to my room to discuss meals and she checked back with me a couple of times.  The only mistake made was the dairy free protein shakes that were delivered daily and left untouched.  When dietary called my room to ask why I wasn't drinking them, my husband had to inform them to read the label as it was clearly labeled containing milk products.  

Celiac4762 Apprentice

Yes^, usually if you tell them about celiac, they know. Almost all nurses know what celiac is. If not, tell them what you can and can't consume. There is no such thing as gluten in IV. They always have fruits and juices at hospitals, you can ask for those. Staff in an ER, will always be very kind and helpful, as long as you are kind and respectful to them. I've noticed nurses are just about the best people in the world if you let them know how serious you are about something. As for medications, ask the physician or doctor what the medication is. See if it's diluted with anything. If either of you are unsure, look up the medication online before you take it. You can almost always find an answer. Besides, nowadays it's extremely rare to find gluten in prescribed medication because of how strict pharmaceutical companies have become on allergies and intolerances. 

Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - knitty kitty replied to glucel's topic in Super Sensitive People
      17

      iron digestibility

    2. - glucel replied to glucel's topic in Super Sensitive People
      17

      iron digestibility

    3. - Scott Adams commented on Scott Adams's article in Latest Research
      3

      New Research Reveals How Antibody Genes May Shape the Immune Response in Celiac Disease

    4. - knitty kitty replied to Bogger's topic in Related Issues & Disorders
      6

      Osteoporosis: Does the body start rebuilding bones after starting a gluten-free diet?

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      134,003
    • Most Online (within 30 mins)
      10,442

    michelinagiggles
    Newest Member
    michelinagiggles
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.6k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Who's Online (See full list)

    • There are no registered users currently online
  • Upcoming Events

  • Posts

    • knitty kitty
      @glucel,  There's a strong correlation between thiamine deficiency, hypoxia, and insomnia.  Thiamine is needed to help red blood cells carry oxygen.  In thiamine deficiency, hypoxia (lack of oxygen in tissues) occurs, and this can result in insomnia. Hypoxia causes systemic inflammation, increases inflammatory markers, and is associated with cardiovascular events.  Curiously, thiamine deficiency is correlated with excessive daytime sleepiness and oversleeping.   I found a combination of Tryptophan, Pyridoxine B 6, magnesium, and L-theanine works very well for inducing sleep.  Sometimes, I add Passion Flower Extract and/or Sweet Melissa.  There's no side effects the next morning with Passion Flower, it just induces sleepiness.  Sweet Melissa is groovy, and has anti-inflammatory effects on the digestive system.   I prefer to take 250 mg Benfotiamine and 100 mg Thiamine TTFD in the mornings and another dose of Benfotiamine at lunch.  I try not to take any thiamine after four p.m. because it keeps my brain so energized and wanting to think... Oh, I do take a combination of another form of thiamine (sulbutiamine), Pyridoxine and Cobalamine for a pain reliever sometimes, but I can sleep after taking that.  But thiamine does help regulate circadian rhythm.   Make sure you're getting Omega Three fats! They'll help you satisfy that late night carb craving with fewer carbs.  Flaxseed oil, olive oil, sunflower seed oil.  Nuts and nut butters, like walnuts and cashews, are good, too, if you can tolerate them.    Try taking the 100mg thiamine HCl before your aerobics and see if there's a difference.  Sweet dreams! References: Network Pharmacology Analysis of the Potential Pharmacological Mechanism of a Sleep Cocktail. ......(Skip to Section Four) https://pmc.ncbi.nlm.nih.gov/articles/PMC11201840/ Effects of Melissa officinalis Phytosome on Sleep Quality: Results of a Prospective, Double-Blind, Placebo-Controlled, and Cross-Over Study https://pubmed.ncbi.nlm.nih.gov/39683592/
    • glucel
      Thanks to everybody for your help. I reread the dr's notes from the biopsy procedure and it seems I had worse than atrofied villi. It was termed flattened mucosa. So while iron ferratin levels are normal my bet is, as kitty alluded to, iron not getting into cells. I have dr appointment next mo but don't hold out a lot of hope, There is strong correlation of low red blood cells and insomnia so at least I finally solved that one after few yrs of being mislead. I intend to take stop taking 100 mg b1 at noon time and start 150 mg benfotiamin. I may or may not add the the 100 mg b1evening meal. BTW, last night had 1/3 lb beef. potato then 2 bowls cereal and an apple later in the eve. I generally do my areobics before supper so maybe that contributes to the hunger.  
    • knitty kitty
      I have osteoporosis and have crushed three vertebrae.  I supplement with Lysine, Tryptophan, threonine, calcium, Boron, Vitamins D, A, and K, and the B vitamins (folate, B12, and Thiamine B1 especially for bone health).   I tried Fosomax, but it tore up my insides.  I prefer the supplements.  I feel better and my bones feel stronger.   References: A composite protein enriched with threonine, lysine, and tryptophan improves osteoporosis by modulating the composition and metabolism of the gut microbiota https://pubmed.ncbi.nlm.nih.gov/41915427/
    • knitty kitty
      @Aileen Cregan, I was put on high blood pressure medication, too. But I was able to correct my high blood pressure by supplementing with Thiamine Vitamin B 1.  I am no longer on high blood pressure medication.  I feel much better without the medication. I continue to supplement Thiamine in the form Benfotiamine.   The particular high blood pressure medication I took was Norvasc (amlodipine), which causes thiamine deficiency by blocking thiamine transporters so that thiamine cannot enter cells.  Benfotiamine can get into cells by merging with the cell membrane, thus bypassing nonfunctional thiamine transporters.   Indapamide also blocks thiamine transporters! The use of this type of medications that block thiamine precipitated Wernickes Encephalopathy.  My doctors did not recognize the connection to Thiamine deficiency.  I nearly died.   Talk to your doctor and dietician about supplementing with Benfotiamine, a fat soluble form of thiamine that bypasses thiamine transporters.  Ask for an Erythrocyte Transketolace Activity Assay to check your thiamine levels asap.  Routine blood tests for thiamine are not an accurate measure of  thiamine in the body.   Absorption of essential vitamins like Thiamine is altered in Celiac Disease due to damaged villi, inflammation and dysbiosis.  The Gluten Free diet can be lacking in vitamins and minerals.  Discuss supplementing with all the eight B vitamins,  the four fat soluble vitamins and necessary minerals. Please keep us posted on your progress! References: Drug-nutrient interactions: discovering prescription drug inhibitors of the thiamine transporter ThTR-2 (SLC19A3) https://pubmed.ncbi.nlm.nih.gov/31764942/ The Pivotal Role of Thiamine Supplementation in Counteracting Cardiometabolic Dysfunctions Associated with Thiamine Deficiency https://pmc.ncbi.nlm.nih.gov/articles/PMC11988323/
    • knitty kitty
      Hi, @Sue7171, I thought you might be interested in this article about Lyme disease and the discussion after the article.   I found this article enlightening.  The finding that not only can alpha gal be problematic, but advantageous infection with Staph aureus can be problematic.   The Acari Hypothesis, VII: accounting for the comorbidity of allergy with other contemporary medical conditions, especially metabolic syndrome https://pmc.ncbi.nlm.nih.gov/articles/PMC11983536/  
×
×
  • Create New...