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Celiac Newbie Needing Help


Blue Roan

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Blue Roan Apprentice

Hi, everyone! It's nice to meet you. 

I was just diagnosed with celiac disease and have no clue where to start. I've never had any dietary issues until about 2 months ago when I experienced the absolute worst symptoms I've ever had in my life. I would not wish them on my worst enemy! 

A couple of days before Christmas, I noticed frequent heartburn/indigestion. A couple of days later, I had terrible abdominal cramping, nausea, and my appetite was completely gone. I visited urgent care, and after evaluation, I was diagnosed with gastroenteritis. I ended up in the ER a week later with worsening stomach pain, but after my vitals came back normal, I was told that I had a "long case of gastro virus" and was sent home with sucralfate, famotidine, and omeprazole. I had a follow-up with my PCP, who referred me to a gastro doctor. About 3 weeks post-onset, I had my GI appointment. The doctor said that since I am healthy and on the younger end, my symptoms would likely resolve on their own after a month of rest and a FODMAP diet. For the next 4 weeks, I had many rough episodes. I noticed alternating diarrhea and constipation, a constricted feeling in my esophagus/intestines when I ate certain things, and sharp pains in my stomach. I seriously thought I had ulcers or something more severe! The heartburn became so bad that I could not sleep at night. My GI doctor performed an emergency endoscopy a couple of days ago and discovered damage in my upper intestine consistent with gluten intolerance, which led him to the diagnosis. 

I have been gluten-free for a couple of days and thankfully am starting to feel better. This diagnosis is a shock because I have no family history of it and I have been able to tolerate any food up until this point. It is crazy how many foods contain gluten and I am feeling overwhelmed. What are some things that helped you adjust to the gluten-free lifestyle? Any tips? 


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Scott Adams Grand Master

Welcome to the forum!

This article has some detailed information on how to be 100% gluten-free, so it may be helpful (be sure to also read the comments section.):

 

 

Blue Roan Apprentice

Thank you! 

Scott Adams Grand Master

Many people with celiac disease, especially those who are in the 0-2 year range of their recovery, have additional food intolerance issues which could be temporary. To figure this out you may need to keep a food diary and do an elimination diet over a few months.

Some common food intolerance issues are dairy/casein, eggs, corn, oats, and soy. The good news is that after your gut heals (for most people who are 100% gluten-free this will take several months to two years) you may be able to slowly add some these items back into your diet after the damaged villi heal.

This article may be helpful:

 

 

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      My reaction to a gluten bolus exposure is similar to yours, with 2-3 hours of severe abdominal cramps and intractable emesis followed by several hours of diarrhea. I don't necessarily equate that one large exposure to gluten with significant intestinal lining damage, however. I think it's just a violent reaction to a what the body perceives to be a somewhat toxic substance that I am no longer tolerant of because I have quit exposing myself to it regularly. It's just the body purging itself of it rather than an expression of significant damage. Before diagnosis, when I was consuming gluten daily, I had little to no GI distress. I was, for the most part, a "silent celiac". The damage to my small bowel lining didn't happen all at once but was slow and insidious, accumulating over a period of years. The last time I got a big shot of gluten was about three years ago when I got my wife's wheat biscuits mixed up with my gluten-free ones. There was this acute reaction after about two hours of ingestion as I described above. I felt washed out for a few days and fully recovered within a week or so.  Now, I'm a 74-year-old male. So, I'm not worried about being pregnant. And I don't want to contradict your physicians advice. But I just don't think you have done significant damage to your small bowel lining by one episode of significant gluten ingestion. I just don't think it works that way.
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      I’ve used tinctures and made my own edibles with gluten-free ingredients to stay safe. Dispensary staff don’t always know about gluten, so I double-check labels or just make my own.
    • Scott Adams
      It's great to hear that there are some good doctors out there, and this is an example of why having a formal diagnosis can definitely be helpful.
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