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Refractory Sprue


GlutenWrangler

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Guest celiac mum

I'm so sorry to hear about your kidney and I wish you all the best . Its such a touch illness to grasp, well i find it difficult .

My children are not so good my 5 yr old daughter has been nil by mouth for 13 months now and is feed via a gastrostomy tube for 17hours a day , she too is on immunesuppresion and steriod tretament but at the moment there is no change in symptons or biopsy results , losing paitents with English doctors as they don'y have any answers,

I'm sure we will get that

Good luck to you I suppose I can understand in a way how you are feeling


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GlutenWrangler Contributor

It must be very difficult for you to watch your children deal with their illness. I can only imagine what it is like to have to watch your kids suffer. I'm sorry to hear that your daughter's treatment has not worked so far. I can understand how you are losing patience with doctors. It can be so frustrating dealing with them sometimes. But I sincerely hope you can find a doctor that can help.

How are your children dealing with being so ill? Well I wish you and your children the best as well. Thanks,

-Brian

ryebaby0 Enthusiast

Have you tried contacting Johns Hopkins pediatric GI department here in the states? They've done groundbreaking work with celiac/refractory sprue/ autoimmune enteropathy. You can actually email them to see if they would be interested in your children's case

Guest celiac mum

That could be really interesting and helpful how would I go about that being in England.

I am getting frustrated with the doctors here and have been advised by lots of family to seek a second oppinion or advice

Thank you

GlutenWrangler Contributor

You would have to somehow bring your children to the USA so that they could be evaluated. You could contact Johns Hopkins, explain your situation, and see if they could accommodate your children. You could fly here during the 7 hours when your daughter isn't hooked up to the gastrostomy tube, and then when it's time for her to hook back up, you'll be at Johns Hopkins. I know it seems daunting, but it may be the change that your children need.

-Brian

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    • 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.
    • Scott Adams
      I will assume you did the gluten challenge properly and were eating a lot of gluten daily for 6-8 weeks before your test, but if not, that could be the issue. You can still have celiac disease with negative blood test results, although it's not as common:  Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/  Seronegative Celiac Disease - A Challenging Case: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/  Enteropathies with villous atrophy but negative coeliac serology in adults: current issues: https://pubmed.ncbi.nlm.nih.gov/34764141/  Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.
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