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Nash (nonalcoholic Steatohepatis) & Celiac


Gerri

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Gerri Explorer

Hi I new here,

I have been diagnosed with NASH, and I have been following a gluten free diet. I asked my gastro, if there was a connection with NASH and Celiac disease. I really didn't get a answer. I have many stomach problems, Ankylosing Spondylitis gene (HLA B27+), leaky gut, acid reflux, constipation, small bowel crohns, diabetes, many allergies, small amount fluid around heart, mild COPD, asthma, lactose intolerant and the list goes on.

When I started watching the gluten I ate, my bowels movements were lot softer. My severe obstructed sleep apnea, became controlled.

I am wondering if I should go back and ask my doctor to test me for Celiac disease.

Gerri


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mommida Enthusiast

I haven't had time to research an article that states a link directly to NASH, but there is a direct link to diabetes.

Many Celiacs have test results with elevated liver enzymes. There is a link to auto-immune liver disease. (I don't know the name, but my daughter's ped. gastro. warned me about it. It could be NASH for all I know.)

You have enough reseasons to be tested for Celiac, but you would have to eat gluten. If you feel better on a gluten free diet, do you really want to start eating gluten for testing?

CaraLouise Explorer

I had elevated liver enzymes before I went gluten free and then after going gluten free they went back down. However, that was about 3 1/2 years ago and then last fall I was having blood work done and they were slightly elevated again. I was working around gluten, but still had a gluten free diet and I am no longer working around gluten. I was wondering if anyone experienced the same thing and more about liver disease (I do not drink alcohol or do any of the other causes of liver disease). Any input is appreciated! Also, how long should I wait to be retested?

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    • cristiana
      Hi @KathyR37 and a very warm welcome here.  I am so very sorry that you are going through all of this. I just wanted to check, have you ever been tested for any other gastrointestinal conditions? Cristiana  
    • trents
      @KathyR37, I would suspect that in addition to gluten intolerance, you have other food intolerances/sensitivities. This is very common in the celiac community. The most common offenders are oats, dairy, soy, corn and eggs with dairy and oats being the big two. Have you considered this? Have you tried keeping a food diary to detect patterns?
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      thank you for your advice.   I have always taken them and I use Stonehedge because they are in a glass bottle, but don't have to be refrigerated.  I also like they are 3rd party tested and state gluten free. But you never know if something better has come alone over the years.
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      Thank you for your response. I have already learned about the info you sent but i appreciate your effort. I am the only one in my family cursed by this disease. I have to cook for them too. I make sure that my utensils are free of gluten and clean after using them for other food. I use non-porous pots and pans and  gloves when cooking for them. One huge problem I have is a gag reflex out of this world and if something doesn't taste good it is not going down. Most commercially made breads and such taste like old cardboard.Pastas are about the same. I did find one flour that I like and use it regularly, but it is so expensive! All gluten free food is way more expensive. I only eat twice a day because I cannot afford to buy all that. We live on a very low income so my food purchases are quite limited.
    • Scott Adams
      What you've described—the severe weight loss, the cycle of medications making things worse, and the profound fear of eating before leaving the house—is a heavy burden to carry for 15 years. It is absolutely not your fault. While everyone's journey with celiac is different, the struggles with the learning curve, social isolation, and dietary grief are feelings many in the community know all too well. Your question about whether you should just eat what you want and manage the symptoms is a heartbreaking one, born from years of frustration. It's crucial to know that the diarrhea is a sign of ongoing damage to your small intestine from gluten, and simply managing the symptom with Imodium doesn't stop that internal harm or the risk of other complications. The fact that you are still getting sick within an hour of eating, even while trying to be gluten-free, is a huge red flag that something isn't right. This could be due to cross-contamination in your kitchen (e.g., using a shared toaster, colander, or condiment jars), hidden gluten in foods, or the possibility of another concurrent condition like refractory celiac disease. Don't give up!  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.):    
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