Jump to content
  • Welcome to Celiac.com!

    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):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Chronic Fatigue And Coeliacs


Billygean

Recommended Posts

Billygean Apprentice

Hi all

I'm new to this so not sure if I'm writing in the correct place. Basically just looking for some advice on whether I should get tested for Celiacs. Bear with me, my symptoms are varied and strange!

Last summer I got food poisoning and most days since that I felt sick and on a few occasions vomited. I was previously fit and healthy so it was baffling, and, after putting me on Omeprazole for a month or so my doctor basically said it was an IBS sort of reaction and to ignore it. Previous to this I had surgery (foot) a couple of years before and from that date - who knows why - had lots of IBS type symptoms. Cramping, regular diarhoea etc. It should probably be noted that when I had the surgery I was at uni and eating a lot of pasta/pizza/bread, and over the summer when I was sick a lot I was eating sandwcihes every day and pasta almost every night.

In november and december 2007 I had what I thought were two gastric flues and these took several weeks each to recover from.

I was not well for a few months with the sickness but was functioning. I got diagnosed with mononucleosis/glandular fever in early January. I strugged on throughout January and February and I think pushed my body way too hard and ended up in bed late february and basically have not surfaced since.

My doctor took bloods to check my white blood cells and thyroid. These are normal so he diagnosed post viral fatigue.

I am however not getting much better at all. I know CFS is a very slow progressing recovery but I am generally still sick often, diarhoea often, have some mouth ulcers - say one a month - and VERY hungry in the mornings and get hunger like pangs and cravings throughout the day. If relevant, I also have some spleen pain, stomach pains, and lots of UTIs for no reason my doctor could find.

Spoke to my cousin who was diagnosed with CFS and it turned out to be coeliacs and he thinks I should get tested. I have a family history of autoimmune conditions: cousin with coeliacs, aunt and nan with thyroid function problems, aunt with addissons, father with vitiligo.

Any advice would be greatly appreciated. I am sort of hopeful it is celiacs because it is at least slightly more controlable than CFS.

Billygean...


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



Celiac.com Sponsor (A8-M):



kbtoyssni Contributor

I would absolutely get tested! It certainly can't hurt. With your GI symptoms plus fatigue and a family history, I'd say odds are high that you have it. Do remember that testing often results in false negatives so you may want to try the diet even if testing is negative.

My main symptoms were chronic fatigue and joint/muscle pain.

ShayFL Enthusiast

Yes yes yes!! And get an ANA too and have him test your thyroid antibodies. Look at your lab results and make sure your TSH is below 2. Most do best when it is below 1. I have to have mine suppressed to be symptom free from Thyroid issues. Be pro-active. ALWAYS get copies of your labs. It is your legal right.

Billygean Apprentice

Thanks, guys. Went to see my GP today and she was 'amazed' my specialist didn't test for it. I woke up in the night ravenous as well and have lost weight so am really hopeful it's this. otherwise I'm not sure what will explain my symptoms and going back to plain old chronic fatigue will be a bit of a come down...

Billygean

mushroom Proficient

Billygean: You sound like a carbon copy of my niece; her sequence, with some other things thrown in along the way, was mononucleosis, CFS, celiac. Thank goodness you have a doc who recognizes this. Good luck.

MDRB Explorer

Hi,

I also had glandular fever and was diagnosed with chronic fatigue. Because of the chronic fatigue diagnosis I just came to accept that I would never have the kind of energy that most people have... Until I was finally diagnosed with celiac disease. Your symptoms sound similar to mine before I was diagnoses, I think it would be wise to get tested.

Good luck

Billygean Apprentice

Can celiacs be triggered by a virus then? I am quite hopeful. The test is tomorrow.

been eating loads of gluten in preparation. now mouth is full of ulcers, glands have gone up, throat kills. It's like having mono again! Not sure where I caught this bug from (if it is a bug) because I'm housebound and don't see anyone!!


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



Celiac.com Sponsor (A8-M):



Ursa Major Collaborator

How you feel now that you have upped your gluten is VERY telling! Before going gluten-free I almost always had swollen glands, a sore throat, hoarse voice and I would get mouth ulcers, too (besides the diarrhea, skin problems and too many other issues to mention here).

It sounds like you are definitely reacting to the gluten. As somebody already said, make sure you try the gluten-free diet even if your tests come back negative for celiac disease. There is a high rate of false negatives, but there are no false positives. If you test positive, you have celiac disease, but if you test negative it won't rule it out (despite what a lot of doctors think).

MDRB Explorer
Can celiacs be triggered by a virus then? I am quite hopeful. The test is tomorrow.

been eating loads of gluten in preparation. now mouth is full of ulcers, glands have gone up, throat kills. It's like having mono again! Not sure where I caught this bug from (if it is a bug) because I'm housebound and don't see anyone!!

Yep,

Apparently the onset of celiac disease can be triggered by a virus, pregnancy or a period of high stress. Just to be clear, the virus or whatever doesn't cause the celiac disease, its always been there, kind of like a dormant volcano just waiting for the right moment to turn your life upside down :rolleyes:

RiceGuy Collaborator

Given the connection between Celiac and the adenovirus, I wonder if the trigger might always involve the virus in some way. The adenovirus is what causes a number of illnesses, including pink eye, mono, croup, various intestinal disorders, and more.

Billygean Apprentice

I don't know anything about viruses, but I thought epstein barr causes mono?

Rachel--24 Collaborator
I don't know anything about viruses, but I thought epstein barr causes mono?

Yeah...Epstein Barr causes mono over 90% of the time. Some other organisms can cause mono occassionaly....but usually its EBV.

angelbender Newbie

Yup, Epstein Barr is thought to cause mono most of the time, however, previously for years they'd thought that Epstein Barr caused CFS (or CFIDS) but I have heard that they have changed that thinking now. Just an FYI and not to be scary, I was dx with CFS over 20 yrs ago and Fibromyalgia (formally) 8 yrs ago and even tho I'm of course completely compiant on the gluten free diet (and take no chances), my fatigue/exhaustion levels

have not improved. I dearly hope that things are different for you. When I had the bad diarrhea I thought

that it was the IBS of Fibro.....we Fibromites tend to think that everything is Fibro......and now I have to be

careful not to think that everything is Celiac and carefully evaluate the situation....that make sense? When I

was getting my dx for Celiac alot of people told me that my CFS and Fibro would get better but they haven't.

I don't mean to be bummy......just to let you know so that you can be aware of everything....make sense? Hope this wasn't too bummy......I have come to terms with my CFS/Fibro and work around it the best I can with the best sense of humour that I can. :rolleyes:

Billygean Apprentice
Yup, Epstein Barr is thought to cause mono most of the time, however, previously for years they'd thought that Epstein Barr caused CFS (or CFIDS) but I have heard that they have changed that thinking now. Just an FYI and not to be scary, I was dx with CFS over 20 yrs ago and Fibromyalgia (formally) 8 yrs ago and even tho I'm of course completely compiant on the gluten free diet (and take no chances), my fatigue/exhaustion levels

have not improved. I dearly hope that things are different for you. When I had the bad diarrhea I thought

that it was the IBS of Fibro.....we Fibromites tend to think that everything is Fibro......and now I have to be

careful not to think that everything is Celiac and carefully evaluate the situation....that make sense? When I

was getting my dx for Celiac alot of people told me that my CFS and Fibro would get better but they haven't.

I don't mean to be bummy......just to let you know so that you can be aware of everything....make sense? Hope this wasn't too bummy......I have come to terms with my CFS/Fibro and work around it the best I can with the best sense of humour that I can. :rolleyes:

What are your energy levels like? I currently cannot sit up for more than 10 minutes - I trust you are not this bad?

PureHeart Newbie

Some of your stories sound similar to mine - I was diagnosed with Glandular Fever (mono), Alopecia, Tonsillitis (frequently) then Chronic Fatigue Syndrome/ME. I got sick of being sick and did exclusion diets and discovered that wheat, dairy, chocolate, chicken and eggs make me ill. Getting rid of gluten wasn't enough on it's own as I guess the damage had already been done to my stomach and I now cannot tolerate cow's milk at all (it causes symptoms like fibromyalgia so if you are gluten-free and not DF it might be worth giving it a try). My asthma has improved dramatically, as have my skin problems. Goat's milk is much easier to digest btw.

Good luck and I hope you get much better soon. Are you taking B vitamins (yeast free) and probiotics? Along with Glutamine and Candiclear from Higher Nature I find they help to heal the gut after an accidental glutening.

PureHeart x

marciab Enthusiast

I was diagnosed with CFS/ME/FM back in 1990 and mine started with a virus too. I responded immediately to the Gluten-free Casein-free + diet back in 2005, but it's taken me awhile to feel good again. I wasn't diagnosed with celiac until 2007, 17 months after going on the gluten-free diet, so I'm not sure if I was a celiac at first or if it happened in 2004 - 5 when my digestive tract stopped working.

I'm still working on my fatigue / stamina issues. Mine were a combo of chronic hypoglycemia and orthostatic intolerance. I eliminated the hypoglycemia by going on the Paleo diet. And am working on the orthostatic intolerance now ... Check out my signature (long, but the whole story) and this thread on treating OI/NMH. You may find that you just need to add salt water several times a day to your diet.

I just vacuumed my LR/DR/K and bathed two dogs without having to take a break. This wasn't possible last month. : )

Open Original Shared Link

BTW, you may or may not have to eliminate more that gluten to feel good. I've read some studies that say we have a build up of cytokines / excitoxins in our bodies. Chemicals are hard on CFSers.

good luck with this ... Marcia

Billygean Apprentice

thanks for all this information, it's invaluble that I can tap into your 10 years of trying things!

My problem is that i don't feel chronically fatigued. I used to, back in jan/feb right after I had mono, I felt like I was dragging my body around and was too tired to think. But now I just feel dizzy. However my doctor said my blood pressure's normal when I stand etc and it's just a different kind of fatigue. It gets worse the longer I stand for but what makes me think he's right is that it's present if I'm sitting, or even if I'm lying down but lifting my head up... baffling!

Had blood test last fri, doctor expects results tomorrow - nervous!

RiceGuy Collaborator

OK, you guys are correct about EBV causing more cases of mono than the adenovirus (just looked it up). But I guess I can also add that I never said adenovirus was always the cause :) I had looked up adenovirus on the CDC's website, and mono was listed, so that's where that came from.

As for fibro symptoms, I had all that sort of stuff, to the point I couldn't walk not a single step. After doing some research (including on this board), I started taking a sublingual methylcobalamin (B12) and magnesium. And after well over a year of pain and not being able to walk, I was actually on my feet in two weeks! Sure, there was certainly some lingering discomfort, but it did go away completely over time. Now, this is not to suggest that every case of fibromyalgia is the result of deficiencies, but I constantly wonder how many people are suffering needlessly, for something so simple to fix.

Billygean Apprentice

Well my doctor's receptionist told me today that the doctor was out and wasn't therefore available to tell me my blood test results. However the receptionist (not to be trusted, surely!) told me they were all within normal limits but none of the numbers or anything and said the doctor would speak to me on Monday.

God it's so difficult to get answers; my doctor doesn't seem remotely bothered that someone who was previously a lawyer is now lying day after day on the sofa :o(!

marciab Enthusiast

Sorry to hear your docs not concerned about you laying around. I got this too ... Fatigue doesn't seem to get a lot of attention.

I understand that some of the tests they are using now to diagnose celiac won't pick up gluten sensitivity. So you may want to go ahead and give up gluten to see if you feel better.

Even at my sickest I didn't feel fatigued all day every day. I felt sickly every day, but not necessarily fatigued. My fatigue appears to be mostly from PEM (post exertional malaise). Meaning if I run errands or do housework one day, I'm layed up the next 2 - 3 days ... But I feel great again after a few days of rest.

The way my doc found my OI/NMH was after I'd been laying down for an hour at his office, my BP went up to 125/90 and after standing in one spot for 2 minutes, it went down 20 pts. This is considered the poor man's tilt table test. When I first had it taken at the office it was down to 78/58. So I knew something was up ...

So you may need to check your BP after you've been laying down for an hour to get it as high as it should be. If I hadn't been laying down, my BP would not have taken such a dive. And my OI/NMH wouldn't have been caught.

You may want to get a BP cuff so you can track it yourself too.

Hopefully, since you're still eating gluten all of this will go away once you've gotten it out of your system. FWIW, I'd use DPP-IV to help remove the gluten from your body quicker.

Good luck with this ... Marcia

  • 2 weeks later...
SMA60 Newbie
Yeah...Epstein Barr causes mono over 90% of the time. Some other organisms can cause mono occassionaly....but usually its EBV.


Hello, I read you were Dx'd with Graves. I have Hashimoto's Thyroiditis, an autoimmue disorder between Graves and hypothyroidism.
My lab came back neg. for Celiac's. Was wondering if I should be checked again. My husband is a celiac and has hypertension and a B-12 deficiency.... What am I doing wrong? :(

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. - suek54 replied to suek54's topic in Dermatitis Herpetiformis
      5

      Awaiting dermatitis herpetiformis confirmation following biopsy

    2. - trents replied to catnapt's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      how much gluten do I need to eat before blood tests?

    3. - catnapt replied to catnapt's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      how much gluten do I need to eat before blood tests?

    4. - trents replied to catnapt's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      how much gluten do I need to eat before blood tests?

    5. - catnapt posted a topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      how much gluten do I need to eat before blood tests?

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

    • Total Members
      133,257
    • Most Online (within 30 mins)
      7,748

    KariNoMoreGluten
    Newest Member
    KariNoMoreGluten
    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)

  • Upcoming Events

  • Posts

    • suek54
      Thank you all for your advice and the dermatitis herpetiformis article. The latter made me realise I had stopped taking my antihistamine, which I will restart today. The Dapsone has cleared the rash entirely but I still get quite a bit itching, absolutely nothing to see though. I know its notoriously hard to clear and its still relatively early days for me.  The iodine issue is very interesting. I do eat quite a bit of salt because I have Addison's disease and sodium retention is an issue. I also have autoimmune hypothyroidism, not sure how a low iodine diet would play into that? Because of my Addison's I am totally steroid dependent, I take steroids 4 x daily and cannot mount any defence against inflammation. I need to increase my meds for that. Now that I know what is wrong I can do just that if Im having a bad day. Life is very sweet, just so damn complicated sometimes! Hey ho, onwards. Thank you again for your advice.  
    • trents
      So, essentially all of the nutrition in the food we eat is absorbed through the villous lining of the small bowel. This is the section of the intestinal track that is damaged by celiac disease. This villous lining is composed of billions of finger-like projections that create a huge amount of surface area for absorbing nutrients. For the celiac person, when gluten is consumed, it triggers an autoimmune reaction in this area which, of course, generates inflammation. The antibodies connected with this inflammation is what the celiac blood tests are designed to detect but this inflammation, over time, wears down the finger-like projections of the villous lining. Of course, when this proceeds for an extended period of time, greatly reduces the absorption efficiency of the villous lining and often results in many and various nutrient deficiency-related health issues. Classic examples would be osteoporosis and iron deficiency. But there are many more. Low D3 levels is a well-known celiac-caused nutritional deficiency. So is low B12. All the B vitamins in fact. Magnesium, zinc, etc.  Celiac disease can also cause liver inflammation. You mention elevated ALP levels. Elevated liver enzymes over a period of 13 years was what led to my celiac diagnosis. Within three months of going gluten free my liver enzymes normalized. I had elevated AST and ALT. The development of sensitivities to other food proteins is very common in the celiac population. Most common cross reactive foods are dairy and oats but eggs, soy and corn are also relatively common offenders. Lactose intolerance is also common in the celiac population because of damage to the SB lining.  Eggs when they are scrambled or fried give me a gut ache. But when I poach them, they do not. The steam and heat of poaching causes a hydrolysis process that alters the protein in the egg. They don't bother me in baked goods either so I assume the same process is at work. I bought a plastic poacher on Amazon to make poaching very easy. All this to say that many of the issues you describe could be caused by celiac disease. 
    • catnapt
      thank you so much for your detailed and extremely helpful reply!! I can say with absolute certainty that the less gluten containing products I've eaten over the past several years, the better I've felt.   I wasn't avoiding gluten, I was avoiding refined grains (and most processed foods) as well as anything that made me feel bad when I ate it. It's the same reason I gave up dairy and eggs- they make me feel ill.  I do have a bit of a sugar addiction lol so a lot of times I wasn't sure if it was the refined grains that I was eating - or the sugar. So from time to time I might have a cookie or something but I've learned how to make wonderful cookies and golden brownies with BEANS!! and no refined sugar - I use date paste instead. Pizza made me so ill- but I thought it was probably the cheese. I gave up pizza and haven't missed it. the one time I tried a slice I felt so bad I knew I'd never touch it again. I stopped eating wheat pasta at least 3 yrs ago- just didn't feel well after eating it. I tried chick pea pasta and a few others and discovered I like the brown rice pasta. I still don't eat a lot of pasta but it's nice for a change when I want something easy. TBH over the years I've wondered sometimes if I might be gluten intolerant but really believed it was not possible for me to have celiac disease. NOW I need to know for sure- because I'm in the middle of a long process of trying to find out why I have a high parathyroid level (NOT the thyroid- but rather the 4 glands that control the calcium balance in your body) I have had a hard time getting my vit D level up, my serum calcium has run on the low side of normal for many years... and now I am losing calcium from my bones and excreting it in my urine (some sort of renal calcium leak) Also have a high ALP since 2014. And now rapidly worsening bone density.  I still do not have a firm diagnosis. Could be secondary HPT (but secondary to what? we need to know) It could be early primary HPT. I am spilling calcium in my urine but is that caused by the high parathyroid hormone or is it the reason my PTH is high>? there are multiple feedback loops for this condition.    so I will keep eating the bread and some wheat germ that does not seem to bother me too much (it hasn't got enough gluten to use just wheat germ)    but I'm curious- if you don't have a strong reaction to a product- like me and wheat germ- does that mean it's ok to eat or is it still causing harm even if you don't have any obvious symptoms? I guess what you are saying about silent celiac makes it likely that you can have no symptoms and still have the harm... but geez! you'd think they'd come up with a way to test for this that didn't require you to consume something that makes you sick! I worry about the complications I've been reading about- different kinds of cancers etc. also wondering- are there degrees of celiac disease?  is there any correlation between symptoms and the amnt of damage to your intestines? I also need a firm diagnosis because I have an identical twin sister ... so if I have celiac, she has it too- or at least the genetic make up for having it. I did have a VERY major stress to my body in 2014-2016 time frame .. lost 50lbs in a short period of time and had severe symptoms from acute protracted withdrawal off an SSRI drug (that I'd been given an unethically high dose of, by a dr who has since lost his license)  Going off the drug was a good thing and in many ways my health improved dramatically- just losing 50lbs was helpful but I also went  off almost a dozen different medications, totally changed my diet and have been doing pretty well except for the past 3-4 yrs when the symptoms related to the parathyroid issue cropped up. It is likely that I had low vit D for some time and that caused me a lot of symptoms. The endo now tells me that low vit D can be caused by celiac disease so I need to know for sure! thank you for all that great and useful information!!! 
    • trents
      Welcome, @catnapt! The most recent guidelines are the daily consumption of a minimum of 10g of gluten (about the amount found in 4-6 slices of wheat bread) for a minimum of two weeks. But if possible stretching that out even more would enhance the chances of getting valid test results. These guidelines are for those who have been eating gluten free for a significant amount of time. It's called the "gluten challenge".  Yes, you can develop celiac disease at any stage of life. There is a genetic component but also a stress trigger that is needed to activate the celiac genes. About 30-40% of the general population possesses the genetic potential to develop celiac disease but only about 1% of the general population actually develop celiac disease. For most with the potential, the triggering stress event doesn't happen. It can be many things but often it is a viral infection. Having said that, it is also the case that many, many people who eventually are diagnosed with celiac disease probably experienced the actual onset years before. Many celiacs are of the "silent" type, meaning that symptoms are largely missing or very minor and get overlooked until damage to the small bowel lining becomes advanced or they develop iron deficiency anemia or some other medical problem associated with celiac disease. Many, many are never diagnosed or are diagnosed later in life because they did not experience classic symptoms. And many physicians are only looking for classic symptoms. We now know that there are over 200 symptoms/medical problems associated with celiac disease but many docs are only looking for things like boating, gas, diarrhea. I certainly understand your concerns about not wanting to damage your body by taking on a gluten challenge. Your other option is to totally commit to gluten free eating and see if your symptoms improve. It can take two years or more for complete healing of the small bowel lining once going gluten free but usually people experience significant improvement well before then. If their is significant improvement in your symptoms when going seriously gluten free, then you likely have your answer. You would either have celiac disease or NCGS (Non Celiac Gluten Sensitivity).
    • catnapt
      after several years of issues with a para-gland issue, my endo has decided it's a good idea for me to be tested for celiac disease. I am 70 yrs old and stunned to learn that you can get celiac this late in life. I have just gradually stopped eating most foods that contain gluten over the past several years- they just make me feel ill- although I attributed it to other things like bread spiking blood sugar- or to the things I ate *with* the bread or crackers etc   I went to a party in Nov and ate a LOT of a vegan roast made with vital wheat gluten- as well as stuffing, rolls and pie crust... and OMG I was so sick! the pain, the bloating, the gas, the nausea... I didn't think it would ever end (but it did) and I was ready to go the ER but it finally subsided.   I mentioned this to my endo and now she wants me to be tested for celiac after 2 weeks of being on gluten foods. She has kind of flip flopped on how much gluten I should eat, telling me that if the symptoms are severe I can stop. I am eating 2-3 thin slices of bread per day (or english muffins) and wow- it does make me feel awful. But not as bad as when I ate that massive amnt of vital wheat gluten. so I will continue on if I have to... but what bothers me is - if it IS celiac, it seems stupid for lack of a better word, to intentionally cause more damage to my body... but I am also worried, on the other hand, that this is not a long enough challenge to make the blood work results valid.   can you give me any insight into this please?   thank you
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.