Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×
  • 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

Tpn, Amino Acids & Gluten


woodnewt

Recommended Posts

woodnewt Rookie

Does anyone know if Ajinomoto Aminoscience LLC amino acids and amino acid mixtures that are added to TPN (Total Parental Nutrition) is truly gluten-free?

My brother has celiac disease, is in the hospital, and is very ill and unable to eat because of an intestinal-related problem. He is extremely malnourished and needs surgery VERY soon, but they will not do surgery on him until he is better nourished through TPN.

They have put him on TPN and he has started rapidly losing weight, with large volumes of yellow diarrhea and gas, and is feeling extremely ill. The hospital is assuring us the TPN is gluten free and they are beginning to suggest his symptoms are in his head saying the diarrhea is normal or that he should just take an anti-diarrheal medication. When he is on TPN he is SICK. Something in there is making him SICK. He looks sicker now than when he came in, and I know something is VERY wrong.

I am more concerned about cross contamination with gluten than I am about it being produced from gluten since the hospital has assured us the TPN mixture is gluten-free - though the hospital - spoke with 3 dietitians so far- does not seem to understand that cross contamination can make a celiac ill - we were even told not to worry because the ingredients are "sterile."

Looking up Ajinomoto Aminoscience, it seems they are a company that deals with vital wheat gluten in their medical related amino acids.

Open Original Shared Link

Does anyone know if their TPN amino acids are truly 100% gluten free?


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



Celiac.com Sponsor (A8-M):



Wolicki Enthusiast

I don't think I can be very helpful, but I did have TPN for about 3 weeks when I was first diagnosed. I did not have any reactions, but I was brand new at being gluten free. Can they try a different mixture of TPN from a different company?

ravenwoodglass Mentor

Can they try a different mixture of TPN from a different company?

Can you talk to his doctor and get them to change to a different TPN? If his doctor isn't willing to switch to a different one you may want to consider getting a second opinion from a different doctor or perhaps a transfer him to a different hospital. I would also keep a written record of his progress or lack of it and also take notes or record all conversations, with names, and perhaps contact a lawyer to advocate for him.

  • 3 weeks later...
woodnewt Rookie

Just an update:

Still have not been able to find out if TPN amino acids is gluten-free, but it wasn't the TPN making him sick. One of his nurses was doing something to him, and we only found out after a serious incident. We filed a formal complaint with the hospital as well as had him moved to a different floor, and his health began to pick up a couple days after that.

Archived

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


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      130,695
    • Most Online (within 30 mins)
      7,748

    NadiaH
    Newest Member
    NadiaH
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.3k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):




  • Who's Online (See full list)

    • There are no registered users currently online

  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • Grahamsnaturalworld
      Where can I find a gastro in adelaide who can diagnose refractory celiac disease have seen 3 so far and don't understand the most obvious question, why my celiac symptoms did not resolve on a gluten free diet the symptoms just got worse as it is attacking my nervous system. 
    • ShariW
      I recently traveled to Spain and Portugal. I was with a tour group, they knew I needed to be gluten-free and made sure the kitchens preparing the group meals were aware. But just in case, I took Gliadin-X with me and took it for every evening meal - and most other meals. The one time I got glutened was from lunch early in the trip - had to be from cross-contamination. I had not taken Gliadin-X before that meal, which made for a pretty miserable day. Learned my lesson... 😞 
    • Hummer01
      Hi trents, thanks for the response.  The 2nd opinion doctor said that if my CRP is still elevated at that time, he would advise me to look at Crohns/UC or another autoimmune issue. The colonoscopy I had this year seemed to rule those 2 out for now so he still believed celiac may explain it. No previous doctors have suggested any explanation for it even after calling to tell me it was a concerning result.  I guess it feels tough knowing I have positive blood testing, permissive genetics, and visible duodenum changes... and somehow it's NCGS instead of celiac. I'm still surprised the biopsies came back negative when the doctor was so sure they would be positive.
    • trents
      "He also said that my CRP should return to a normal level at this time if the culprit was inflammation in the small intestine due to celiac." But with if the elevated CRP levels are caused by some other inflammatory process going on in your body? "She also said that my positive EMA isn't valuable because it has "a high false positive rate." Totally wrong! This is a highly accurate test for celiac disease, that requires specialized expertise to perform and interpret, and it is more expensive than other blood tests. It is generally used as a last test to confirm celiac disease after a positive tTG-IgA test. The sensitivity of a test refers to its ability to correctly identify individuals with the condition. For the EMA-IgA blood test, the sensitivity is generally very high, ranging from 90% to 98%. This means that the test can accurately detect celiac disease in a significant percentage of people who have the condition. The specificity of a test refers to its ability to correctly identify individuals without the condition. For the EMA-IgA blood test, the specificity is also high, typically around 95% to 100%. This indicates that the test can effectively rule out celiac disease in individuals who do not have the condition. Taken from the following article: Looking at the whole picture, I am wondering if you are transitioning from NCGS to celiac disease. Some experts in the gluten disorder field believe NCGS can be a precursor to celiac disease.
    • Hummer01
      Hi all, just wanted to post an update.  I have been gluten free for about 1.5 months now and seeing improvement already in the bathroom.  Recently I had a visit with another GI doctor for a 2nd opinion. He said that while my blood tests and scope are not a "slam dunk" for celiac, he believes it's more likely than not that I have it. His advice was to stay with a celiac-level gluten free diet (no CC) for 6-12 months then retest to make sure TTG-IGA is still negative. He also said that my CRP should return to a normal level at this time if the culprit was inflammation in the small intestine due to celiac.  Today I had a follow up with the original GI that performed the scope. She is confident it is NCGS and says I can still have gluten sometimes. When I asked about the visible duodenum damage, she said it is just "irritation" from gluten because the biopsies were negative. She also said that my positive EMA isn't valuable because it has "a high false positive rate."  I guess I'm having trouble reconciling the totally different advice from these 2 GI's. I want to believe the new doctor more at this point because what he said just makes more sense to me, and he gave an actionable timeline for possible next steps. Feeling lost and disappointed at this point and wanted to write it down here in case anyone has input. Thank you.   
×
×
  • Create New...