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Celiac, Casein And Stool Color


hoot

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hoot Rookie

Hey guys,

This is not something I particularly enjoy talking about, but it does in fact seem that my stool color changes when I eat foods that contain gluten, lactose or casein. It goes from brown to yellow in one day, and now that I've been gluten-free, if I continue longer it gradually becomes almost totally pale, after around five days. Plus the excessive belching, gas, abdominal bloating, muscle twitches, brain fog and so on. Also, I can't gain any weight, in fact I did lose around 5-6kg a few months back. In that state I cannot eat anything without digestive enzymes.

But now that I've been gluten-, lactose- and casein-free, for a while (a few weeks after my gluten challenge), I'm almost back to normal again, except I still have some residual constipation, mild acid reflux, mild bloating and some occasional muscle twitches, but even those seem to get better every week. And my stool color is brown, I have none of the other symptoms.

I did do the celiac blood panel, everything came back normal, but then again I had only been eating gluten 5 days prior so it could just be a false negative. Did an upper abdominal ultrasound, gastroscopy, several other blood tests and most of it was normal, except my bilirubin levels were high and the gastroscopy, confirmed by biopsy, showed some sign of esophagitis due to acid reflux, but no ulcer.

Could it really be that celiac has this effect? Normally pale stool would indicate problems with the liver, gallbladder or something in that nature, right? In a few months I'm probably going to get my bilirubin levels checked, see if they have normalized. And how often is casein intolerance related with celiac or gluten intolerance/sensitivity?

Also, now thinking back. When partying, I always had THE WORST hangovers, and blackouts, after drinking a lot of beer (which has gluten). But when drinking no beer at all, I had almost no hangover at all. Actually the best way I could describe the past two years is "one big hangover". That's how I've felt almost constantly.


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    • trents
      Yes, it does. And joint pain is another celiac symptom that is now well-recognized. 
    • ThomasA55
      Does my iron loss sound like celiac to you?
    • trents
      Being as how you are largely asymptomatic, I would certainly advise undertaking a gluten challenge in order to get formal testing for celiac disease. We have many forum participants who become violently ill when they undertake a gluten challenge and they therefore can't carry through with it. That doesn't seem to be the case with you. The reason I think it is important for you to get tested is that many or most people who don't have a formal diagnosis find it difficult to be consistent with the gluten-free diet. They find ways to rationalize that their symptoms are due to something other than celiac disease . . . especially when it becomes socially limiting.  The other factor here is by being inconsistent with the gluten free diet, assuming you do have celiac disease, you are likely causing slow, incremental damage to your gut, even though you are largely asymptomatic. It can take years for that damage to get to the point where it results in spinoff health problems. Concerning genetic testing, it can't be used for diagnosis, at least not definitively. Somewhere between 30 and 40% of the general population will have one or both of the two genes known to be associated with the development of active celiac disease. Yet, only about 1% of the general population will develop active celiac disease. But the genetic testing can be used as a rule out for celiac disease if you don't have either gene. But even so, that doesn't eliminate the possibility of having NCGS (Non Celiac Gluten Sensitivity).
    • ThomasA55
    • trents
      Welcome to the celiac.com community, @ThomasA55! Before I give my opinion on your question about whether or not you should undergo a gluten challenge, I would like to know how you react when you get a good dose of gluten? Are you largely asymptomatic or do you experience significant illness such as nausea and diarrhea? You mentioned intermittent joint pain before you began experimenting with a low gluten diet. Anything else?
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