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

New Here


drgoogle

Recommended Posts

drgoogle Newbie

Hi everyone. I'm new here, thought I'd share my story.

I finally got a biopsy today (from my family doc) after seeing many docs, including an allergist and dermatologist.

So, hoping I'll have an answer soon, although I'm pretty sure my doc biopsied a lesion, instead of beside a lesion.

Long story short:

- had 2 mosquito bites one on each leg that wouldn't heal in the summer

- after stressful incident in SEPT., got some reddish spots on my legs, which I logically related to the mosquito bites

- spots were burny and itchy

- docs thought it was infection, perhaps staph, fuciden cream, didn't work

- cephalexin, didn't work

- now docs thought it was poison ivy, topical steroid and prednisone, antihistamines

- prednisone helped but then I went off it and BAM things continued to worsen - spreading now, onto arms and back

- lesions on legs had turned from reddish spots (like pimples or folliculitis) into drier clusters - looking like nummular dermatitis, or ringworm

- lesions on arms were smaller - just little tiny dots that came of little tiny bubbles, though some would spread/cluster into almost herpes-looking lesions too

- lesions on back just little pink dots (but very itchy like the rest of them)

- finally got in to see a dermatologist in OCT., who took one look and said it was eczema, prescribed cephalexin again to clear up any potential infection, more potent steroid creams, skincare regimen and UVB light therapy 3x/week

- got some tiny bubbly blisters on my hands and larger ones on my feet, thought it was latex allergy? Also irriated ears

- after a couple weeks the dermatologist's approach was helping heal existing lesions but not prevent new ones

- healed lesions leave nasty scars, and can become inflamed again

- my own research began to make me think about avoiding gluten and dairy, so I did

- noticeable improvement within a few days - finally able to sleep! This improvement has been the most noticeable and long-lasting of anything tried to date.

- saw an allergist, who said it's not food, nothing to do with food, just a placebo effect

- skin prick testing showed allergies to dog dander and dust (I have 2 dogs), but he said my skin problems were just an acute dermatitis, didn't do patch testing because so hypersensitive right now

- went on a little binge of dairy and gluten due to allergist's confidence, regretfully (seemed to make me worse again)

- developed a new theory that perhaps I was allergic to a glue (cyanoacrylate) in an eyelash extention procedure I'd had done in Sept., so went off the gluten theory for a while but quickly back to the DH theory because:

- seem to also be aggravated by salty foods (potato chips, corn chips) which I'd been allowing because I figured hey, they're not gluten, and hadn't made the iodine link yet

- might also be aggravated by shellfish, possibly wine, possibly stress

- likely not completely gluten-free because while I haven't knowingly eaten any, haven't been super strict at restaurants or with "may contain wheat" products

- after major healing (basically only legs remaining a problem) a few weeks ago, everything started to pop back up in the last week - started to think about my birth control pill, which I've also read can exacerbate DH if progesterone based which mine was. Family doc switched me but still on it for about 10 days before I switch.

- also note that I have had sushi this week thinking non-shellfish and non-gluten sushi was okay, not realizing the iodine content of seaweed

- also a particularly stressful week, so if it's eczema and not DH that could contribute...

- got my biopsy today from my family doc, anxiously awaiting results but as I said, wondering if she got anything other than a lesion

Any feedback would be so appreciated. I feel disgusting (having gone from normal skin to widespread nasty lesions),frustrated, discouraged...


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



Celiac.com Sponsor (A8-M):



ravenwoodglass Mentor

I hope you derm did the biopsy correctly but even if he didn't you have seen a strong corelation between eating gluten and the rash. I would go to strictly gluten free no matter what the test results.

CrazyforCandles Rookie

My HD started 4 months ago and my GP treated it as an allergy to hairdye, then soap, then cleaning chemicals, etc. Treated with Antihistimines, Antihistimine creams, and Prednizone 6x- one week at a time then 2 week break in between due to the effects steroids can have on immune system. In the beginning it was only on my arms and with each breakout it spread to new area and existing areas got worse. Between the itch, anxiety from the frustration, lack of sleep- I had HAD IT. I did my own research online looking at rashes that resembled mine and came across Celiac/ HD. I demanded the next day for my GP to do a blood panel and hook me up with a Dermatologist. He took one look at me and did 2 biopsy's, gave me Topicort for the rash and told me to start the Gluten Free Diet immediatly. He said just from look of my rash and the 4 months of 'eruptions' he is 95% sure I am a Celiac.

*I was Lactose Intolerant as a child, had problems with going to the bathroom my entire adult life, been anemic for 2 decades, took 8 years to conceive, bouts of depression, etc. Now reading and learning for the last 3 days about Celiac and HD I have so many of the warning signs and am relieved to know there is an answer to solve ALL the medical problems I've suffered for years from just by adjusting my diet....but it is quite an adjustment, and an expensive one.

Still waiting for my biopsy results, but hoping that by sticking to this diet this disgusting rash will disappear quickly. I too am covered in scars and lesions that are at best 'unsightly'. :( You are not alone as I found out from the lovely ppl on this forum and will check in with you to see if you are healing as well.

Good Luck from one Rashy to another :D

Hopeful1950 Explorer

Wow!!!

You could be telling the story of the last 7 years of my life. I wanted to respond when I read your post yesterday, but had to calm down first. Why do docs play the "psychosomatic card" or tell you that it is "all in your head", just stop scratching. I have been patted on the head, told to "just stop scratching" and sent home with one cream or another so many times. I've got news for them: THERE IS NO "PLACEBO EFFECT" THAT WOULD MAKE THIS ITCHING STOP!!! I also ended up at an allergist who helped me figure out this rash. Don't let the docs get away with being lazy about it. FYI...all blood work for me came back negative, skin biopsy negative (done wrong). I finally got so frustrated that I initiated testing from a lab that I heard about on this forum. I had to self pay, but it was worth it. Here is the link in case you would like to pursue a different kind of testing.Open Original Shared Link

Definitely sounds like DH from what you have described. It will take awhile for it to clear up because the cells that cause the blistering can remain in your skin for 24 months. Being diligent about the gluten free diet is imperative along with avoiding iodine in your diet. Be careful with medications. They can be a problem both for gluten and iodine. My DH got kicked up into high gear when I took Actonel (for osteoporosis) several years ago. It was loaded with iodine and I went from having itchy spots on my ankles and elbows to having them all over my arms, legs, neck, upper back and behind.

Best of luck to you. I'm glad you found the forum, the people here could give workshops to the doctors!

drgoogle Newbie

Thanks everyone! I so appreciate your comments and feeling like you "get it." I know my close friends and family are sick of hearing me talk about it, so it's nice to have a place here where people understand and also have stories to share. There were days when my itch and pain were so bad, the appearance of my body was so unsettling, the feeling of a complete lack of control and lack of knowledge around the situation, would have me just break down and cry, while trying to search for answers.

My boyfriend's mother works in pathology and thinks that if my family doc did biopsy the lesion only instead of "normal" skin, the pathologists will know that this is inadequate and will say so, so hopefully it won't just result in a false negative or misdiagnosis.

I spoke with my dermatologist tonight because I am still going for light therapy and see him regularly, and finally mustered up the courage to ask him if it could be DH (he's been so confident in his diagnosis of eczema that I had been afraid to bring up my own theories and ask for a biopsy). He said that he doesn't think it's ONLY DH, but he thinks it could possibly be eczema + DH, or eczema with a gluten sensitivity as a trigger, and that "at some point" we could do a biopsy for my peace of mind.

Since becoming more strict with my gluten (and casein and non-sea salt) avoidance, and at this point in my birth control pill cycle which was the same point when things started to clear last month, I am feeling like I'm on the mend again (I've been on the mend many times before though) so I'll see if being off that b.c.pill after this pack (switching to a non-oral contraceptive to avoid systemic effects) and continuing strict adherence to my diet can fend off a resurgence this time around.

I once competed in a physique competition and was obviously then eating very minimal gluten and dairy for different reasons, and I remember feeling like my skin and stomach in general felt so much better (clear skin on face which is sometimes a problem, usually struggling with little tiny skin-coloured bumps on my forehead - acne?) during that time. I haven't really had any GI symptoms lately. Of course, I've always found that the less healthy I eat, the worse my stomach and body feel in general and certainly I'd label me as someone who has always had a "sensitive stomach," even since childhood. I have had some problems with dairy in the recent past, thinking I was lactose intolerant for a couple years, but was able to reintroduce it. In the past few years I've felt like my brain and memory have been on a decline, and I'm only 29, but I just attributed it to being uber-busy with a lot of cognitive overload going on. I've also had some neurologic symptoms that I also attributed to stress - eye, thumb and toe fasciculations. These haven't been plaguing me lately. Looking back, I have had inconsistent GI problems when eating what I labeled "greasy food" like pizza or fast food (I say inconsistent because I didn't have a problem EVERY time I ate such a food). When eating poorly, I definitely craved a good cheesey carby combo. Although I'm a competitive athlete, full time student, and a practicing clinician, and have always strived (though not always succeeded) to maintain a healthy lifestyle including diet (I only say all that because you'd think that would all describe an energetic person), I would say that I have so often felt/wondered over the past few years why I feel like I seriously lack energy - I was questioning a lot in the past year why I'm so exhausted all the time, but again attributed it to occasional sleep deprivation and an overly busy and stressful life (which I'm sure contribute). Also, the way my lesions start out, they look perfectly harmless - just a tiny little skin coloured bump (before they go crazy and become nasty). Looking back over the past few years, I've had a fair number of such very harmless little bumps appear on my body, they'd stick around and go away and I would wonder what they were, but they never festered into the nastiness that I'm now dealing with...perhaps they were an early sign though.

After doing some reading on this forum and other places online, I wonder if all of the above have been signs of gluten sensitivity or intolerance. I really hope that the biopsy was done properly! After four months trying in vain to solve my rashy problem, I'll admit that there's probably a part of me actually hoping it shows I have DH, because it's something I can explain and control as opposed to continue on this guessing game. It also would allow me to feel comfortable requiring accommodations when eating with others, as opposed to now when I feel like I'm being "difficult" if I have to avoid certain foods when socializing. That said, I also realize DH isn't something anyone should WANT to have, and certainly I wouldn't try reintroducing gluten unless I completely clear, and even then I'd only do it very carefully and slowly if at all...it's not like it's necessary or good for you anyway!

Thanks again for all your feedback and stories shared.

Also thought this was neat: Open Original Shared Link

MacieMay Explorer

Oh Man!! Will you please share the results of your skin biopsy. I would ask for a copy of it.

I've been trying to figure out this rash my 21 month old had that I SWEAR was a systemic reaction to gluten. She had it biopsied and it came back something different then DH and they ruled it out. But the thing is we went gluten-free the day she had the biopsy and I never saw another rash like it. I really want to prove that gluten was causing this reaction in her. ALL her tests were negative (allergy, endoscopy, Celiac panel and gene) but this little girls body rejects gluten. I don't know why?? She had ALL the GI symptoms, including the lactose intolerance. It was so hard to get Dr's to take notice that something was wrong because of the negative results. More research needs to be done to improve the testing for this.

  • 1 month later...
drgoogle Newbie

Thought I should post because I've received results of both biopsies.

Neither suggested DH.

Although both docs biopsied lesions instead of skin adjacent to lesions, the derm did biopsy a fairly large area so I know he did get some adjacent skin at least. Also, my mother in law personally knows (she works in pathology) the dermatopathologist who looked at my second biopsy and she chatted with him, and overall, everyone is quite confident that there are certain things you'd see that would at least suggest DH, even if I'm gluten free and even if it's a lesion as opposed to normal skin.

I know I've read, and many here have said that it must be normal skin, not a lesion, and that being gluten free can lead to false negative, but if I was still getting lesions at the time then clearly whatever the cause was was still around, and if there was some surrounding skin in the biopsy, and the dermatopathologist specifically is looking for anything indicative of DH - I have to be able to be somewhat confident in the results? Right?

About 2 weeks ago, I finally turned a corner and started to heal and stopped getting new lesions. Persistent lesions continue to flare but in a very minor way, relative to what it's been like. The scars are all over my legs still, so still not a pretty sight, but the itch is almost completely gone. I don't know what did it - I visited a doc of traditional chinese med who was confident he could help, and I have been taking the stuff he gave me and it was literally 2 days after I saw him that everything un-inflamed and flattened out, but it's also my first month on a non-oral contraceptive, and it's also my third full month gluten free. So who knows!

I'm still gluten and dairy and shellfish and salt free, but am feeling like I might test soon.


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



Celiac.com Sponsor (A8-M):



ravenwoodglass Mentor

Your doctors didn't know what they were doing. Here is what the NIH has to say about how to biopsy properly. Not only do they need to biopsy the skin next to the lesion they have to use a special procedure to find what they need to find.

Open Original Shared Link

"A skin biopsy is the key tool in confirming a diagnosis of DH. Doctors take a skin sample from the area next to a lesion and, using a fluorescent dye that highlights antibodies, look for the presence of IgA deposits. Skin biopsies of people with DH are almost always positive for IgA"

If you plan on getting tested for celiac make sure you get back on gluten for 2 to 3 months first. Even then you could have a false negative.

drgoogle Newbie

Your doctors didn't know what they were doing. Here is what the NIH has to say about how to biopsy properly. Not only do they need to biopsy the skin next to the lesion they have to use a special procedure to find what they need to find.

Open Original Shared Link

"A skin biopsy is the key tool in confirming a diagnosis of DH. Doctors take a skin sample from the area next to a lesion and, using a fluorescent dye that highlights antibodies, look for the presence of IgA deposits. Skin biopsies of people with DH are almost always positive for IgA"

If you plan on getting tested for celiac make sure you get back on gluten for 2 to 3 months first. Even then you could have a false negative.

Thanks for your reply. I should get a copy of the results. I would hope that the dermatopathologist would have done the immunoflourescence to look for IgA. My mother-in-law used to manage pathology in town and was aware that that was necessary. She specifically spoke with the pathologist about it, and my dermatologist specifically indicated on the pathology request that the purpose of the biopsy was to rule out DH. So, the dermatopathologist at least should know what he's looking for, and if he didn't have an appropriate sample should have said so.

But, I know that's a lot of "shoulds" - I will check.

How far next to the lesion does the biopsy need to be? The punch biopsy taken was so much bigger than the lesion, that normal adjacent skin was taken with it, but nothing I've read indicates how normal, or how far away from the lesion. What does "next to" really mean? 1mm? 1cm?

My mother-in-law also spoke with another dermatopathologist she works with who was confident that this particular dermatologist I am seeing would know DH well, and that DH, even the lesions, will have unique characteristics, and even if not definitive when taken of just a lesion, should be distinct from other things - but I know from reading some articles that the location of biopsy is very important and that biopsying just a lesion can be misinformative. My derm told me he had a couple of people recently test positive for DH with biopsies...which gave me hope that he knows how to do a proper biopsy for it.

Sigh...

I know that I could go back on gluten and get tested for celiac, but the risk of making my skin worse as it just begins to improve is just not worth it right now. Also, I know I could have tried to get on dapsone, but the gluten avoidance and TCM is working now, so I don't want to mess with it right now. For the first time in 5 months I can say I am improving.

I think I might wait until I am completely better, which is still looking like at least another couple months, and then maybe try some gluten. If that does it perhaps I'll either ask for an endoscopy or a normal skin biopsy. Or perhaps I could go to the immunologist again and ask him to do the biopsy. Perhaps he'd have a better idea.

The other thing I'm unsure of is - as long as I am getting lesions, you'd think it means I have IgA deposits in my skin (if it is DH), so even if I'm a few months gluten free, the biopsy shouldn't be a false negative if there are still active lesions, one would think?

I just wish there was an absolute expert on all this stuff, in the city!

drgoogle Newbie

Here are a couple of the abstracts of the articles I can find, and none specify the distance from a lesion that's necessary.

Open Original Shared Link

Open Original Shared Link

I think mine was perilesional and wasn't very inflamed. The blister was actually intact. The second article says "Noninflamed perilesional skin showed more intense IgA deposition in 18 of 19 specimens compared with that in never-involved skin "

Also, I remember both docs put the biopsy in formalin and I was told by people who work in pathology that for immunoflourescence, you don't put the sample in formalin. But I also read an abstract of a new way to test for IgA deposits without immunoflourescence. I mean, the above articles aren't new, so presumably it's not new information to physicians. So maybe they're all just using the new procedure that doesn't require immunoflorescence and thus can get away with the formalin.

I guess I have trouble trusting my docs, but also have trouble doubting them! Oh the dilemma.

Archived

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


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      130,300
    • Most Online (within 30 mins)
      7,748

    Liss28
    Newest Member
    Liss28
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.3k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • lmemsm
      This may make you feel better about cross-contamination: https://nationalceliac.org/celiac-disease-questions/do-i-need-new-designated-pans-plates-and-utensils/ https://theceliacscene.com/rethinking-cross-contamination-no-need-to-be-so-careful/ I use Tom's of Maine or a toothpaste that states it's gluten free.  I have allergic reactions to some toothpastes so some of the toothpastes in health food stores are usually safer for me. They're typically gluten free as well. Spices can contain cross-contamination from gluten.  There are a few lists online of spices that are safe for celiacs.  I also grow my own herbs and use them in place of store bought when I can.  I think Badia lists their spices as gluten free and Spice Lab has some gluten free too. Knitty Kitty has a great point about nutritional deficiencies and B vitamins.  I got a lot of aches and pains when I got off gluten.  I tried to replace wheat with other healthy grains like teff, buckwheat and sorghum.  Limiting one's diet too much and not getting enough vitamins, can make someone feel worse.  A lot of the gluten free foods in the stores are made with lower quality ingredients than the wheat varieties.  I try to replace all my foods with homemade options.  Then I know the quality of the ingredients and which vitamins I may be high or low in.  Probiotics or prebiotics can help with bathroom issues.  Better to get them in foods if possible and not pill form.  My doctors keep recommending magnesium too.  It's not supposed to be taken alone, but they don't seem to care about that.  It's easy for vitamin D to be low too.  That was another thing doctors told me to take.  Unfortunately, they didn't monitor it and it went too high.  Again, better from natural sources like food and sunlight.  However, supplementing can help if you're not getting enough.  Some sources say to take D with K2.  You may want to have iodine levels checked.  If you add iodine, make sure to get sufficient selenium for thyroid.  You can get iodine naturally in most seaweed.  Nori may also be one of the few non-animal sources for B12.  Brazil nuts are a good source of selenium and you only need a few a day to meet RDA.  Some brands of nuts specifically say gluten free.  Unfortunately, there are issues with Brazil nut production and they're much harder to find this year. The more you can vary your diet the better.  One study said aim for at least 30 different foods in a week.  You might want to try kiwi fruit.  There were some studies that said eating kiwi improved mood.  It also has a covering which most people don't eat, so that should protect what's inside from contamination. I've limited my diet quite a bit over the years because of migraines, so I know how uncomfortable it can be finding safe foods.  However, I'm afraid limiting diets like that may actually be causing more harm than good.  It's something I'm trying to work on.  I keep trying to expand the number of foods I eat and my recipe repertoire.  I made a list of brands of foods that I've found that are gluten free so I have a guide when I'm shopping.  
    • knitty kitty
      Hello, @Dora77, I agree with you that your doctors aren't very knowledgeable about Celiac Disease.  My doctors didn't recognize nutritional deficiencies either.  I became very deficient in vitamins before I was diagnosed, so having experienced similar, I understand what a difficult time you're having.   Poor absorption of essential nutrients is caused by the damage done to the intestines by Celiac Disease.  The gluten free diet can be low in essential nutrients, so supplementing to boost your absorption is beneficial.  New symptoms can develop or worsen as one becomes more and more deficient.   There's eight essential B vitamins that our bodies cannot make, so they must come from our food and supplements.  These eight B vitamins work together, like instruments in an orchestra.  They need to be supplemented together with essential minerals like magnesium.   Deficiencies in the B vitamins can have overlapping symptoms.  Some symptoms can be traced to specific B vitamins.  OCD can be traced to low Pyridoxine Vitamin B 6.  Yes, I had OCD and washed my hands until my skin cracked and bled.  ADHD symptoms can be traced to low Thiamine Vitamin B 1.  ADHD is something one is born with.  People who are born with ADHD have a metabolic problem with getting sufficient thiamine into their brain cells.  People who develop symptoms of ADHD later in life are more likely to be low in Thiamine.  The same symptoms appear if one is not getting sufficient thiamine from the diet.  Yes, I developed symptoms of ADHD.  These symptoms improved and disappeared after supplementing with Thiamine and the other essential nutrients. I was diagnosed with Type Two Diabetes.  99% of diabetics of both types are deficient in Thiamine because our kidneys don't re-absorb thiamine properly.  Thiamine is needed to make insulin and digestive enzymes in the pancreas.  Poor digestion (floating, undigested stools) can result with insufficient pancreatic enzymes.  The gall bladder (upper right quadrant) needs thiamine to make and release bile which also helps with digestion.  Constipation is also a symptom of Thiamine and magnesium deficiencies.  The thyroid is another organ that uses lots of Thiamine, too.  Low thyroid hormones can be due to insufficient thiamine, selenium, iron, and iodine.  Swelling of hands, face and feet are also symptoms of thiamine insufficiency.   Our bodies use thiamine to make energy so organs and tissues can function.  Thiamine cannot be stored longer than three weeks.  If our stores are not replenished every day, we can run out of Thiamine quickly.  If we do get some thiamine from our diet, symptoms can wax and wane mysteriously, because a twenty percent increase in dietary thiamine causes an eighty percent improvement in brain function and symptoms.  Thiamine interacts with all the other vitamins in some way.  Many other vitamins and their metabolic processes won't work without thiamine.  In Celiac Disease you are apt to be low in all the essential nutrients, not just thiamine, but thiamine deficiency symptoms may appear first. Talk to your dietician about eating a nutritionally dense gluten free diet.  Keep in mind that processed gluten free foods do not contain sufficient vitamins to be useful.  Processed gluten free foods are filled with saturated fats and excess fiber (that could explain your constipation).  Dairy products, milk and cheese can cause problems because Casein, the protein in dairy, causes the same autoimmune reaction that gluten does in some.  Your current restricted diet is dangerous to your health.  I followed the Autoimmune Protocol Diet (Dr. Sarah Ballantyne).  It's a Paleo diet that promotes intestinal healing.   Discuss with your doctors about correcting nutritional deficiencies as soon as possible.   Interesting reading... https://pubmed.ncbi.nlm.nih.gov/34165060/ https://pubmed.ncbi.nlm.nih.gov/21816221/#:~:text=Lipid-soluble thiamin precursors can,and attention deficit%2Fhyperactivity disorder.
    • max it
    • cristiana
      My chest pain has been caused by costochondritis, as well as times when iron supplements has given me such bad bloating it has put pressure on my back and chest, and reflux can do the same. Also, along the lines of Wheatwacked's suggestion above, is it possible you had an injury to your chest/ribs way back that is being set off by either some sort of gastrointestinal bloating/discomfort? I distinctly remember really hurting a rib over forty years ago when I misjudged a wall and thought it was just behind me but in fact it wasn't.  I fell badly against the wall and I think I cracked a rib then.  For some strange reason I didn't tell anyone but I think had I gone to hospital an X-ray would have revealed a fracture. I think that rib has not been right since and I am sure that bloating makes it worse, as well as heavy lifting.
    • Dora77
      Sorry for the long post. I’m 18, and I was diagnosed with celiac disease and type 1 diabetes (T1D). My transglutaminase IgA was >128 U/mL, EMA IgA positive twice, and I’m HLA-DQ2 and DQ8 positive. I’ve been completely asymptomatic since diagnosis, even when I cheated with gluten sometimes in the past and used to eat out(2-5 years ago) I don’t get the typical celiac reactions, which makes it really hard to know when (or if) I’ve been glutened. But for the past year, I’ve been the most strict with my diet, and that’s also when a bunch of new issues started. I eat completely glutenfree, never eat out, dont eat food that says „may contain gluten“.   Current Health Problems • Floating, undigested stools for over a year now. Dont think its related to celiac as it was like this since im 17 and not 13-16( i got diagnosed at 13). • Chronic back pain started gradually, worsens with movement, lots of cracking/popping sounds. Been ongoing for a year now. First noticed in the gym. • Abdominal bulge on the right side, not painful but seems to be getting slightly bigger. Doctor didn’t find a hernia on ultrasound, but it was done lying down (I’ve read those can miss hernias). Noticed it like 6 months ago, couldve been there longer. • extremely dry and mildly swollen hands (this started before I started excessive hand-washing), and bloated face. • Signs of inattentive ADHD (noticed over the past 3 years), now combined with severe OCD focused on contamination and cross-contact. • Growth/puberty seemed to started after going gluten-free. Before that I was not developing. Dont know if any of these are because of celiac as my dad doesnt have those and he is a lot less strict gluten-free then me. I also had pancreatic elastase tested four times: values were 46 (very low), 236, 158, and 306 (normal). Gastroenterologist said one normal value is enough and I don’t have EPI. Family doctor prescribed Kreon anyway (after I pushed for it), and I just started taking 1 capsule (10,000 units) with meals 2 days ago, but couldn‘t see effects yet because I’ve been constipated the last few days. Maybe because of thyroid. I don’t have Hashimoto’s. No thyroid antibodies. But I took levothyroxine for slightly low FT4 levels. My thyroid levels fluctuated between borderline low and low-normal. And recently lowered my dose so that may have caused the constipating. I probably didn’t need it in the first place, and am thinking about stopping it soon.   Current Diet Right now, I only eat a very limited set of “safe” foods I prepare myself: • Gluten-free bread with tuna or cheese • Milk and cornflakes • gluten-free cookies/snacks • Bananas (the only fruit I trust right now) I rarely eat other fruits or vegetables, because I’m scared of contamination. My dad, who also has celiac but doesn’t care about CC, buys fruits, and he might’ve picked them up right after handling gluten bread. That makes me feel unsafe eating them. Even fruit at stores or markets feels risky because so many people with gluten on their hands touch them.   My Home Situation (Shared Kitchen) We’re a family of 5. Only my dad and I have celiac. He eats glutenfree but doesn’t care about CC and sometimes (but rarely) cheats. My mom and siblings eat gluten bread at every meal. My mom is honest (so if i ask her to be cautious, she most likely would try to), but doesn’t seem to understand how serious celiac is. She: • Stopped using gluten flour • only cooks gluten-free meals (but they still heat up gluten bread and also cook gluten noodles) • Keeps separate butter/jam/jars for me • Bought me a stainless steel pan Bu we didn’t replace old wooden utensils, cutting boards, or other pans. The new they bought me pan was even carried home in a shopping bag with gluten bread in it, which triggered my OCD. It also has a rubber handle and I’m scared it might still hold onto gluten. Even if it’s washed well, it’s stored next to other pans that were used for gluten food/bread. Our kitchen table is used for eating gluten bread daily. My mom wipes it but not with soap. I’m scared tiny particles remain. If she made gluten-free bread dough on a board at the table, I’d still worry about cross contmaination contamination even with something under the dough and on the table as at one point the dough would probably touch the table. So I stopped eating anything she makes.   I know OCD is making it worse, but I can’t tell how much of my fear is real and how much is anxiety. Examples: • I wash my hands 20–30 times a day — before eating, after touching anything at home or outside, after using my phone/laptop. • I don’t let others touch my phone, and I’m scared to use my laptop because friends at school or my brother (who eat gluten) have touched it. And it annoys me a lot when others touch my stuff and feels like it got contaminated and is unsafe instantly. • I stopped eating while using my phone or laptop, afraid of invisible gluten being on them. • I wash my hands after opening food packaging (since it was on store cashier belts where gluten food is placed). • I avoid sitting anywhere except my bed or one clean chair. • I won’t shake hands with anyone or walk past people eating gluten. • At school, when switching classes, I wash my hands before getting out my laptop, again before opening it, etc. • I open door knobs with my elbows instead my hands   Job Concerns (Powder Coating, Sandblasting, Etc.) I’m working a temporary job right now that involves: • Powder coating • Sandblasting • Wet spray painting • Anodizing There’s also a laboratory. I don’t need this job, and my OCD makes me believe that dust or air particles there might contain gluten somehow. Should I quit?   Doctors Haven’t Helped My family doctor told me: “Asymptomatic celiac isn’t serious, if you have no symptoms, your intestines won’t get damaged, so you don’t need a gluten-free diet.” I knew that was wrong, but he wasn’t open to listening. I just nodded and didn‘t argue. My gastroenterologist (who’s also a dietitian) said: „If your antibodies are negative, there’s no damage. It might even be okay to try small amounts of gluten later if antibodies stay negative.“ Also said, pepper that says “may contain gluten” is fine if it only contains pepper. She was more informed than my family doctor but didn’t seem to fully understand celiac either.   Questions I Need Help With 1. Is it realistically safe to eat food my mom cooks, if we get separate pans/ and boards even if gluten is still used in the same kitchen? There will always be low risk of cc chances like that she will still touch stuff that was touched by her and my siblings after they ate gluten. And as there are gluten eaters in the house and she also prepares and eats gluten. So would opening the fridge then getting the food and touching the food be okay? So basically what i am doing, washing my hands multiple times while preparing food, she would only wash it once before, then touch anything else (for example water tap or handles) that were touched with gluteny hands, then also touch the food. I dont know if I ever could feel safe, I could try telling her how important cc really is. And I trust her so she wouldnt lie to me then be careless about cc, but idk how safe it really can be if she and everyone else keeps eating gluten and touching stuff in the house after eating. 2. Do I need to worry about touching doorknobs, fridge handles, light switches, etc. that family members touched after eating gluten? What about public places like bus handles or school desks? Or like if i went to the gym, I would be touching stuff all the time, so there will be small amounts of gluten and those would get transferred on my phone if I touch my phone while in the gym. But I want to knos if it would be enough to do damage. 3. Is an endoscopy (without biopsy) enough to tell if my intestines are healed? I’d pay privately if it could help and if i dont get a refferal. Or do i need a biopsy? 4. Could my job (powder coating, sandblasting, etc.) expose me to gluten or damage my intestines through air/dust? 5. Do I need certified gluten-free toothpaste, hand soap, shampoo, or moisturizer? (For example: Vaseline and Colgate don’t contain gluten ingredients but say they can’t guarantee it’s gluten-free.) 6. Is spices like pepper with “may contain traces of gluten” safe if no gluten ingredients are listed? Or does everything need to be labeled gluten-free?  7. Is continuing to only eat my own food the better choice, or could I eventually go back to eating what my mom cooks if she’s careful? 8. is cutlery from dishwasher safe if there are stains? Stuff like knives is used for cutting gluten bread or fork for noodles etc. I often see stains which i dont know if its gluten or something else but our dish washer doesnt seem to make it completely clean. 9. I wash my hands multiple times while preparing food. Do i need to do the same when touching my phone. Like if i touch the fridge handle, I wash my hands then touch the phone. I dont eat while using my phone but i leave it on my bed and pillow and my face could come in contact with where it was.  10. Do i need to clean my phone or laptop if theyve been used by people who eat gluten? Even if no crumbs fall onto my keybaord, i mean because of invisible gluten on their fingers. 11. Does medication/supplements have to be strictly glutenfree? One company said they couldn‘t guarantee if their probiotics don’t contain traces of gluten.  12. I had bought supplements in the past, some of them say glutenfree and some of them dont(like the brand „NOW“ from iherb). I bought them and used them when i wasnt washing my hands so often, are they still safe? As I touched and opened them after touching door knobs, water taps etc. It was like a year ago when i bought those and even though i was eating gluten-free, I never worried about what i touch etc. I know this post is long. I’m just extremely overwhelmed. I’m trying to protect myself from long-term health damage, but the OCD is destroying my quality of life, and I honestly don’t know what’s a reasonable level of caution anymore. Thanks for reading.
×
×
  • Create New...