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Unfit For Military Service....


Jnkmnky

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gramma bea Newbie
I actually have thought about the whole military thing a lot. My 9 year old has talked of nothing but going into the military since he was 5 years old. I am not sure they would take him, not only because of the gluten issue, but also because he has some other problems that require him to take meds EVERYDAY. I haven't mentioned my concerns too him, since I figure he can handle the dissappointment better when he is older, and you never know, I could be wrong...

I have heard that they do have gluten free MRE's since there are obviously people who get diagnosed with celiac disease while they are in the military, and I don't think they could discharge you for that. They would probably reassign you to a homeland position and not allow you to be sent overseas. But again I could be wrong. Maybe they could medically discharge you for having celiac disease. I don't know. I guess I'll find out for sure when my son is in high school. If he wants to actively pursue a military career then he might be in for the fight of his life just to get in! :blink:

My grandson has celiac disease and he is in the navy. He was diagnosed after returning from his duty in Iraq. We're thinking the stress triggered it.The navy has only said he would not be deployed anymore. He is making a career in the medical field. According to him, there is no such thing as a gluten free meal, in the military :P . I am gluten intolerant with double genes, which means his mother, my daughter, has at least one gene for it. She has no symtoms of it, so far. We do not have the celiac gene, but to me there isn't any difference, you still can't eat gluten in any shape or form, <_< I wasn't diagnosed until the age of 65, but realize now, that I had signs of it, most of my life. Still recovering....

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LowPressure Newbie

There's been a lot of interesting discussion on this topic, as well as a great deal of speculation. My hubby has been in the Air Force for 22 years now. It took 12 years for his Celiac Disease (and Dermatitis Herpetiformis) to get diagnosed. Celiac Disease has two main periods of onset--either when you're a young child or when you're around the age of 19.

I feel a need to state unequivocally that Celiac onset is NOT the result of stress. Nor does it result in swelling of the throat or extremities (which is the result of anaphylaxis, not a malabsorption syndrome). Celiac patients are more susceptible to drug and food allergies, migraines, and high blood pressure (this because of constant inflammation). They can more easily develop urticaria, but bear in mind that certain blood pressure medications will cause this as well--especially Losartan, as we discovered.

Hubby's disease manifested itself as Dermititis Herpetiformis (DH) when he was 19, as I mentioned. He continually consulted physicians to find out what the problem was. For years, civilian and military docs claimed the rash was just pseudofolliculitis. It wasn't until he was attending Air University for his masters that he received an accurate diagnosis; he had been in the military 12 years at this point. He made yet another appointment with a dermatologist and had only to walk in the door for this doctor to say, "I know exactly what that is." A skin biopsy was taken (this is the ONLY way to test for DH), and voila! we now knew what had been causing him years of discomfort. By the way, I have no idea what this EnteroLab claim is about, but diagnosis of Celiac Disease must be determined by very specific blood tests (IgA and IgG antibody screenings) and intestinal biopsy via endoscopy.

Several times through the years doctors have asked him if he would like to be boarded for the Celiac Disease. He has always refused, because he knew he would likely be medically retired. But the point is, the decision was his to make. There was never any question that he would be boarded without his consent. We have managed his condition very well over the years, and as more and more knowledge is gained, and the number of people who have Celiac is recognized, it becomes much easier to manage his diet. There are gluten free MREs. They can be purchased from the following website: Open Original Shared Link.

And as far as worldwide TDY and deployment qualification are concerned, my husband just had to turn down a 365-day TDY to Iraq because he had just submitted his retirement papers. And yes, his Celiac Disease is well-documented in his military medical records. The last four years, he has been TDY nearly every month, and he always manages his diet very well.

Good luck to all you Celiacs out there!

psawyer Proficient
I feel a need to state unequivocally that Celiac onset is NOT the result of stress.

I beg to differ, at least in part. You are correct that stress, as generally thought of (emotional stress), is not usually the trigger for celiac onset, but it CAN be.

In most cases, the stress we speak of is not emotional stress, but stress placed on the immune system by an infection, or an infectious disease such as mononucleosis or influenza. The immune system overloads and and becomes confused. The process for triggering type 1 diabetes is similar--onset usually follows an infection that stresses the immune system.

I am pleased to hear that your husband was able to continue his military career despite being diagnosed as having celiac disease. For those who are diagnosed prior to joining the service, the prospects of being accepted seem grim.

ravenwoodglass Mentor
By the way, I have no idea what this EnteroLab claim is about, but diagnosis of Celiac Disease must be determined by very specific blood tests (IgA and IgG antibody screenings) and intestinal biopsy via endoscopy.

The tests that you consider the most specific miss up to 30% of celiacs and many miss entirely the folks that are compromised neurologically or with skin issues but mild GI symptoms. Celiac is in reality a spectrum disease, it can effect many differently and can damage many more organs than just the gut. Enterolab checks for antibodies to gluten in the stool. They do NOT diagnose celiac disease, they simply tell you whether you are throwing antibodies. Your body will not form antibodies to something it does not consider toxic. Enterolab, while they can not diagnose, can tell you whether gluten is an issue, perhaps before the most extreme damage is done and thus avoiding full blown celiac disease. I am a seronegative celiac who was close to death because I do not show up in blood testing and no one looked any furthur. It wasn't until 5 years after I was diagnosed that I did Enterolab tests, mainly to see what genes I carry as one child had been gene tested and told she couldn't have it because she didn't have one of the two recognized genes. Turns out I don't either so these tests were very valuable to us in showing her that just because she didn't have one of the two recognized genes (there are at this point 9, seven more were found) didn't mean her diagnosis was in error.

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    • trents
      Welcome to the forum, @Judy M! Yes, he definitely needs to continue eating gluten until the day of the endoscopy. Not sure why the GI doc advised otherwise but it was a bum steer.  Celiac disease has a genetic component but also an "epigenetic" component. Let me explain. There are two main genes that have been identified as providing the "potential" to develop "active" celiac disease. We know them as HLA-DQ 2.5 (aka, HLA-DQ 2) and HLA-DQ8. Without one or both of these genes it is highly unlikely that a person will develop celiac disease at some point in their life. About 40% of the general population carry one or both of these two genes but only about 1% of the population develops active celiac disease. Thus, possessing the genetic potential for celiac disease is far less than deterministic. Most who have the potential never develop the disease. In order for the potential to develop celiac disease to turn into active celiac disease, some triggering stress event or events must "turn on" the latent genes. This triggering stress event can be a viral infection, some other medical event, or even prolonged psychological/emotional trauma. This part of the equation is difficult to quantify but this is the epigenetic dimension of the disease. Epigenetics has to do with the influence that environmental factors and things not coded into the DNA itself have to do in "turning on" susceptible genes. And this is why celiac disease can develop at any stage of life. Celiac disease is an autoimmune condition (not a food allergy) that causes inflammation in the lining of the small bowel. The ingestion of gluten causes the body to attack the cells of this lining which, over time, damages and destroys them, impairing the body's ability to absorb nutrients since this is the part of the intestinal track responsible for nutrient absorption and also causing numerous other food sensitivities such as dairy/lactose intolerance. There is another gluten-related disorder known as NCGS (Non Celiac Gluten Sensitivity or just, "gluten sensitivity") that is not autoimmune in nature and which does not damage the small bowel lining. However, NCGS shares many of the same symptoms with celiac disease such as gas, bloating, and diarrhea. It is also much more common than celiac disease. There is no test for NCGS so, because they share common symptoms, celiac disease must first be ruled out through formal testing for celiac disease. This is where your husband is right now. It should also be said that some experts believe NCGS can transition into celiac disease. I hope this helps.
    • Judy M
      My husband has had lactose intolerance for his entire life (he's 68 yo).  So, he's used to gastro issues. But for the past year he's been experiencing bouts of diarrhea that last for hours.  He finally went to his gastroenterologist ... several blood tests ruled out other maladies, but his celiac results are suspect.  He is scheduled for an endoscopy and colonoscopy in 2 weeks.  He was told to eat "gluten free" until the tests!!!  I, and he know nothing about this "diet" much less how to navigate his in daily life!! The more I read, the more my head is spinning.  So I guess I have 2 questions.  First, I read on this website that prior to testing, eat gluten so as not to compromise the testing!  Is that true? His primary care doctor told him to eat gluten free prior to testing!  I'm so confused.  Second, I read that celiac disease is genetic or caused by other ways such as surgery.  No family history but Gall bladder removal 7 years ago, maybe?  But how in God's name does something like this crop up and now is so awful he can't go a day without worrying.  He still works in Manhattan and considers himself lucky if he gets there without incident!  Advice from those who know would be appreciated!!!!!!!!!!!!
    • Scott Adams
      You've done an excellent job of meticulously tracking the rash's unpredictable behavior, from its symmetrical spread and stubborn scabbing to the potential triggers you've identified, like the asthma medication and dietary changes. It's particularly telling that the rash seems to flare with wheat consumption, even though your initial blood test was negative—as you've noted, being off wheat before a test can sometimes lead to a false negative, and your description of the other symptoms—joint pain, brain fog, stomach issues—is very compelling. The symmetry of the rash is a crucial detail that often points toward an internal cause, such as an autoimmune response or a systemic reaction, rather than just an external irritant like a plant or mites. I hope your doctor tomorrow takes the time to listen carefully to all of this evidence you've gathered and works with you to find some real answers and effective relief. Don't be discouraged if the rash fluctuates; your detailed history is the most valuable tool you have for getting an accurate diagnosis.
    • Scott Adams
      In this case the beer is excellent, but for those who are super sensitive it is likely better to go the full gluten-free beer route. Lakefront Brewery (another sponsor!) has good gluten-free beer made without any gluten ingredients.
    • trents
      Welcome to the forum, @catsrlife! Celiac disease can be diagnosed without committing to a full-blown "gluten challenge" if you get a skin biopsy done during an active outbreak of dermatitis herpetiformis, assuming that is what is causing the rash. There is no other known cause for dermatitis herpetiformis so it is definitive for celiac disease. You would need to find a dermatologist who is familiar with doing the biopsy correctly, however. The samples need to be taken next to the pustules, not on them . . . a mistake many dermatologists make when biopsying for dermatitis herpetiformis. 
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