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What Am I Dealing With?


CNV2855

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CNV2855 Contributor

I seem to have a problem that I haven't seen discussed much but is probably a complication of years and years of untreated Celiac disease, even though I've been on the diet recently for a couple years.

I react to protein almost as if my body can't digest it. Gluten is bad and causes the worst reaction but I seem to have some sort of reaction to just about anything with protein although the reactions are different depending on the food.

Gluten causes diarrhea, bloating, autoimmunity/prostatitis flares, massive fatigue and a whole host of really nasty things for about 2+ weeks.

Now other proteins are problematic too. After ingesting anything with protein, whether it be nuts/beef/chicken I experience some pretty crazy fatigue. It's not a normal level of fatigue, but more of something that feels like I'm going to pass out. I can often sleep for hours upon hours after eating a protein heavy meal.

My stools are completely formed when I avoid protein, but when I don't they're completely unformed almost as if my body doesn't know what to do with it and just kicks it out.

I've tried digestive enzymes and they don't help.

I know I need protein but I haven't found anything that I don't react to. Fish/Egg protein will literally make me feel like a zombie for 3-5 days and the fish/seafood will usually make me feel so lightheaded that I'll pass out.

How am I suppose to get protein when it all makes me feel so bad? I can't be the only person with this problem! I'm seeing a gastroenterologist in a few weeks but in the mean time I'd like to explore possibilities.

If it was pancreatic insufficiency (common in Celiacs) then digestive enzymes would help? Could it be enterokinase deficiency or lysinuric protein intolerance?

Is there something with amino acids (without protein) that I can eat to get the nutrients I need until I see my doctor?

Undiagnosed Celiac Disease/Gluten sensitivity for years caused the problem. The damage to my gut allowed food to interplay with my immune system for years and there's no doubt there's quite a bit of damage in there... I just haven't heard of anyone else experiencing this problem with all foods with protein. But it kind of makes sense, because proteins are the allergenic molecules in food.

A 5 ½-year-old boy presented with delayed growth, chronic diarrhea, and hypoproteinemia. Clinical presentation, initial laboratory data, and evaluation of an intestinal biopsy specimen suggested a diagnosis of celiac disease. Symptoms did not resolve on a gluten-free diet. The development of hyperammonemia prompted further studies that led to the diagnosis of lysinuric protein intolerance. Lysinuric protein intolerance, although a rare disorder, should be included in the differential diagnosis of conditions associated with intestinal villous atrophy. ( J Pediatr 1998;132:153-5)

This looks like something I should read into.


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Jenniferxgfx Contributor

There is definitely refractory celiac, but have you tried beans, peas, and lentils too? (didn't see them listed). I'm vegan for ethical reasons, but meat actually made me ill way before I knew I had celiac and went vegetarian for multiple reasons, including angry gut problems after eating meat. People thought it was psychosomatic but it wasn't. Meat's just too much for my particular system, and I know I'm in the minority here for it.

There's also stuff like brown rice or other plant based protein powder, too, you can add to smoothies and stuff for supplemental protein, if you're into that.

I hope you feel better!

CNV2855 Contributor

There is definitely refractory celiac, but have you tried beans, peas, and lentils too? (didn't see them listed). I'm vegan for ethical reasons, but meat actually made me ill way before I knew I had celiac and went vegetarian for multiple reasons, including angry gut problems after eating meat. People thought it was psychosomatic but it wasn't. Meat's just too much for my particular system, and I know I'm in the minority here for it.

There's also stuff like brown rice or other plant based protein powder, too, you can add to smoothies and stuff for supplemental protein, if you're into that.

I hope you feel better!

I have problems with rice and soy as well. :(

I really think there's something else at work. Refractory Celiac scares me but the gastroinestinal symptoms mostly disappear when I avoid gluten.

Jenniferxgfx Contributor

I kinda think processed soy is the devil:/ Theres also hemp Protein. Plus stuff like quinoa, served in place of rice. Is that out too?

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    • Scott Adams
      This is a very common question, and the most important thing to know is that no, Guinness is not considered safe for individuals with coeliac disease. While it's fascinating to hear anecdotes from other coeliacs who can drink it without immediate issues, this is a risky exception rather than the rule. The core issue is that Guinness is brewed from barley, which contains gluten, and the standard brewing process does not remove the gluten protein to a level safe for coeliacs (below 20ppm). For someone like you who experiences dermatitis herpetiformis, the reaction is particularly significant. DH is triggered by gluten ingestion, even without immediate gastrointestinal symptoms. So, while you may not feel an instant stomach upset, drinking a gluten-containing beer like Guinness could very well provoke a flare-up of your skin condition days later. It would be a gamble with a potentially uncomfortable and long-lasting consequence. Fortunately, there are excellent, certified gluten-free stouts available now that can provide a safe and satisfying alternative without the risk.
    • MogwaiStripe
      Interestingly, this thought occurred to me last night. I did find that there are studies investigating whether vitamin D deficiency can actually trigger celiac disease.  Source: National Institutes of Health https://pmc.ncbi.nlm.nih.gov/articles/PMC7231074/ 
    • Butch68
      Before being diagnosed coeliac I used to love Guinness. Being made from barley it should be something a coeliac shouldn’t drink. But taking to another coeliac and they can drink it with no ill effects and have heard of others who can drink it too.  is this everyone’s experience?  Can I drink it?  I get dermatitis herpetiformis and don’t get instant reactions to gluten so can’t try it to see for myself. 
    • trents
      NCGS does not cause damage to the small bowel villi so, if indeed you were not skimping on gluten when you had the antibody blood testing done, it is likely you have celiac disease.
    • Scott Adams
      I will assume you did the gluten challenge properly and were eating a lot of gluten daily for 6-8 weeks before your test, but if not, that could be the issue. You can still have celiac disease with negative blood test results, although it's not as common:  Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/  Seronegative Celiac Disease - A Challenging Case: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/  Enteropathies with villous atrophy but negative coeliac serology in adults: current issues: https://pubmed.ncbi.nlm.nih.gov/34764141/  Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.
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