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Thinking I Need To Be Gluten Free


lesliev523

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lesliev523 Rookie

Hello-

I have had stomach issues for a few years now. I am a 38 year old female, and for the past four years or so, I have had trouble with constipation (to the point where my doctor felt I was becoming dependant on laxitives). I have been extremely bloated, with indigestion and acid reflux. Three years ago, I had appendicitis. Then about four months ago, I started to get gall bladder issues. At least we think. My HIDA scan was normal, but I showed polyps on my ultrasound. I did have an endoscopy, which resulted in some biopsies. As far as I know, the biopsies were normal.... although at the time I was focused on the gall bladder, so I am wondering if I should ask more questions on those results. I had my gall bladder out on Friday 9/16/11. I still feel like crap, although it could be a result of the surgery.

I am thinking of trying to go gluten free because while I was watching what I ate for my gall bladder, I noticed other things. Going low fat didn't necessarily make a difference. I did notice that ice cream, pizza, and burgers made me feel ill. But when I had a plain old order of french fries, I was fine. Beer also triggered me, but not in a stomach issue way... if I had a few beers, I noticed I was extremely stuffed up and congested the next day.

Does this sound like it could be gluten allergies? I am going for a follow up tomorrow, and am going to request a blood test for celiac.... as well as to be tested for other food allergies. I would love some feed back.

Thanks!


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Marilyn R Community Regular

It definitely sounds like you're headed down the right road. Can you ask your GI for a copy of the radiology report from the endoscopy biopsies? I've had doctor's offices fail to report abnormal labs...

lesliev523 Rookie

It definitely sounds like you're headed down the right road. Can you ask your GI for a copy of the radiology report from the endoscopy biopsies? I've had doctor's offices fail to report abnormal labs...

That is a good idea. I asked my doctor about it today, and she said there was nothing indicating celiac. I am so frustrated.

So do I try to go gluten free until they decide to do the allergy tests? I have to wait a few more weeks before I can have that done because they want to make sure I am fully recovered from having my gall bladder out first. UGGH!! HELP!!

Roda Rising Star

I wouldn't think having your gallbladder out would affect the celiac blood tests.

lesliev523 Rookie

I wouldn't think having your gallbladder out would affect the celiac blood tests.

I agree.... but they think that I should start feeling better and that the issues I am having currently are related to the surgery. Honestly, I don't think it is. It is almost like I feel worse than I did before surgery. Sure, I am still surgery sore. But the nausea, cramping, and gas are so much worse than before. And I really don't think that those symptoms are surgery related.

I almost think that my doctors think I am silly for questioning gluten, and that they keep putting me off.

So should I just go gluten free and to hell with the testing?

Bubba's Mom Enthusiast

If you're still eating gluten I'd ask for a Celiac blood panel to be done at the very least. In some people (about 30%)the blood tests come back normal even with Celiac disease..and..you could still have a sensitivity/intollerance if not full blown Celiac.

Your symptoms sound like you have a problem with gluten.

If your Dr doesn't want to run the test, or if it comes back negative you can still try eliminating gluten on your own and see how you feel.

GB problems/symptoms are pretty common in Celiacs. Most Dr.s have a very narrow range of symptoms they think of in regards to the disease and are relunctant to test or DX it. Keep pushing for answers.

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    • trents
      You might consider asking for a referral to a RD (Registered Dietician) to help with food choices and planning a diet. Even apart from any gluten issues, you will likely find there are some foods you need to avoid because of the shorter bowel but you may also find that your system may make adjustments over time and that symptoms may improve.
    • Ello
      I wish Dr’s would have these discussions with their patients. So frustrating but will continue to do research. Absolutely love this website. I will post any updates on my testing and results.  Thank you
    • trents
      Losing 12" of your small bowel is going to present challenges for you in nutritional uptake because you are losing a significant amount of nutritional absorption surface area. You will need to focus on consuming foods that are nutritionally dense and also probably look at some good supplements. If indeed you are having issues with gluten you will need to educate yourself as to how gluten is hidden in the food supply. There's more to it than just avoiding the major sources of gluten like bread and pasta. It is hidden in so many things you would never expect to find it in like canned tomato soup and soy sauce just to name a few. It can be in pills and medications.  Also, your "yellow diarrhea, constipation and bloating" though these are classic signs of a gluten disorder, could also be related to the post surgical shorter length of your small bowel causing incomplete processing/digestion of food.
    • Ello
      Yes this information helps. I will continue to be pro active with this issues I am having. More testing to be done. Thank you so much for your response. 
    • trents
      There are two gluten-related disorders that share many of the same symptoms but differ in nature from each other. One is known as celiac disease or "gluten intolerance". By nature, it is an autoimmune disorder, meaning the ingestion of gluten triggers the body to attack it's own tissues, specifically the lining of the small bowel. This attack causes inflammation and produces antibodies that can be detected in the blood by specific tests like the TTG-IGA test you had. Over time, if gluten is not withheld, this inflammation can cause severe damage to the lining of the small bowel and even result in nutrient deficiency related health issues since the small bowel lining is organ where all the nutrition found in our food is absorbed.  The other is NCGS (Non Celiac Gluten Sensitivity or just "gluten sensitivity") which we know less about and are unsure of the exact mechanism of action. It is not an autoimmune disorder and unlike celiac disease it does not damage the lining of the small bowel, though, like celiac disease, it can cause GI distress and it can also do other kinds of damage to the body. It is thought to be more common than celiac disease. Currently, we cannot test for NCGS. Celiac disease must first be ruled out to arrive at a diagnosis of NCGS. Both disorders require elimination of gluten from the diet.  Either of these disorders can find their onset at any stage of life. We know that celiac disease has a genetic component but the genes are inactive until awakened by some stress event. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% develop active celiac disease. The incidence of NCGS is thought to be considerably higher. I hope this helps.
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