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Does This Sound Like Gluten Intolerance Or Celiac Disease?


Yumeji

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Yumeji Newbie

In February I decided to finally seek medical attention for symptoms I've been dealing with life long (i.e., bloating, constipation, flatulence, chronic fatigue). However, it wasn't until this year I began to get pains in my abdomen. Initially, the lower left quadrant then later the left flank. The pains seemed to coincide with the foods I ate, specifically how indigestible they were (i.e., nuts, raw vegetables, bran cereal). The first doctor was quick to suspect a food intolerance, specifically wheat and lactose, based on my history and family history. When I was younger I often had GI upset with diary products and the same symptoms are shared with one of my older siblings. So, I was told to stop eating wheat and simply use Lactaid drops from then on. In addition, he scheduled me to see an allergist in April.

After seeing the allergist, I tested negative for any allergies and was sent off for blood work (IgE, TTG, etc.) along with stool, urinalysis, and a couple breath tests (H. Pylori and lactose). Unfortunately, I had been off the wheat for a couple months by then and my test results were all negative. I was advised that I probably "just had IBS" and could see a GI specialist in July. Since the pain in my abdomen had continued, my boyfriend advised me to seek a second opinion from his GP. Unfortunately, his GP's diagnosis was that my symptoms were entirely psychosomatic and I just needed to eat more All Bran, Metamucil, and Dulcolax. Suffice to say, one day of this recommendation was the worst experience ever. It felt like shards of glass cutting through my intestines along with bloating from the fiber supplement (fermentable fiber).

Searching for answers, I began to read up on IBS (i.e., Heather Van Vorous books, FODMAP diet, FructMal) and it seemed like nothing was working. Sometimes my symptoms improved, other times it worsened. It wasn't until I ran out of oatmeal that I noticed a change--I began to feel full after my meals. Typically after every meal I still feel hungry for some reason, despite consuming hundreds to thousands of calories each meal. I never seem to gain weight (5'3


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adab8ca Enthusiast

Yikes. I had so many of these:

Mysterious bruising on the body (i.e., legs, arms, stomach)

Raccoon eyes

Sticky, floating pale stools

Joint/bone pain (prevents sleeping at night)- this was HORRENDOUS

Cold hands and feet (intolerance to cold)

Extreme fatigue (14-16 h/day)

Panic attacks/anxiety (diagnosed)

It's hard to say where you may fall in the spectrum. Some Celiacs have negative blood work and positive biopsies, some have positive blood and negative biopsies, some people have neither but heal on a no-gluten diet.

If not eating gluten makes you feel better, then I say go for it, especially if you have no intention of getting the endoscopy done.

Good luck!

1desperateladysaved Proficient

I have been wheat free for a long time. This post just reminded my that the times I went to Subway I felt like my "food" was a brick in my tummy. When it was time for the next meal; I felt as if I had just eaten.

Do others feel as if your body doesn't break down the food if gluten is in it?

Gross, but true.

No wonder our bodies get goofed up. I remember a time during my pregnancies in which I could vomit hours after eating and it would come up looking unchanged. When I mentioned it to doctors they would say that is good, atleast some is getting in. Was it?. Well, I am still here.

sk26 Newbie

I had a lot of the same neurological symptoms as you. I used to have constant brain fog, excessive sleepiness, lack of concentration, along with being easily overloaded by sensory stimuli. I'm an OT and I'm convinced there is a link with food allergies/intolerance with people diagnosed with Autism.

However, I noticed a significant difference in my daily life interactions once being on a gluten free diet. It's amazing. I am less anxious, more able to tolerate excessive auditory/ visual stimuli, my concentration and memory have improved, and my ADD is no more.

You know your body better than anyone else. If being gluten free works, stick with it. Good luck!

MitziG Enthusiast

Honestly, it could be either, and without testing you can't know for sure. If you really want a better idea, you could do genetic testing to see if you have the genes for Celiac. If so, it would probably be safe to say it is Celiac.

Personally, I would treat it as celiac disease and be vigilantly gluten-free for life. Clearly, gluten is harming your body, whether it is causing an autoimmune response yet or not.

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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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