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      Frequently Asked Questions About Celiac Disease   09/30/2015

      This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc.   Subscribe to FREE Celiac.com email alerts   What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease? - list blood tests, endo with biopsy, genetic test and enterolab (not diagnostic) Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful? The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients) Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients) Gluten-Free Alcoholic Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet What if my doctor won't listen to me? An Open Letter to Skeptical Health Care Practitioners Gluten-Free recipes: Gluten-Free Recipes Where can I buy gluten-free stuff? Support this site by shopping at The Celiac.com Store.

Very Frustrated
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Last May, I was diagnosed with Celiac disease. Since then, I've been on a strict gluten-free diet. I have seen many doctors, about 5 of who confirm that I definitely have celiac disease. The problem is, I just got my antibodies retested last month and I'm still very elevated and sick. Now I have atypical celiac disease, the kind without GI symptoms (except for acid reflux which has improved a lot). I mainly just feel really fatigued and have a lot of sleep problems, as well as a string of other symptoms. I also don't get any instant reaction if I'm glutened. Which is good in some ways and bad in others. Instead, I seem to have a very delayed reaction and I'm still not sure what exactly the reaction is. I've been feeling tired a lot more lately and have lost weight again, so I went to the University of Chicago Celiac Center and got retested. Sure enough, the results were not good:

TgG IgA 44 (20 or less is normal)

glaiden gluten protein 79 (20 or less is normal)

IgG Normal (but this has always been normal)

Since this is the first time I got tested at this facility, they cannot compare my latest results with the past 2 tests which I got done different places with different scales.

I never cheat and have tried very hard at this diet. But I'm beginning to think that I must be continuing to ingest gluten from somewhere. I'm looking into all my medications and have been advised not to eat out at all or eat anyone else's cooking, even if it's gluten-free. I also have been advised to avoid so called gluten-free products that state that they were made in the same facility as wheat.

The doctors highly doubt that I have lactose problems because I do not have GI problems. I'm beginning to wonder if I have non responsive or refractory celiac disease. Or if I'm just extremely sensitive. Without getting a reaction each time I accidentally ingest gluten, I have no idea whether I'm continuing to poison myself. I'm frustrated and discouraged.

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Last May, I was diagnosed with Celiac disease. Since then, I've been on a strict gluten-free diet. I have seen many doctors, about 5 of who confirm that I definitely have celiac disease. The problem is, I just got my antibodies retested last month and I'm still very elevated and sick. Now I have atypical celiac disease, the kind without GI symptoms (except for acid reflux which has improved a lot). I mainly just feel really fatigued and have a lot of sleep problems, as well as a string of other symptoms. I also don't get any instant reaction if I'm glutened. Which is good in some ways and bad in others. Instead, I seem to have a very delayed reaction and I'm still not sure what exactly the reaction is. I've been feeling tired a lot more lately and have lost weight again, so I went to the University of Chicago Celiac Center and got retested. Sure enough, the results were not good:

TgG IgA 44 (20 or less is normal)

glaiden gluten protein 79 (20 or less is normal)

IgG Normal (but this has always been normal)

Since this is the first time I got tested at this facility, they cannot compare my latest results with the past 2 tests which I got done different places with different scales.

I never cheat and have tried very hard at this diet. But I'm beginning to think that I must be continuing to ingest gluten from somewhere. I'm looking into all my medications and have been advised not to eat out at all or eat anyone else's cooking, even if it's gluten-free. I also have been advised to avoid so called gluten-free products that state that they were made in the same facility as wheat.

The doctors highly doubt that I have lactose problems because I do not have GI problems. I'm beginning to wonder if I have non responsive or refractory celiac disease. Or if I'm just extremely sensitive. Without getting a reaction each time I accidentally ingest gluten, I have no idea whether I'm continuing to poison myself. I'm frustrated and discouraged.

If you are super sensitive avoiding gluten free mixes and pre-made gluten free products entirely may be your best option .Even though "gluten free" those product can have a low measure of gluten. :huh: Sticking with just whole food for awhile may help.

Hope you find the culprit soon.

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I agree with the previous poster. It would be a good idea to eat only produce and meat for awhile and see if that helps. Not eating "gluten-free" items made in shared facilities might not be enough. They might mot be getting clean enough starting materials. There is a lot of potential for cc at the farming, harvesting, and shipping levels.

You may be a super sensitive celiac. I think that even some pesticides might give me a reaction. I need to wash and peel carefully and be careful about how my unpeelable items are treated.

I wouldn't go thinking that you have refractory celiac until you try a lot more dietary restrictions.

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Have you gone through and checked all your hygiene products? I was glutened by lipgloss, and a cookie crumb kiss.

Don't ask me how I was feeling weak and tired for a while, rechecked everything and found barley in the deodorant. I assure you I don't eat deodorant nor lick armpits, but was still affected.

Wheat free doesn't mean gluten free. Health food stores put spelt in the "wheat free" area. As you know, spelt has gluten.

Keep a food journal. If you are having other sensitivities/intolerances/allergies you can track them down quicker.

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I never cheat and have tried very hard at this diet. But I'm beginning to think that I must be continuing to ingest gluten from somewhere. I'm looking into all my medications and have been advised not to eat out at all or eat anyone else's cooking, even if it's gluten-free. I also have been advised to avoid so called gluten-free products that state that they were made in the same facility as wheat.

The doctors highly doubt that I have lactose problems because I do not have GI problems. I'm beginning to wonder if I have non responsive or refractory celiac disease. Or if I'm just extremely sensitive.

So sorry you are feeling so sick and disheartened! A lot of us here can sympathize, i think - it's so, so upsetting when you are gluten free and that's just not cutting it. Hopefully some folks here could help you out. :)

Could you give a list of a couple typical days' worth of food? Maybe there's something some of us might have heard of as an issue. Where do you work? Does it involve anything with food prep or construction? Both of those areas have a lot of airborne gluten that can really mess a celiac up. What products do you use for your body, spouse and kids' bodies, pets?

I don't get gut symptoms from gluten, either - didn't get any at all, really, except for periodic constipation. Turns out that I have celic disease, intolerances, AND food allergies. Once I eliminated them all, now I have gut problems with dairy and such. Weird, because when I was eating it all the time, it was like everything was so screwed up anyway, I never noticed any trouble. So at least I'm one example of someone with dairy issues who didn't have gut problems at first.

From my experience:

- mild food allergies may not give you hives, or show up on allergy tests accurately (this according to my allergist, mind you), but they can cause inflammation in the gut, other bodily issues, and impede healing significantly.

- food journals are a big key to better healthy when you are struggling to find out what's getting you. It's the only way I found some of my problems. And it can help a lot when you have delayed symptoms, because that can still be a pattern, if you are seeing it, say, every time you eat a certain brand of rice or something.

- Do you eat gluten-free oats? About 10-15% of celiacs have ASE - avenin sensitive enteropathy. This means, basically, that we can't have oats at all, even gluten-free ones, or we react pretty much like we do to wheat. Not only is this an issue for oats themselves, but many gluten-free facilities do not have any practices in place to prevent cross-contamination from gluten-free oats, so you can get sick from them. Bob's red mill is one that many oat sensitive celiacs don't do well with because gluten-free oats are processed in the facility, and Lundberg rice grows oats as a cover crop and can be a problem as well. Many gluten-free products can be an issue for this reason.

- If you are really sensitive, you might not heal on a normal, very strict gluten-free diet. I have super sensitivity, too, and I've had to call up companies and really grill them to hunt for safe food. As an example? There are gluten-free facilities that do not test the food coming out of the facility for gluten, and there are some that do. There are gluten-free companies that test their food down to 20ppm of gluten, some that test to 10ppm, and some that test to 5ppm. So we could eat 4 slices of bread from one gluten-free company and get as much gluten as 1 slice of bread from another, even though both are made in a gluten-free facility. It might not matter much to someone who is not as sensitive, but for one who is, this can make a HUGE difference.

- Are you in a shared household or a gluten free household?

- When checking your meds and vitamins, you'll want to ask two questions: are they gluten free AND do they test for gluten. It's surprising how many answer yes to the first, but no to the second. I guess they simply know the gluten levels through a vulcan mind meld or something, sigh. <_<

- if you are REALLY sensitive, there are going to be some extreme measures you have to take to stay safe. There's a few of us who are in that boat here in the group, so if you hit the point that you want to try, we'd all be happy to help, I imagine. But probably better to not go that extreme if you don't have to, eh?

Oh! And one last thing. I don't know if this is something you would want to do, but this is what helped me - I fasted for a couple days. Not on purpose - I thought I had the stomach flu or something and didn't want to eat. But with no food, I started feeling SO much better. And on trying new foods, the reaction was much more noticeable, so I was able to suss out bad foods quicker, I think, than if I'd just slowly been eliminating foods one by one to check on them. I found foods I had allergies to that were later confirmed with blood work, plus a few that were bad that we had no idea about. It took a while to get to a safe diet, but while hungry, I was still feeling better than I had been! :-)

Good luck to you.

Shauna

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thanks so much, everyone, for your support and suggestions. I will be back again soon.

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You should look into taking digestive enzymes to break down the gluten that is already in your gut. And also I use Triphala and it works wonders at cleansing the gut.

Also - your tiredness might be coming from a thyroid condition because folks with gluten sensitivity often have a weakened thyroid because this is an autoimmune disorder.

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You should look into taking digestive enzymes to break down the gluten that is already in your gut. And also I use Triphala and it works wonders at cleansing the gut.

Also - your tiredness might be coming from a thyroid condition because folks with gluten sensitivity often have a weakened thyroid because this is an autoimmune disorder.

I don't think gluten just stays in your " gut" and can be broken down. If you are gluten free or even if you get some accidentally, it doesn't stay, it moves thru.

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I don't think gluten just stays in your " gut" and can be broken down. If you are gluten free or even if you get some accidentally, it doesn't stay, it moves thru.

and reeks havic in its wake B)

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I've had problems with supplements. I think that a lot have very low level cc. I'm sensitive to such low levels that for me they do more harm than good.

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I don't think gluten just stays in your " gut" and can be broken down. If you are gluten free or even if you get some accidentally, it doesn't stay, it moves thru.

Actually gluten does stay in your ""gut"". I would link to pages but this site seems to be suspicious of linking. Just do a simple search.

It sticks to the walls of your intestines and also fills in pockets of the villi -- it can last there for a very long time, and rots as it sits there, causing more illness.

Cleansing your gut is imperative.

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Thanks for all of your support. I am just feeling so frustrated right now...I've been checking every medication that I'm taking to see if it's gluten free. So far, all of them are except for 2 which the pharmacist has been trying to find out now for the last few weeks (some of these companies are so bloody uncooperative). I take Citrical Calcium Citrate which is gluten-free. I have discontinued taking any other supplements as I don't trust them. I've also cleaned out my kitchen of all "questionable" items (for instance, items that say they are gluten-free but then say they were manufactured in the same factory as gluten or items that don't say anything about being gluten free). I make sure to use gluten-free toothpaste, lipstick, deoderant, etc. I have gotten my thyroid checked many times but so far it's been normal.

I am just feeling so tired and low on energy. That's my main problem, but I also am having some headaches and sinus/pressure, sleep problems and back pain. I don't know what more I can be doing right now...but there might be things that aren't obvious to me. For instance, I eat at my parent's house a lot. They have pretty much made their kitchen gluten-free, but they have an old wooden knife rack where they have been storing knives for at least 30 years. It just occurred to us that the wood is probably soaked with gluten (when we ate normal bread before I was diagnosed). I also wonder if it lingers in any other pots and pans. I know that wood is bad and so is teflon.

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Hi. I was diagnosed 10 years ago. I found I also have other conditions that cause the same symptoms. Here is a site that might give you some extra info: http://aboutmecfs.org.violet.arvixe.com/Trt/TrtGSHIntro.aspx Hope it comes through.

There are so many systems in the body and when one is off balance, then others can become off balance, too.

You are on the right track. It has taken me so much experimentation to find a healthy diet and to regain my health.

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I have gotten my thyroid checked many times but so far it's been normal.

Have you gotten a copy of your records to see what the numbers were? The guidelines for what is considered hypothyroid changed in 2002, however many drs are still not aware of the changes. See here: http://thyroid.about.com/cs/testsforthyroid/a/labs2003.htm

I have also read that some people can get diagnosed with hypothyroid if their tests consistly show a change toward hypo but may still be just under the level considered normal. So get ALL of the test records if you can from every time you had it done so you can see if there is a trend you can point out to your dr. That and your symptoms may be enough to get them to prescribe a low level of TSH hormone.

Also, which thyroid tests they doing? If they are only testing TSH (which is the most common one they run), they may miss something. Make sure they do a full panel testing T3 and T4. This article: http://thyroid.about.com/cs/hashimotos/a/tedfriedman.htm explains a little more (although note the ranges are outdated) about why you could have a normal TSH but still have hashimoto's or a case of hypothyroidism.

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I know this is a pretty basic question, sorry if it has been asked and answered already, but have you had a full nutrient panel done lately? Your symptoms sound like someone whose nutrient levels could be out of whack

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My son kept getting glutened and I had an awful time going gluten-free until we

  • deep cleaned our kitchen
  • replaced or reseasoned old pots and pans
  • got rid of old appliances/mixers/etc
  • got rid of wood and plastic that we had before being gluten-free
  • stopped eating anything we didn't prepare in our own kitchen
  • Started the GAPS Diet

I've posted our story on my website, which you can find from my profile, and have some blog posts about GAPS there, too that you can find through the tag cloud or search. The GAPS diet is similar to what others here have suggested. It relies entirely on organic, free-range, pastured, minimally processed foods. It also eliminates all grains, introduces home fermented foods, and dramatically reduces sugar intake and sources. The diet aims at restoring the flora in your gut to a healthy balance, and to heal the damage done in the past.

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thanks for all of your suggestions. Can you tell me what a "full nutrient panel" is? I was checked for a whole bunch of food allergies from an alternative clinic. And it showed that I had lots of food allergies. However, the lab that processes those results has an "F" rating on the internet by many professionals. Also, that clinic was very questionable. They kept trying to sell me all kinds of supplements without telling me what was in them. And they did some other really bizarre tests, so I am not buying into those results as being accurate.

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I am talking about testing for various vitamins and minerals that celiacs are often deficient in - Vitamins A, E, D, K, B12, folate, magnesium, zinc, calcium, etc., also ferritin/iron. You also should have your thryoid tested if it has not already been done, and if your D is low you should have a bone density scan for osteoporosis.

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I was checked for a whole bunch of food allergies from an alternative clinic. And it showed that I had lots of food allergies. However, the lab that processes those results has an "F" rating on the internet by many professionals. Also, that clinic was very questionable. They kept trying to sell me all kinds of supplements without telling me what was in them. And they did some other really bizarre tests, so I am not buying into those results as being accurate.

I totally think you did the right thing there. I have reacted to supplements. I believe they commonly have low level cc and do more harm than good for super sensitives.

How do you find lab ratings?

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I'm really wary of anyone hawking supplements. Studies have shown that many of the supplements on the market don't even contain what they say they contain, because the labeling laws are not as strict or as enforced as on plain old food.

We have started supplementing three things, with good effects:

Fermented Cod Liver Oil (the fermentation is important) from Green Pastures

ConcenTrace Trace Mineral Drops from liquimins/TraceMinerals Research

GUTpro organic probiotic supplement powder - gluten-free, dairy-free, soy-free, maltodextrin-free, the filler is cellulose(we don't give it to the kids, starting with too much made us feel sick) We also eat lots of home-fermented foods.

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Have you gotten a copy of your records to see what the numbers were? The guidelines for what is considered hypothyroid changed in 2002, however many drs are still not aware of the changes. See here: http://thyroid.about.com/cs/testsforthyroid/a/labs2003.htm

I have also read that some people can get diagnosed with hypothyroid if their tests consistly show a change toward hypo but may still be just under the level considered normal. So get ALL of the test records if you can from every time you had it done so you can see if there is a trend you can point out to your dr. That and your symptoms may be enough to get them to prescribe a low level of TSH hormone.

Also, which thyroid tests they doing? If they are only testing TSH (which is the most common one they run), they may miss something. Make sure they do a full panel testing T3 and T4. This article: http://thyroid.about.com/cs/hashimotos/a/tedfriedman.htm explains a little more (although note the ranges are outdated) about why you could have a normal TSH but still have hashimoto's or a case of hypothyroidism.

You have gotten a lot of good ideas here. To test thyroid, you need Free T3 and Free T4. Those numbers are what is actually available to you to use.

When I was first diagnosed I was very malnourished. My nails had ridges, my skin was not smooth all the time and my hair was brittle. I took good quality supplements and I simply couldn't absorb them. All the literature said "just quit eating gluten and you'll be fine", but that wasn't enough for me. I had a stool analysis done and the bacteria and fungi counts were way off, which is typical of people like us. I tried some drugs to balance it and that didn't work. Eventually I hit on a program that worked: I took acidophilus at night (TheraLac is my favorite, and there are other good brands) and Xango juice 3 times a day. The juice has mangosteen peel in it which is anti-bacterial and anti-fungal. It is also anti-inflammatory, which I think was one of the key things I needed.

Someone else mentioned fasting. I did the same. I used the juice along with organic apple juice and organic vegetable juice, rotated them one each hour. Within 3 days my gut starts feeling good again. If I stay on it for a week, it seems to be even better. About day 4 I add a hard boiled egg (if not allergic to eggs) if I start to get hungry. The system I was trained in is from Germany. It keeps your blood sugar levels normal, keeps you from going into ketosis, and is pretty alkalizing. Part of system is to chew everything for 50 bites. Can you imagine? It retrains our chewing so food is digested much better. When I come off the diet I only add one food at a time. It is soooo clear what I react to then.

Another thing I found over those years is that I had retro viruses. There are reliable tests for them now. Any one of the viruses can make you tired. I had 3 of them back when. I didn't tolerate the meds, so took anti-viral herbs. It worked. It enabled my immune system to fight whatever was there. I got a fever for a few days and in about 4 days I felt better.

When our gut is so far off balance we are susceptible to lots of things. Fortunately, there are good tests available now. You usually have to go to a holistic MD or ND to get the tests.

Hope you figure this out soon and get your energy back.

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I have gotten checked for thyroid problems many times, but am not sure which tests.

I have also gotten checked for various vitamins and minerals awhile back. It turned out that I was very low in Vitamin A and Zinc. I took those for awhile and got retested. The tests showed that I had gotten back to normal levels and my doc told me to stop taking those. I've also suffered off and on from anemia in the past but the last test I had showed that my iron level is good. Now that was a few months ago, so things might have changed.

In addition to having little energy, my acne has gotten worse. I also am experiencing pretty frequent lower back pain as well as brain fog.

Yes, that clinic that was trying to sell me all these suppliments has a bad reputation around here. They also wouldn't share my test results unless I came in for another extremely expensive appointment and another whole set of most certainly bogus tests. I managed to get my test results from through the University of Chicago Celiac Center (that alternative clinic has to give them those results by law). So that's how I found out about my various "allergies." I also found out that I had "candida overgrowth." Thoughts on candida overgrowth? Before I was diagnosed with celiac disease, I suffered from chronic yeast infections, some lasting months and not responding to any medications. I heard the whole "candida overgrowth" theory is very controversial.

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I have also gotten checked for various vitamins and minerals awhile back. It turned out that I was very low in Vitamin A and Zinc. I took those for awhile and got retested. The tests showed that I had gotten back to normal levels and my doc told me to stop taking those. I've also suffered off and on from anemia in the past but the last test I had showed that my iron level is good. Now that was a few months ago, so things might have changed.,,,,,

I also found out that I had "candida overgrowth." Thoughts on candida overgrowth? Before I was diagnosed with celiac disease, I suffered from chronic yeast infections, some lasting months and not responding to any medications. I heard the whole "candida overgrowth" theory is very controversial.

Just because, with supplementation, you got your levels back to normal, does not mean that your body is able to keep them at normal. I still supplement with B12 injections, and prescription D, and take MaxiMins and lots of other stuff because even though I have been gluten free for 3-1/2 years my body is still not able to make enough. I think a retest might be in order.

As for candida, I had it in the gut and it was absolutely no fun. (Don't know if you are talking about vaginal or otherwise. ) Could not digest anything. Of course, I had c. diff at the same time, but candida in the gut can be measured by a stool sample. Any naturopath can get that done for you, or maybe you have a sufficiently enlightened doc who can order a stool testing for you. That is the most reliable way of testing. It certainly sounds like you need to do SOMETHING. At this point if you are sure you are gluten free I would probably recommend a naturopath.

Looking back over your posts, it would seem that if you are being cc'd it is most likely coming from your parents' house, so check that one more time, especially with your mom.

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When I mentioned yeast infections, I meant the female kind. I've had them on and off since I was 13. Real drag. Since going on the gluten-free diet, I haven't had one. Yet. Hoping those will be a thing of the past.

I have no idea whether I have candida in my gut or not. Like I said, I don't have any stomach or gi issues. the only exception is acid reflux (GERD), which has gotten much better since going on the gluten-free diet.

I'm also wondering if there is a reason I'm having a lot of back (particularly lower) pain? I'm wondering if it is a symptom of Celiac or just something entirely not related?

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When I mentioned yeast infections, I meant the female kind. I've had them on and off since I was 13. Real drag. Since going on the gluten-free diet, I haven't had one. Yet. Hoping those will be a thing of the past.

I have no idea whether I have candida in my gut or not. Like I said, I don't have any stomach or gi issues. the only exception is acid reflux (GERD), which has gotten much better since going on the gluten-free diet.

I'm also wondering if there is a reason I'm having a lot of back (particularly lower) pain? I'm wondering if it is a symptom of Celiac or just something entirely not related?

I, too, have had severe chronic and often debilitating lower back pain for 3 1/2 years. I thought much of it was due to a back injury (herniated discs and so on) but recently was diagnosed with fibromyalgia which can certainly be related to celiac disease. That is why my back pain does not heal. The specialist used this analogy. If my husband, for example, were to stub his toe it would smart for several minutes. If I were to do the same, it would cause pain for several weeks! Perhaps something worth looking into.

I do not have GI issues with gluten either, thankfully.

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    • Hi.  I'm new to this!  Please help me get started. I want to try..I mean DO...a gluten free life so that, hopefully, my health issues will go away. So, please help me.
    • Hello. I apologize for this being long but I feel I should explain the situation so you better understand where I'm coming from. I am here because I do not have the time or money to be galavanting around to different doctors offices. I spent time doing that already, lost money out of my pay from not working but never found A SINGLE ANSWER.  I am a 23 year old female and back when I was about 13-14 I was diagnosed with Mononucleosis. Prior to this, I had been having other issues, or at least the minor problems I had previously considered as 'growing pains' since that's what my primary at the time attributed my pains to. Well now i'm 23 and it's only gone downhill since then. Back then I was told by a GI doctor who had done two or three EDG's and two colonoscopies that I have "the enzymes for crohn's and need to be careful." No other explanation other than eat 'gluten free'..... Now, this was kind of when it was the new 'health fad' for people, so being so young my logic was 'I'm young, I should be able to do what I want and eat what I want without worry!" so that's what i continued to do, despite feeling overall unwell. (I had really always felt unwell so it wasn't really that big of a deal for me)  Now that i'm older, i've literally experience an entire swath of issues. The only reason I am here is because I am now thinking back to that conversation with the GI Doctor that maybe she was right. While I do have insurance, I honestly don't really have the money to be shelling out for these tests all over again as I was lucky the first time around when my grandparents had taken me since I was underage.  My symptoms over the years and continuing have been: (in full, some may have nothing to do with the another)
      Lower back problems, feeling like sciatica but never confirmed. X-rays, MRIs, etc show nothing despite the intense pain. Drs now refuse to do more tests for 'nothing'. So I am left to handle feeling like an elephant is sitting on my lower back, right above my tailbone. (I did fall on that around 12 or 13 but doc never called back after testing, assumed i was fine...)
      Stomach cramping/spasm feelings
      On and off nausesa, any time of day.
      Inability to sleep. 
      Constant changes from hot to cold. (Original doctor has said over the years my temperature seems to run higher than normal. I almost always feel feverish even if only slightly.)
      Headaches/migraines
      Fatigue
      Lightheadedness at times
      Restless legs (DRIVES. ME. INSANE. The muscle relaxers i've been given just made it 1000000x worse! I was so sleepy but couldn't fall asleep due to the restlessness.)
      On and off diarrhea / constipation (I don't know what a 'normal' bowel movement is)
      Costochondritis that has come and gone since I was in 4th grade. (I remember the day because it was April Fools day and everybody thought I was faking the serious pain I was in. I could barely breathe, it felt like my tendons/muscles were being torn apart on the inside) .  I believe this is what my original DR thought was 'growing pains', except they never stopped even after I was finished growing..
      I used to get sick very easily - for about two years it seemed to clear up then i started getting infections non-stop.
      There are some .... embarrassing things... Such as despite how many times I clean myself I feel like i'm.... leaking.......... 
      Sharp/ache like pains everywhere in my body.
      There are likely many other things that I'm just so used to I'm not listing because I'm not sure if they're even related.



      I am just so tired of feeling like dog crap. I've never felt 100%, ever. For as long as I can remember i've always had issues but I come from a family that kind of just.... deals with their problems and not complain 24/7. After years of that, I need help. I am absolutely fed up not being able to do things because I just feel generally crappy. It's seriously depressing and making my depression and anxiety worse. Is testing for a second time worth it? If it is, what tests should I really be focusing on to figure out if this is my problem?
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