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  • Scott Adams
    Scott Adams

    Acid Suppression Drugs and Antibiotics Given to Infants Strongly Associated with Celiac Disease

    Reviewed and edited by a celiac disease expert.

    New study shows a strong link between exposure to certain drugs in infancy and the development of celiac disease.

    Acid Suppression Drugs and Antibiotics Given to Infants Strongly Associated with Celiac Disease - Image: CC BY-ND 2.0--gfpeck
    Caption: Image: CC BY-ND 2.0--gfpeck

    Celiac.com 11/07/2022 - A team of researchers recently set out to investigate why certain at-risk individuals develop celiac disease. They especially wanted to look at the risk levels early on that might influence levels of celiac disease later on in childhood.

    The research team included Michael Boechler MD; Apryl Susi MS; Elizabeth Hisle-Gorman MSW PhD; Philip L. Rogers; and Cade M. Nylund MD. They are variously affiliated with the Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD.

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    For their retrospective cohort study, the team used the Military Healthcare System (MHS) database, the team found children born between October 1, 2001- September 30, 2013.  The team examined the connections between patients who received either proton pump inhibitors (PPI), histamine-2 receptor antagonist (H2RA), or antibiotic prescriptions in the first six months of life, and who also had a celiac disease diagnosis in early childhood.

    They then searched outpatient prescription records for antibiotic, PPI, and H2RA prescriptions in the first 6 months of life. 

    They used ICD-9 codes to identify children who made outpatient visits for celiac disease, and Cox proportional hazards regression to calculate the hazard ratio (HR) for the development of celiac disease based on medication exposure. 

    Nearly one-million children met inclusion criteria, from which the researchers uncovered just over 1,700 cases of celiac disease. 

    Average follow-up time for patients in this group was about 4.5 years. The data show that PPI’s, H2RA’s, and antibiotics were all associated with an increased hazard of celiac disease.

    Children who receive antibiotics, PPI’s and H2RA’s in the first 6 months of life face an increased risk for developing celiac disease.

    The data reinforce the notion that controllable factors, such as the use of drugs to treat conditions in infancy, could help to lower the childhood risk of celiac disease for many people worldwide.

    Read more in The Journal of Pediatrics



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    Guest Dawn Svendsen

    Posted

    Both of my daughters have celiac,   They were diagnosed at age 8 and age 11.   When I was pregnant with both of them, I took zantac amost daily (acid suppression drug).   My doctor said it was fine. Any thoughts on the link to children with celiac for taking acid suppression drugs while pregnant?

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    trents

    There is suspicion that taking acid blockers creates gut dysbiosis which can trigger celiac disease in the person taking the acid blockers. The question then would be does the acid blocker taken by the mother affect the gut of the child in utero. I don't know the answer to that.

    But if both your daughters have celiac disease, both parents should be tested and any other children born to the parents should be tested. One large recent study done by the Mayo Clinic showed that 44% of first degree relatives of people with celiac disease proved to have celiac disease themselves when tested, though many or most of them were clueless before testing. To be fair, other studies have shown more like 10% of first degree relatives of celiacs will have it themselves. Your daughters got those genes from somewhere.

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    Posterboy

    Dawn and Trents,

    I don't have time to give a lenghty reply tonight.....having already answered another thread topic but I wanted to give you some resources that might help give you some insights.

    Eva Untersmayr has done the most work on this subject.  See this is a nice summary article done on her work on this topic.

    Entitled "New Study Shows that Antacid Use Leads to More Allergies: Q&A with Eva Untersmayr MD, PhD"

    https://asthmaallergieschildren.com/new-study-shows-that-antacid-use-leads-to-more-allergies-qa-with-eva-untersmayr-md-phd/

    Here is a more exhaustive research study that will also answer some of your questions and one I will and try to expand/expound another day and time when I have some more time to share their results.....

    Read it all in the meantime.....if you have the interest.....it is very informative and exhaustive....

    Entitled "Anti-acid medication as a risk factor for food allergy"

    https://onlinelibrary.wiley.com/doi/full/10.1111/j.1398-9995.2010.02511.x

    With the Holidays coming up.....I am not sure when I will get back to this article but this will point you in the right direction in the meantime.....but for what it is worth they note "Anti-ulcer medications are relevant in human patients"  (and  in children with food allergeis)

    Also note: My following is currently not working.....so I won't know immediately when either of you respond...but I will check back in....after the Holidays.

    I hope this is helpful but it is not medical advice.

    Posterboy,

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    Posterboy

    Dawn and Trents Et Al,

    To whom ever might also read this....

    Scott combined a two topics into to one that also has some nice resources about the role Low Stomach Acid and/or Acid Reducers like PPIs might have in someone developing food allergies that might also be helpful for you to read.

    Again I hope this is helpful but it is not medical advice.

    2 Timothy 2: 7 “Consider what I say; and the Lord give thee understanding in all things” this included.

    Posterboy by the Grace of God,

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    Connie Hess

    This would explain a lot. I was born overseas to a military couple. I spent the first year of my life with pneumonia. I was on antibiotics the entire time. 

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  • About Me

    Scott Adams

    Scott Adams was diagnosed with celiac disease in 1994, and, due to the nearly total lack of information available at that time, was forced to become an expert on the disease in order to recover. In 1995 he launched the site that later became Celiac.com to help as many people as possible with celiac disease get diagnosed so they can begin to live happy, healthy gluten-free lives.  He is co-author of the book Cereal Killers, and founder and publisher of the (formerly paper) newsletter Journal of Gluten Sensitivity. In 1998 he founded The Gluten-Free Mall which he sold in 2014. Celiac.com does not sell any products, and is 100% advertiser supported.


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