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Gluten Paranoia? Please help.


CharlesBronson

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CharlesBronson Enthusiast

Hello everyone

I didn't NOT expect the switch to a gluten free diet to be this hellish. I felt better before my diagnosis eating gluten all the time. I'm 3 months into the diet/healing, but I'm getting more and more sensitive to foods, not less... I'm losing a lot of weight and am largely bed bound. I'm trying to get back into the GI doc, but I'm in a small city and the waiting list is massive even though I'm a patient. 

Cross contamination has me anxious 24/7 because getting glutened after 3 months on a gluten-free diet is ten times worse than it was when I was eating gluten every day. I get that I'm healing, but my gut's level of sensitivity is unbearable. 

How careful do I have to be to avoid cross contamination? Can my girlfriend bring gluten in the apartment? She was eating pre-packaged granola bars last week and somehow I got glutened. She's largely gluten free since my celiac diagnosis, but we figured it was ok for her to bring in the occasional snack. What are the odds of getting a crumb from a damn granola bar?! If she eats out with friends, what do I do? Avoid her? What do I do in a relationship where the other person isn't celiac? It feels hopeless. 

We have friends over all the time too. What if they have gluten crumbs on them? Like, how paranoid do I have to be? Do I have to clean the door handles and anything they've touched after they leave?

 

Sorry for the despair but I'm at my wits end with this disease. Thanks for listening. 

 


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CharlesBronson Enthusiast

Also... what would the safest type of painkiller for my stomach be? I know I can't take NSAIDs. Maybe like a Tylenol liquid so the pill doesn't upset my stomach?

 

Thanks 

cyclinglady Grand Master

I am sorry you are unwell.  It is true that your reaction to gluten can get worse after diagnosis.  Here is a list of OTC pain medication:

https://www.verywellfit.com/gluten-free-pain-relievers-562382

Any medication has risks and benefits.  But acetaminophen seems to be easier on the stomach (not necessarily the liver) when you follow the directions (e.g. no alcohol or dosage).  

A granola bar?  Maybe.  Did she wash her hands after consuming it?  Did she brush her teeth?  That could definitely gluten you!  

I had a shared household for years.  But we found it was just easier to have a gluten-free household.  Harder in that I typically have to cook food for everyone at parties or I set up a separate table (outside) for BBQs and toss or give away all leftovers, even the gluten-free due to possible cross contamination. 

Good practices like washing hands, brushing  teeth, or cleaning with a separate sponge if you handwash dishes can help prevent cross contamination. 

Hey.  You are sick.  Anxiety is common when you are exposed to gluten.  Put in some strict rules to keep you safe until you see results.  Your home is your kingdom!  You deserve to have a safe place at least for a while!   We had a member who was getting glutened by her slobbery adorable toddlers.   Once she had her kids tested, the entire house went gluten free and she healed.  

Final advice....do not eat out until you are well and keep that GI appointment.   Ask for these tests (bring this in to the office):

http://www.cureceliacdisease.org/faq/how-often-should-follow-up-testing-occur/

It does get better.  You just need more time.  

Ennis-TX Grand Master

Yeah, I had to go totally gluten-free house after diagnosis. The sensitivity was insane, and I kept getting other food intolerances and sensitivities when this was happening and it confused the frack out of me. Like all of a sudden, I was in pain and vomiting from soy, peanuts, peas, olives, sesame, etc. Keep a food diary also, this way you can learn if you get any other problem foods.  and stick to whole foods, few ingredients as possible. Simple stews, soups, look up sheet pan meals, egg dishes, etc. Foil, parchment paper, and crockpot liners are life savers. I fell in love with Nordicware microwave cookware, simple, cheap, tossable if you mess up, and the lovely splatter clovers have ended cleaning the microwave constantly.

I started waking up at 3am so I could clean and cook before anyone else, and adjusted all my meal times accordingly but still got sick often. I still have a PTSD like trauma of waking up at 3-4am to eat and eat an hour before normal lol. 
But yeah gluten flour, can be airborne for over 24 hours if used in a kitchen and it settles likes dust on everything....we can inhale it and that tiny bit washes down with our mucus into our stomachs. Gluten residue on sink handles, fridge doors, cabinet knobs. If you touch it while fixing your food then touch your food glutened. Also if your gluten-free eats gluten, she can have active proteins in her mouth for a while so kissing can make you sick. It might be best for her to adopt the diet fully, heck might be fun cooking from scratch together all the time.  Not to be paranoid but these are reasons I said went whole house free of.

Do double check the Newbie 101 section. I also do list quarterly of some gluten-free options. 
https://www.celiac.com/forums/topic/91878-newbie-info-101/
https://www.celiac.com/forums/topic/123298-gluten-free-food-alternative-list-2019-q1/

 

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    • Scott Adams
      The first set of results show two positive results for celiac disease, so at the very least it looks like you could have it, or at the least NCGS.   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.      
    • Scott Adams
      Elevated tissue transglutaminase IgA (tTG-IgA) levels are highly specific for celiac disease, and they are a key biomarker used in its diagnosis. However, there are some rare instances where elevated tTG-IgA levels have been reported in conditions other than celiac disease. While these cases are not common, they have been documented in the literature. Below are some examples and references to studies or reviews that discuss these scenarios:  1. Non-Celiac Gluten Sensitivity (NCGS)    - NCGS typically does not cause elevated tTG-IgA levels, as it is not an autoimmune condition. However, some individuals with NCGS may have mild elevations in tTG-IgA due to intestinal inflammation or other factors, though this is not well-documented in large studies.    - Reference: Catassi, C., et al. (2013). *Non-Celiac Gluten Sensitivity: The New Frontier of Gluten-Related Disorders*. Nutrients, 5(10), 3839–3853. [DOI:10.3390/nu5103839](https://doi.org/10.3390/nu5103839)  2. Autoimmune Diseases    - Elevated tTG-IgA levels have been reported in other autoimmune conditions, such as type 1 diabetes, autoimmune hepatitis, and systemic lupus erythematosus (SLE). This is thought to be due to cross-reactivity or polyautoimmunity.    - Reference: Sblattero, D., et al. (2000). *The Role of Anti-Tissue Transglutaminase in the Diagnosis and Management of Celiac Disease*. Autoimmunity Reviews, 1(3), 129–135. [DOI:10.1016/S1568-9972(01)00022-3](https://doi.org/10.1016/S1568-9972(01)00022-3)  3. Chronic Liver Disease    - Conditions like chronic hepatitis or cirrhosis can sometimes lead to elevated tTG-IgA levels, possibly due to increased intestinal permeability or immune dysregulation.    - Reference: Vecchi, M., et al. (2003). *High Prevalence of Celiac Disease in Patients with Chronic Liver Disease: A Role for Gluten-Free Diet?* Gastroenterology, 125(5), 1522–1523. [DOI:10.1016/j.gastro.2003.08.031](https://doi.org/10.1016/j.gastro.2003.08.031)  4. Inflammatory Bowel Disease (IBD)    - Some patients with Crohn’s disease or ulcerative colitis may have elevated tTG-IgA levels due to intestinal inflammation and damage, though this is not common.    - Reference: Walker-Smith, J. A., et al. (1990). *Celiac Disease and Inflammatory Bowel Disease*. Journal of Pediatric Gastroenterology and Nutrition, 10(3), 389–391. [DOI:10.1097/00005176-199004000-00020](https://doi.org/10.1097/00005176-199004000-00020)  5. Infections and Parasites    - While infections (e.g., giardiasis) are more commonly associated with false-positive tTG-IgA results, chronic infections or parasitic infestations can sometimes lead to elevated levels due to mucosal damage.    - Reference: Rostami, K., et al. (1999). *The Role of Infections in Celiac Disease*. European Journal of Gastroenterology & Hepatology, 11(11), 1255–1258. [DOI:10.1097/00042737-199911000-00010](https://doi.org/10.1097/00042737-199911000-00010)  6. Cardiac Conditions    - Rarely, heart failure or severe cardiovascular disease has been associated with elevated tTG-IgA levels, possibly due to gut ischemia and increased intestinal permeability.    - Reference: Ludvigsson, J. F., et al. (2007). *Celiac Disease and Risk of Cardiovascular Disease: A Population-Based Cohort Study*. American Heart Journal, 153(6), 972–976. [DOI:10.1016/j.ahj.2007.03.019](https://doi.org/10.1016/j.ahj.2007.03.019)  Key Points: - Elevated tTG-IgA levels are highly specific for celiac disease, and in most cases, a positive result strongly suggests celiac disease. - Other conditions causing elevated tTG-IgA are rare and often accompanied by additional clinical findings. - If celiac disease is suspected, further testing (e.g., endoscopy with biopsy) is typically required for confirmation. If you’re looking for more specific studies, I recommend searching PubMed or other medical databases using terms like "elevated tTG-IgA non-celiac" or "tTG-IgA in non-celiac conditions." Let me know if you’d like help with that!
    • MaryMJ
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    • trents
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    • Jack Common
      Hello! I want to share my situation. I had symptoms like some food intolerance, diarrhea, bloating, belching one year ago. I thought I could have celiac disease so I did the blood tests. The results were ambiguous for me so I saw the doctor and he said I needed to do tests to check whether I had any parasites as well. It turned out I had giardiasis. After treating it my symptoms didn't disappear immediately. And I decided to start a gluten free diet despite my doctor said I didn't have it. After some time symptoms disappeared but that time it wasn't unclear whether I'd had them because of eliminating gluten or that parasite. The symptoms for both are very similar. Giardiasis also damages the small intestine. The only way to check this was to start eating bread again as I thought. Now about my results.   These are my first test results (almost a year ago) when I had symptoms: The Tissue Transglutaminase IgA antibody - 0.5 U/ml (for the lab I did the tests 0.0 - 3.0 is normal) The Tissue Transglutaminase IgG antibody - 6.6 U/ml (for the lab I did the tests 0.0 - 3.0 is normal) Immunoglobulin A - 1.91 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) IgA Endomysial antibody (EMA) - < 1:10 titer (for the lab I did the tests < 1:10 titer is normal) IgG Endomysial antibody (EMA) - < 1:10 titer (for the lab I did the tests < 1:10 titer is normal) Deamidated gliadin peptide IgA - 0.3 U/ml (for the lab I did the tests 0.0 - 6.0 is normal) Deamidated gliadin peptide IgG - 46.1 U/ml (for the lab I did the tests 0.0 - 6.0 is normal)   Then I didn't eat gluten for six months. Symptoms disappeared. And I started a gluten challenge. Before the challenge I did some tests. My results: The Tissue Transglutaminase IgG antibody - 0.5 U/ml (for the lab I did the tests < 20 U/ml is normal)) Deamidated gliadin peptide IgG - 28 U/ml (for the lab I did the tests < 20 U/ml is normal)   During the challenge I ate 6 slices of wheat bread. After the challenge my results are: The Tissue Transglutaminase IgA antibody - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) The Tissue Transglutaminase IgG antibody - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) Immunoglobulin A - 1.31 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) Deamidated gliadin peptide IgA - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) Deamidated gliadin peptide IgG - 2.13 U/ml (for the lab I did the tests < 20 U/ml is normal)   To be sure I continued consuming gluten. I ate a lot each day. Two months after I did the tests again. My results I got today are: The Tissue Transglutaminase IgA antibody - 0.7 U/ml (for the lab I did the tests < 20 U/ml is normal) Immunoglobulin A - 1.62 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) Deamidated gliadin peptide IgG - 25.6 U/ml (for the lab I did the tests < 20 U/ml is normal)   Nowadays I didn't have any symptoms except tiredness but I think it's just work. I think it was this parasite because two years ago, for example, and before I didn't have these symptoms and I always ate gluten food. But I'm still not sure especially because the Deamidated gliadin peptide IgG results are sometimes high. What do you think? @Scott Adams
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