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Traveling after a celiac diagnosis


LovintheGFlife
Go to solution Solved by trents,

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Russ H Community Regular
25 minutes ago, Oldturdle said:

When I asked my G.I. doc about Gliadinx he had never heard of it.  He also told me there was gluten in catsup and mustard, though.  I think informed patients frequently know more about Celiac disease than the doctors that treat us!

 

I always check and have never found gluten in mustard or ketchup. You have to watch out for brown sauce (HP Sauce or Daddies Sauce) as they contain rye flour.


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Magdalen Newbie
5 hours ago, Hypo said:

I meant food like unpealed hard boiled eggs, fruit, yoghurt, some cheeses. Those things are surely fine...

Unpeeled Eggs would be okay. Fruit and yoghurt would depend on how they’re served. A big bowl of fruit salad— no. Bananas that you peel yourself, probably fine. Yoghurt (that is labelled gluten free) that comes in its own container, sure. In a big bowl, no. 

I.M.Celiac Apprentice

Here's a cheat sheet for Celiac Travels in America:

Sad vending machines in waiting rooms:

-nuts (Not trail mix)

-Skittles

-Some potato chips (only if you know they are gluten-free because you've had them previously.)

-Mounds or Almond Joy

These items are super junk food but will help in an emergency. 

 

Airplanes:

-Flying from home? Bring toasted gluten-free bread with some kind of homemade sandwich filling. (gluten-free ham/swiss, roasted veggie w/goat cheese etc.) Put sandwich together at your seat with sad plastic knife. It will be safer than anything gluten-free an airline offers. (Too risky and you will have food if your plane is delayed for 5 hours. Gluten eaters won't!) 

-Also pack 6-8 Kind bars, purchase 3 Chobani yogurts with a spoon from overpriced airport deli. Also bring small bags of nuts in plastic bags from home for flight or breakfast when you land. Stick them in the hotel fridge as back-up.

-Pick hotel near a grocery. Swing by for supplies like more little yogurts/snacks/cider. Make it a game to spot regional gluten-free items and try them. (Read every label though!) 

-Heads up on any hotel shampoos or soaps. Bring your own even thought the packaging is so cute. 

-Carry a good-sized snack at ALL times. Office pizza parties are depressing but especially when the boss, "We ordered Gluten-free pizza for you." Ugh. Do not eat it. The cross-contamination will get you. Your snack will save you. Also works for funerals and baby showers. 

-Drink different regional ciders at bars with co-workers. Some ciders are ok. Drink non-alcoholic Kombucha if you are driving. Kinda "beer-esque".

-Before trip, google restaurants with gluten-free menus. Aim for Middle Eastern, Greek, French, Italian bistros. Casually mention to co-workers you would like to check so-and-so restaurant out. Chains are not great but I went to a Virginia Cheesecake Factory and they had ok options. Sweetgreens in NYC has also been ok.

-Flight back? Restock Kind bars, maybe part of plain rotisserie chicken from grocery? Maybe a tiny hot sauce would get through security? Watch out for airport people thinking vegan is gluten-free. Yikes, it is not. 

@philhatesgluten is on Instagram and TikTok. He has a great account about being gluten-free (And dairy-free!) and his restaurant recs. 

For international travel, I've only done Europe and the same rules apply above. Iceland was gluten-free friendly too.

Good luck! This routine is from years of trial and error.

Each year more and more options are out there!

It will get better and you will probably feel SO much better when you heal. 

 

 

 

LovintheGFlife Contributor
40 minutes ago, I.M.Celiac said:

Here's a cheat sheet for Celiac Travels in America:

Sad vending machines in waiting rooms:

-nuts (Not trail mix)

-Skittles

-Some potato chips (only if you know they are gluten-free because you've had them previously.)

-Mounds or Almond Joy

These items are super junk food but will help in an emergency. 

 

Airplanes:

-Flying from home? Bring toasted gluten-free bread with some kind of homemade sandwich filling. (gluten-free ham/swiss, roasted veggie w/goat cheese etc.) Put sandwich together at your seat with sad plastic knife. It will be safer than anything gluten-free an airline offers. (Too risky and you will have food if your plane is delayed for 5 hours. Gluten eaters won't!) 

-Also pack 6-8 Kind bars, purchase 3 Chobani yogurts with a spoon from overpriced airport deli. Also bring small bags of nuts in plastic bags from home for flight or breakfast when you land. Stick them in the hotel fridge as back-up.

-Pick hotel near a grocery. Swing by for supplies like more little yogurts/snacks/cider. Make it a game to spot regional gluten-free items and try them. (Read every label though!) 

-Heads up on any hotel shampoos or soaps. Bring your own even thought the packaging is so cute. 

-Carry a good-sized snack at ALL times. Office pizza parties are depressing but especially when the boss, "We ordered Gluten-free pizza for you." Ugh. Do not eat it. The cross-contamination will get you. Your snack will save you. Also works for funerals and baby showers. 

-Drink different regional ciders at bars with co-workers. Some ciders are ok. Drink non-alcoholic Kombucha if you are driving. Kinda "beer-esque".

-Before trip, google restaurants with gluten-free menus. Aim for Middle Eastern, Greek, French, Italian bistros. Casually mention to co-workers you would like to check so-and-so restaurant out. Chains are not great but I went to a Virginia Cheesecake Factory and they had ok options. Sweetgreens in NYC has also been ok.

-Flight back? Restock Kind bars, maybe part of plain rotisserie chicken from grocery? Maybe a tiny hot sauce would get through security? Watch out for airport people thinking vegan is gluten-free. Yikes, it is not. 

@philhatesgluten is on Instagram and TikTok. He has a great account about being gluten-free (And dairy-free!) and his restaurant recs. 

For international travel, I've only done Europe and the same rules apply above. Iceland was gluten-free friendly too.

Good luck! This routine is from years of trial and error.

Each year more and more options are out there!

It will get better and you will probably feel SO much better when you heal. 

 

 

 

@I.M.Celiac these are very helpful tips for a traveler; thank you! I have tried most of these and KIND bars have always been my go-to snack. I would also like to add two other restaurant chains where I have had safe dining experiences: Yard House and Outback Steakhouse. IMO, these two take gluten-free meals and Celiac Disease very seriously.

trents Grand Master

Be careful with nuts. They are often processed on the same machines with gluten containing items so there can be CC. It may only apply to the more sensitive celiacs, however.

Hypo Rookie
15 hours ago, Magdalen said:

Unpeeled Eggs would be okay. Fruit and yoghurt would depend on how they’re served. A big bowl of fruit salad— no. Bananas that you peel yourself, probably fine. Yoghurt (that is labelled gluten free) that comes in its own container, sure. In a big bowl, no. 

"Bananas that you peel yourself, probably fine"? What could be wrong with them? Also, even at home I don't eat yoghurt that is labeled gluten free. At hotels where I stayed, there were whole apples, oranges, grapes, etc. You can wash them additionally if you are worried there was bread on them...  But to each his own. I travel just fine eating such food. 

I.M.Celiac Apprentice
2 hours ago, Hypo said:

"Bananas that you peel yourself, probably fine"? What could be wrong with them? Also, even at home I don't eat yoghurt that is labeled gluten free. At hotels where I stayed, there were whole apples, oranges, grapes, etc. You can wash them additionally if you are worried there was bread on them...  But to each his own. I travel just fine eating such food. 

Yes, fresh fruit would be great. Forgot about that! When I was first diagnosed, fresh fruit was harder to find in American hotels. (Not to mention close relatives' homes!) Even 7-11 has fresh fruit now! Total progress. 

 


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    • trents
      I would ask the GI doc about the elevated IGA score of 401. That one is what we commonly refer to as "total IGA" and also known as "Immunoglobulin A (IgA)". It could be nothing but it can also indicate some other health issues, some of them serious in nature. I would google potential causes for that if I were you. Also, if there is a chance the GI doc will want to do more testing for celiac disease, either antibody testing or an endoscopy with biopsy, you should not cut back on gluten consumption until all celiac disease testing is done. Otherwise, you will invalidate the testing.
    • shell504
      Hello. I apologize. I didn't know there wasn't a standard.  The standard listed  for the IGA is normal range 47-310.  The others were all listed as <15.0 u/l is antibody not detected and 15> antibody is detected.  And the negative one the standard is negative.  It is a normal PCP dr. I do have a second opinion appt scheduled with a GI specialist in 2 weeks. Honestly, I haven't cut out gluten at all. I just switched to whole fibers and everything has been getting better. She wanted to do the test just to check, which I was fine with. We'll see what the GI dr says. Thank you for commenting. 
    • trents
      It is also possible that since eating the fries you have been glutened again during the week. I would double check the food in your cupboard and reread the ingredient lists. Food companies can and do change their formulations from time to time such that something that used to be gluten free is no more. What I am saying is, don't assume the distress you are experiencing comes from one incident of glutening. There could, coincidentally, be another one on it's heels. 
    • trents
      Welcome to the forum, @shell504! The IGA 401mg/dl is not a test for celiac disease per se but a check to see if you are IGA deficient. People who are IGA deficient will produce celiac blood test antibody scores that are artificially low which can result in false negatives for the individual antibody tests such as the TTG IGA. You did not include reference ranges along with the test scores and since each laboratory uses custom reference range scales, we cannot comment with certainty, but from the sheer magnitude of the IGA score (401) it does not look like you are IGA deficient. And since there are no annotations indicating that the other test scores are out of range, it does not appear there is any antibody evidence that you have celiac disease. So, I think you are warranted in questioning your physician's dx of celiac disease. And it is also true that a colonoscopy cannot be used to dx celiac disease. The endoscopy with biopsy of the small bowel is the appropriate procedure for diagnosing celiac disease. But unless there is a positive in the antibody testing, there is usually no justification for doing the endoscopy/biopsy. Is this physician a PCP or a GI doc? I think I would ask for a second opinion. It seems as though this physician is not very knowledgeable about celiac disease diagnositcs. Having said all that, it may be that you suffer from NCGS (Non Celiac Gluten Sensitivity) rather than celiac disease. The two gluten disorders share many of the same GI symptoms. The difference is that NCGS does not damage the villous lining of the small bowel as does celiac disease. NCGS is 10x more common than celiac disease. The antidote for both is complete abstinence from gluten. Some experts believe NCGS can be a precursor to the development of celiac disease. There is not test for NCGS. Celiac disease must first be ruled out. So, if it becomes apparent that gluten is causing distress and testing rules out celiac disease, then the diagnosis would be NCGS. Hope this helps. 
    • shell504
      I apologize i can't figure out how to get the picture on here.  Results were: IGA 401mg/dl Deamidated Gliadin IGG. <1.0 Deamidated Gliadin IGA. <1.0 Tissue Transglutaminase IGA AB. <1.0 Endomysial IGA. Negative.  Is she just going based off of the IGA alone? And because that is elevated, it's positive? The test states: "Results do not support a diagnosis of celiac disease." 
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