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Neurological Consequences


cyndeegreen

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cyndeegreen Newbie

A previous post about the neurological consequences of gluten ingestion leaves me stunned.

3 years ago I was diagnosed with Celiac disease after years of my immune system attacking itself. It resulted in me losing some pretty important body parts within a 18 month span of time. Tonsils, gallbladder, uterus and 1/2 a thyroid. Then I suffered a lacunar infarct of the brain. I still have residual left sided weakness. I am 34 years old and was very, very athletic. I am growing stronger.

I inadvertently shoot myself in the foot so many times. Hair conditioner, make up, listerine...basic everyday products have the ability to make me so ill. I check, and re-check but still manage to miss that one ingredient....that contains wheat or a wheat derivative.

The side effects of that accidental wheat ingestion is so immediate and potentially life threatening. I am my most important factor in staying healthy. I say I wish I had a better doctor, one that understands Celiac...but I realize that I am my best advocate. I just wish that my constant office visits didn't make me feel like such a hypochondriac and It isn't as simple as just "staying away from wheat."

For 5 years I lived behind a silo that stored wheat. Trains would come and go, load up on wheat and drive away. The dust was thick in the air...I can remember the haze as I would leave my house. The dust alone was slowly poisoning me.

I have had so many doctors suggest that prozac pill. But I wasn't depressed! Just ill and getting worse. And then, thankfully, that one great doc who recognized my illness. I moved away from kansas and am in the process of teaching my new doc. about celiac. And juggling hyperthyroidism, and recovery from a stroke.

Things could be worse. The days are better... My body has adopted the zero tolerance stance--and it is the days when I am not diligent that I suffer.

I've been weighing the celiac neuropathy idea...compared to the infarct (which I was shown on the M.R.I.) and wonder if my doctors shouldn't reconsider.


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tiredofdoctors Enthusiast

Wow -- you have certainly had your share -- Why was 1/2 of your thyroid removed? Do you have continuing autoimmune thyroid disease? According to my neurologist (one of them), autoimmune thyroid disease is NOTHING to be taken lightly. He even called the Ear, Nose & Throat surgeon who was performing my thyroidectomy to ensure that he not only took out both lobes, but he also took out the isthmus (small portion that connects them that, evidently doesn't get removed) as well.

I had posted a fairly large list of articles with regard to the neurological manifestations of Celiac. I'll try to find it -- if not, they're really easy to look up. Look up antigliadin antibodies and neurological manifestations and you'll get an entire PAGE of information. The best work is still being done in the United Kingdom. The guy there (Dr. Has . . . . ) was ridiculed as a quack 5 years ago . . . . I think I even said in the post, "who's quacking now" (I remember now . . . someone was saying that they were ranting -- but it really wasn't such a rant . . . .)

cyndeegreen Newbie

Lynne,

Thank you for answering! And thank you for some insight.

I had a colloid tumor removed (cold nodule). FNA was suspicious ( my grandmother died of thyroid cancer). I went to Mayo for a second opinion where they decided to remove the left lobe only. Though my right lobe was multi cystic. The tumor was benign, but about the size of a large "Daddy" marble. Radiation therapy was not suggested or offered. Since then I have had fluctuations from hyperthyroid to hypothyroid, though I still teeter on hyperthyroidism. Just recently, my eyes have started to be effected, and I am awaiting an appointment to the ONLY endocrinologist in Northern Michigan. The right side has visably enlarged in the past month. *sigh* At this moment, my thyroid shows it is in completely normal ranges. When I ask for a sTSH, everyone scratches their heads! AAAARRRGHHHH. I was told by Mayo that the thyroid disease could be watched by any general practitioner, but now...I'm not sure... Crossing my fingers that I get a call from the endocrinologists office and they don't brush me off. The enlargement alone concerns me.

Thanks for letting me vent!

Sophiekins Rookie

Hi Cyndee,

the post was mine, and I apologise if I scared you. . . that said, NCD is serious - as you've no doubt discovered. I'm no medical practitioner, but I have a hard time believing that none of your other problems are related to the celiac disease. Start with a visit to this site Open Original Shared Link where they are really friendly and extremely helpful. I know that there is a neurologist who works with NCD (and more importantly, believes in its existence!) in Chicago, although I'm not sure exactly where. . .someone at that link should know. And Mayo is notoriously NCD-skeptical. . .

And I completely get where you're coming from - it would be SOOOOO nice to have a doctor that understood SOMETHING about celiac disease - I'm in the process of educating GP number 9. . .not counting med students, specialists and dentists! And while we all know that we are our own best advocates. . . wouldn't it be nice, just once, to go to a doctor and get an answer instead of giving them? (And if it makes you feel any better, I have a friend with celiac disease who lost her gallbladder, liver, pancreas, part of her stomach and intestines, a kidney and had open-heart surgery before they figured out it was celiac disease. . .)

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    • trents
      Welcome to the celiac.com community @EssexMum! First, let me correct some misinformation you have been given. Except in the case of what is known as "refractory" celiac disease, which is very rare, it is not true that the "fingers" will not grow back once a consistently gluten free diet is adopted. Celiac disease is an autoimmune condition whereby the ingestion of gluten triggers an inflammatory process that damages the millions of tiny finger-like projections that make up the lining of the small bowel. We call this the "villous lining". Over time, continued ingestion of gluten on a regular basis results in the wearing down of these fingers which greatly reduces the surface area of this very important membrane. It is where essentially all the nutrition from what we eat is absorbed. So, losing this surface area results in inefficiency in nutrient absorption and often to medical problems related to nutrient deficiencies. Again, if a gluten-free diet is consistently observed, the villous lining of the small bowel should rebound. "We was informed that her body absorbs the gluten rather then rejecting it and that is why she doesn't react to the gluten straight away, it will be a build up and then the pains start. " That sounds like unscientific BS to me. But it does sound like your stepdaughter may have a type of celiac disease we know as "silent" celiac disease, meaning, she is asymptomatic or at least the symptoms are not intense enough to usually notice. She is not completely asymptomatic, however, because you stated was experiencing tummy aches off and on. Cristiana gives some good suggestions about ordering "safe" food for your stepdaughter from restaurant menus in Europe. You must realize that as the step parent who only has her part of the time you have no real control over how cooperative her other set of parents are with regard to your stepdaughter's needs to eat gluten free. It sounds like they don't really understand the seriousness of the matter. This is very common in family settings where other members are ignorant about celiac disease and the damage it can do to body systems. So, they don't take it seriously. The best you can do is make suggestions. Perhaps print out some info about celiac disease from the Internet to send them. Being inconsistent with the gluten free diet keeps the inflammation smoldering and delays or inhibits healing of the villous lining. 
    • Scott Adams
      Here are some articles on cross-reactivity and celiac disease:      
    • knitty kitty
      @HectorConvector, Here are some articles about "dry Beriberi" and neuropathy.  I hope you've been able to acquire thiamine hydrochloride or Benfotiamine.  I'm concerned.   Dry Beriberi Due to Thiamine Deficiency Associated with Peripheral Neuropathy and Wernicke's Encephalopathy Mimicking Guillain-Barré syndrome: A Case Report and Review of the Literature https://pubmed.ncbi.nlm.nih.gov/30862772/ Dry Beriberi Manifesting as Acute Inflammatory Demyelinating Polyneuropathy in a Patient With Decompensated Alcohol-Induced Cirrhosis https://pmc.ncbi.nlm.nih.gov/articles/PMC7707918/ A Rare Case of Thiamine Deficiency Leading to Dry Beriberi, Peripheral Neuropathy, and Torsades De Pointes https://pmc.ncbi.nlm.nih.gov/articles/PMC10723625/
    • cristiana
      Good evening @EssexMum You are quite right to be concerned about this situation.  Once diagnosed as coeliac, always a coeliac, and the way to heal  is through adopting and sticking to a strict gluten diet. That said... I have travelled twice to France since my diagnosis, firstly in May 2013 and again in August 2019.   My spoken French isn't bad, and whilst there I tried my best to explain my needs to chefs and catering staff, and I read labels very carefully when shopping in supermarkets, but both times I came away with worsening gastric symptoms and pain. Interestingly,  after the second holiday, my annual coeliac review took place the following month and although I'd been very careful to avoid gluten all year, thanks to that August holiday my coeliac antibodies were elevated,  Clearly I hadn't been imagining these symptoms and they must have been caused by gluten sneaking in somehow. When I spoke to my gastroenterologist on my return, who is an excellent doctor, he told me with a smile that this was a very common experience in France among his patients, and not to worry too much about it! In fact, before we went away in May 2013, which was just after I had been formally diagnosed, he told me not to even bother trying to adopt a gluten free diet until I returned, knowing what France was like, but I was feeling so awful at that time I ignored his advice and at least tried to make a start with it. (I ought to say - both these visits were some time ago, so perhaps things are a lot better there now.) So what to do?  I would say at least try to explain to catering staff the situation - they should be able to rustle up a plate of cheese, boiled eggs, tuna, salad and fruit, and if things like crackers and gluten-free pot noodle or oats can be packed in the UK, those can be produced at mealtimes.    Of course, most larger supermarkets in France do now cater for coeliacs, but when I was last there the the choice wasn't as wide a range as we have in the UK but I think that is partly because the French like to cook from scratch, whereas our gluten-free aisles have quite a lot of dried or pre-baked goods in them/convenience foods, because I think we as a nation tend to use them more. I would be worth doing a bit of research on the internet before the trip, - the words you want are 'sans gluten'.  I've just googled 'sans gluten Disney Paris" and this came up.  I do hope at least some of this is of help. https://www.tripadvisor.co.uk/Restaurants-g2079053-zfz10992-Disneyland_Paris_Ile_de_France.html  Whatever befalls in France, at least your stepdaughter can resume her usual diet on her return. On a related tack, would you be happy to post any positive findings/tips upon her return - it might be of use to others travelling to Disneyland Paris with children in future? Cristiana
    • EssexMum
      Hi, I am after some advice re my step daughter and her Coeliac Disease. She is 9 years old and had a very limited diet before being diagnosed (very fussy and very lenient parents), since being diagnosed it has become hard to find places out that will cater for her, but we manage.  History: She had been having severe tummy pains on and off every few months so had a bunch of tests and eventually was diagnosed with celiac disease a number of months ago. We was told that she is at a very high level and should avoid gluten for the rest of her lift, we was told that the gluten she has been eating has damaged the 'fingers' inside her and they will not replenish. We was informed that her body absorbs the gluten rather then rejecting it and that is why she doesnt react to the gluten straight away, it will be a build up and then the pains start. We was advised that by her not reacting straight away, it did not mean it wasnt harming her inside. We was given literature about buying a separate toaster and cutting board etc to avoid cross contamination and have been checking all food labels etc.  Problem: the issue is the novelty seems to have worn off with her Mum and we are now posed with a situation. They are going on holiday to Disneyland Paris for 3 nights and she phoned the hotel who said they cannot cater for gluten free. She phoned the GP and had a conversation and then told my partner that the GP had said it was fine for her to have gluten for the 3-4 days. He questioned it and she said no its fine, she hasnt had it for months so a few days wont hurt and she exposed to it anyway without knowing so it will be fine and shes not ruining her holiday etc.   My partner could see from the online notes that his ex wife had told the doctor that the child does not follow a strict gluten-free diet anyway - not true. At least not with us! My partner requested a call with the same doctor who told him that it is the mums discretion and that the child should be monitored for reactions - he explained that the issue is she doesnt react straight away. The GP said no its all mums discretion and she knows best. We are going to try to speak to the consultant at the hospital, but I just wanted to gauge some thoughts. It just seems bizarre to me that we can go from being told to avoid gluten for the rest of her life and how harmful it is to her body, to now it being ok for her to have it for a few days. Thanks in advance  
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