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Diagnosed In Chidhood But Not On Gluten Free Til Now


Pabboo

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Pabboo Newbie

Hi

My husband was diagnosed with celiac disease in childhood (at age around 11 following severe dermatitis hepetiformas). They confirmed the diagnosis with a biopsy and he was on a gluten free diet for a few years, but his mum stopped the diet (following a divorce - I think they thought it might all have been stress related).

He did not follow a gluten free diet again.

He had leukemia at 19 and a relapse at 21. So any health problems in adulthood have always been put down to that. The celiac diagnosis got lost at the bottom of his medical notes and was never mentioned.

He suffered stomach problems, particularily after periods of stress and anxiety, constipation, tiredness and low mood.

He had two bad rashes in the last few months (he is now 38) one was thought to be due to an antibiotic but the second had no known trigger and both were a lot like dermatitis hepetiformas.

So he put two and two together and stopped the gluten again. He thinks his mood and energy levels have improved. The rash went after a week. But we are not entierly sure if this is coincidence and positive thinking, or a physical change (the rash was also treated with antihistamines)

We spoke to the doctor and he seemed surprised about the celiac diagnosis and has suggested my husband try gluten again and "see what happens".

He accidently ate some crisps with gluten in today and had diarreah shortly after.

So, does it seem sensible to return to gluten? I figure that if it was clearly diagnosed in childhood, he should have stopped gluten for life and should not be eating it now, even if he has not had very major signs of celiac - surely the internal damage has continued all these years.


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ravenwoodglass Mentor

Hi

My husband was diagnosed with celiac disease in childhood (at age around 11 following severe dermatitis hepetiformas).

So, does it seem sensible to return to gluten? I figure that if it was clearly diagnosed in childhood, he should have stopped gluten for life and should not be eating it now, even if he has not had very major signs of celiac - surely the internal damage has continued all these years.

Welcome to the board. Ask any questions you need to a be sure to read as much as you can.

You figure right. You don't outgrow celiac. It sounds like he may have had the 'honeymoon' period that used to make doctors think you could outgrow celiac. It is now know that you don't. He does need to go back to strictly gluten free and hopefully he will be feeling much better soon.

MitziG Enthusiast

His doctor is an ill-informed moron! If he was diagnosed with celiac he should never, EVER "try gluten" again. Celiac does not go away and many of your husbands issues are likely directly related to celiac disease. If he were to continue eating gluten he puts himself at risk of acquiring many auto-immune disorders as well as intestinal lymphoma. Many doctors used to believe celiac was a disease of childhood that could be outgrown, but it is now known this is NOT true. His doctor is old school apparently, and could stand to be re-educated. Get your husband back on a strict gluten-free diet asap!!

Lisa Mentor

Welcome to the board. Ask any questions you need to a be sure to read as much as you can.

You figure right. You don't outgrow celiac. It sounds like he may have had the 'honeymoon' period that used to make doctors think you could outgrow celiac. It is now know that you don't. He does need to go back to strictly gluten free and hopefully he will be feeling much better soon.

Welcome also. Yes, Raven is correct. There is a greater knowledge of Celiac Disease and some great information is coming from the on-going research. It's a very exciting time.

Your husband has a diagnosis and I would encourage him to go strictly gluten free. I see no reason for a gluten challenge.

So very often, Celiac Disease is diagnosed as a secondary issue, ie. diabetes, thyroid issues, lymphoma, fibro and maybe even MS, as well as others.

I often wonder, if a test for Celiac Disease (as done in some European countries)would be required, would we see a decline in other more critical issues? Bet so. ;)

I wish your husband a steady (re)gain in health. :) And 'hang' with us for a while and we can help make your journey a bit easier.

Again, welcome!

Pabboo Newbie

Thank you all so much for your replies.

Having accidently eating several gluten-containing crisps (chips) yesterday he has had a sore area near his stomach today.

We both feel that the diarreah and this ache are enough proof (if proof were ever needed!) to stick to the gluten free diet. We will let his doctor know he tried gluten again, and that we want his notes to clearly reflect he has celiac.

Sounds, from what I have read, that his health (energy and mental health in particular, which have been recent causes for concern) will just keep improving with the diet.

He is finding it tough, especially trying to shop for quick and easy meals. We usually cook from scratch but both work and have a toddler, so it is handy being able to get a quick healthy steam meal from the supermarket. Until now we had no idea they were so bulked out with wheat based products.... :angry:

Ah, well, we will get thenhang of it.

It is especially hard as I have no gallbladder so am on a very low fat diet. Between us we are now hell to invite for dinner......

ravenwoodglass Mentor

So very often, Celiac Disease is diagnosed as a secondary issue, ie. diabetes, thyroid issues, lymphoma, fibro and maybe even MS, as well as others.

I often wonder, if a test for Celiac Disease (as done in some European countries)would be required, would we see a decline in other more critical issues? Bet so. ;)

I wonder the same thing. We are one of the most unhealthy populations in the world and I often wonder if Celiac isn't the primary issue that then leads to a lot of the other problems that develop. I had so many painful health issues that just went away on the diet, from migraines to arthritis to 'MS' that it really makes me feel testing the whole population routinely is the way to go. But if your villi are not destroyed US doctors will tell you to keep eating it until they are in many cases even if blood work is positive. Our doctors really need to get past the idea that celiac is just a GI disorder.

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    • marion wheaton
      Thanks for responding. I researched further and Lindt Lindor chocolate balls do contain barely malt powder which contains gluten. I was surprised at all of the conflicting information I found when I checked online.
    • trents
      @BlessedinBoston, it is possible that in Canada the product in question is formulated differently than in the USA or at least processed in in a facility that precludes cross contamination. I assume from your user name that you are in the USA. And it is also possible that the product meets the FDA requirement of not more than 20ppm of gluten but you are a super sensitive celiac for whom that standard is insufficient. 
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      No,Lindt is not gluten free no matter what they say on their website. I found out the hard way when I was newly diagnosed in 2000. At that time the Lindt truffles were just becoming popular and were only sold in small specialty shops at the mall. You couldn't buy them in any stores like today and I was obsessed with them 😁. Took me a while to get around to checking them and was heartbroken when I saw they were absolutely not gluten free 😔. Felt the same when I realized Twizzlers weren't either. Took me a while to get my diet on order after being diagnosed. I was diagnosed with small bowel non Hodgkins lymphoma at the same time. So it was a very stressful time to say the least. Hope this helps 😁.
    • knitty kitty
      @Jmartes71, I understand your frustration and anger.  I've been in a similar situation where no doctor took me seriously, accused me of making things up, and eventually sent me home to suffer alone.   My doctors did not recognize nutritional deficiencies.  Doctors are trained in medical learning institutions that are funded by pharmaceutical companies.  They are taught which medications cover up which symptoms.  Doctors are required to take twenty  hours of nutritional education in seven years of medical training.  (They can earn nine hours in Nutrition by taking a three day weekend seminar.)  They are taught nutritional deficiencies are passe' and don't happen in our well fed Western society any more.  In Celiac Disease, the autoimmune response and inflammation affects the absorption of ALL the essential vitamins and minerals.  Correcting nutritional deficiencies caused by malabsorption is essential!  I begged my doctor to check my Vitamin D level, which he did only after making sure my insurance would cover it.  When my Vitamin D came back extremely low, my doctor was very surprised, but refused to test for further nutritional deficiencies because he "couldn't make money prescribing vitamins.". I believe it was beyond his knowledge, so he blamed me for making stuff up, and stormed out of the exam room.  I had studied Nutrition before earning a degree in Microbiology.  I switched because I was curious what vitamins from our food were doing in our bodies.  Vitamins are substances that our bodies cannot manufacture, so we must ingest them every day.  Without them, our bodies cannot manufacture life sustaining enzymes and we sicken and die.   At home alone, I could feel myself dying.  It's an unnerving feeling, to say the least, and, so, with nothing left to lose, I relied in my education in nutrition.  My symptoms of Thiamine deficiency were the worst, so I began taking high dose Thiamine.  I had health improvement within an hour.  It was magical.  I continued taking high dose thiamine with a B Complex, magnesium. and other essential nutrients.  The health improvements continued for months.  High doses of thiamine are required to correct a thiamine deficiency because thiamine affects every cell and mitochondria in our bodies.    A twenty percent increase in dietary thiamine causes an eighty percent increase in brain function.  The cerebellum of the brain is most affected.  The cerebellum controls things we don't have to consciously have to think about, like digestion, balance, breathing, blood pressure, heart rate, hormone regulation, and many more.  Thiamine is absorbed from the digestive tract and sent to the most important organs like the brain and the heart.  This leaves the digestive tract depleted of Thiamine and symptoms of Gastrointestinal Beriberi, a thiamine deficiency localized in the digestive system, begin to appear.  Symptoms of Gastrointestinal Beriberi include anxiety, depression, chronic fatigue, headaches, Gerd, acid reflux, gas, slow stomach emptying, gastroparesis, bloating, diarrhea and/or constipation, incontinence, abdominal pain, IBS,  SIBO, POTS, high blood pressure, heart rate changes like tachycardia, difficulty swallowing, Barrett's Esophagus, peripheral neuropathy, and more. Doctors are only taught about thiamine deficiency in alcoholism and look for the classic triad of symptoms (changes in gait, mental function, and nystagmus) but fail to realize that gastrointestinal symptoms can precede these symptoms by months.  All three classic triad of symptoms only appear in fifteen percent of patients, with most patients being diagnosed with thiamine deficiency post mortem.  I had all three but swore I didn't drink, so I was dismissed as "crazy" and sent home to die basically.   Yes, I understand how frustrating no answers from doctors can be.  I took OTC Thiamine Hydrochloride, and later thiamine in the forms TTFD (tetrahydrofurfuryl disulfide) and Benfotiamine to correct my thiamine deficiency.  I also took magnesium, needed by thiamine to make those life sustaining enzymes.  Thiamine interacts with each of the other B vitamins, so the other B vitamins must be supplemented as well.  Thiamine is safe and nontoxic even in high doses.   A doctor can administer high dose thiamine by IV along with the other B vitamins.  Again, Thiamine is safe and nontoxic even in high doses.  Thiamine should be given if only to rule Gastrointestinal Beriberi out as a cause of your symptoms.  If no improvement, no harm is done. Share the following link with your doctors.  Section Three is especially informative.  They need to be expand their knowledge about Thiamine and nutrition in Celiac Disease.  Ask for an Erythrocyte Transketolace Activity test for thiamine deficiency.  This test is more reliable than a blood test. Thiamine, gastrointestinal beriberi and acetylcholine signaling.  https://pmc.ncbi.nlm.nih.gov/articles/PMC12014454/ Best wishes!
    • Jmartes71
      I have been diagnosed with celiac in 1994, in remission not eating wheat and other foods not to consume  my household eats wheat.I have diagnosed sibo, hernia ibs, high blood pressure, menopause, chronic fatigue just to name a few oh yes and Barrett's esophagus which i forgot, I currently have bumps in back of my throat, one Dr stated we all have bumps in the back of our throat.Im in pain.Standford specialist really dismissed me and now im really in limbo and trying to get properly cared for.I found a new gi and new pcp but its still a mess and medical is making it look like im a disability chaser when Im actively not well I look and feel horrible and its adding anxiety and depression more so.Im angery my condition is affecting me and its being down played 
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