Doctor insights on:
Celiac Disease And Zoloft
Food sensitivities: Some with GI distress feel better if they eliminate foods from their diet. Recently, the low-fodmaps diet is gaining traction for decreasing food hypersensitivity symptoms (these are not allergies!). Wheat based foods may be harder to digest, pull water into the gut, get fermented by bacteria and therefore increase gas in the gut. Stretch of the gut wall by fluids and gas cause GI symptoms. ...Read more
I don't see why: Following a gluten free diet is incredibly difficult and expensive. Obviously, if you are sensitive to gluten and it causes GI symptoms, you will benefit greatly. But there is no significant evidence that such a diet will help you lose weight, boost energy or be healthier. While giving up a lot of carbs (bread/pasta/cereal/pizza/beer) may help weight loss, you can do it with fewer restrictions. ...Read more
What happens if individuals who are suffering from celiac disease don't respond to gluten free diet?
Recheck diagnosis: If a person with celiac disease does not get well on a gluten-free diet, his doctors can re-evaluate to see if he truly has celiac disease, if his diet is really completely gluten-free, or if he has a second problem causing the symptoms that were believed to be caused by celiac disease. ...Read more
Many complications: Celiac disease leads to destruction of the lining of the small intestine. Therefore, it is associated with abdominal pain, bloating diarrhea, some times to the point of malnutrition. "irritable bowel syndrome" is sometimes actually un-diagnosedceliac disease. Rashes that look like herpes "dermatitis herpetiformis" may occur. Sometimes joint and tendon inflammation. ...Read more
Good morning, is it possible my daughter can have celiac disease if she doesn't sweat n goes to the bathroom after every single meal and is short?
Yes.: You may be confusing Celiac with Cyctic Fibrosis, however. Cystic Fibrosis causes loose stools, lack of sweat and short stature, among many other things (lung disease) Celiac is gluten allergy, which also affects the gut, causes abdominal distension, flatulence sometimes loose stools, and growth failure. Do you have a newborn screening program in Barbados? ...Read more
Is it possible to have celiac disease if you have positive biopsy yet negative DQ2/DQ8? I have fasciculations and they stop when I don't eat gluten.
Do you think that it's better for o+ people to consider a gluten free diet even if they don't have celiac disease? N.B I hv a potential Crohn's disease
Can be: Think of the digestive tract as an assembly line where food comes in, is reduced to its parts, then moved into the body where the parts can be re-assembled into usable material. In celiac, the protein allergy injures the gut, reducing the ability to move any parts into the body. If the injury is bad enough you waste away and remain sickly. By avoiding the gluten, the body can heal & the system work ...Read more
Blood test, scope: Screening blood tests can be ordered by your health care provider: tissue transglutaminase IgA and total iga. If positive, consultation with a GI specialist is needed for biopsy of the small intestine obtained through an upper GI endoscopy. It is important not to go on a gluten free diet before diagnosis is made. Labs and biopsy return to normal on gluten free diet (false negative). ...Read more
Usually diarrhea: Celiac disease, among its many manifestations, may result in diarrhea. Simplistically, exposure of intestine to gluten causes inflammation of affected gut lining, with a decrease in absorptive surface of that gut, & resulting malabsorption of food. The best & most enduring fix is to avoid eating gluten. Serum tissue transglutaminase antibody can help determine how successfully gluten is avoided. ...Read more