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Doctor insights on: If I Have Gluten Intolerance But Not Celiac Disease Do I Have To Be Just As Strict With My Diet

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Do people ever not have celiac disease and still be allergic to gluten?

Do people ever not have celiac disease and still be allergic to gluten?

Yes: You can have a sensitivity to wheat or a wheat intolerance without having autoantibodies as are found in celiac disease. This can be confirmed by blood tests and an intestinal biopsy. ...Read more

Dr. Arthur Heller
2,585 doctors shared insights

Diet (Definition)

refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more


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Lifelong chronic nausea? Gluten free diet is helping. Could I have celiacs and if I do could my kids have it too? They are 7 and 18months.

Lifelong chronic nausea? Gluten free diet is helping. Could I have celiacs and if I do could my kids have it too? They are 7 and 18months.

Possibly: If you have documented celiac disease, your kids may benefit from genetic testing for certain genes. However even if they have the genes, it just means that they are more at risk in developing it. ...Read more

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How rigorous do I have to be in avoiding gluten if you suffer from celiac disease?

How rigorous do I have to be in avoiding gluten if you suffer from celiac disease?

Very careful: If you truly have celiac disease then very small amounts of gluten will trigger increase in zonulin in the gut which causes increased intestinal permeability and inflammation. Studies show that even very small amounts will trigger this inflammation and that it takes days for the response to calm down. First make sure you really have celiac, but if you do, you must be very careful to avoid gluten. ...Read more

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I'm allergic to wheat and whey but do not have celiac disease. Do I need to follow a gluten free diet?

I'm allergic to wheat and whey but do not have celiac disease. Do I need to follow a gluten free diet?

Wheat allergy: Wheat allergy can have many symptoms. Gluten is present in wheat, but also some other grains. If your allergy symptoms are bothersome, you should make sure to avoid wheat and whey. If you only had a positive blood test for allergy but no symptoms, there is no reason to avoid it. ...Read more

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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.

Yes: Biopsy is the gold standard and your history is totally compatible with gluten intolerance. If gluten bothers you, you need to avoid it regardless of the test results. The above are just genetic markers and many people with these markets do not have gluten intolerance at all. ...Read more

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I think I could have a gluten intolerance but the only foods ive linked to my symptoms are burgers, pasta, and sandwiches. Do these have gluten?

I think I could have a gluten intolerance but the only foods ive linked to my symptoms are burgers, pasta, and sandwiches. Do these have gluten?

Wheat, rye, barley: Gluten is a protein found in wheat, rye, and barley. Pasta is made from wheat. There are gluten-free breads available made with different grains, and even gluten-free pasta is available. ...Read more

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If I have celiac disease and eat gluten anyways, what will happen to me?

If I have celiac disease and eat gluten anyways, what will happen to me?

Undesirable things!: A person with celiac disease gets strong allergic reactions to gluten in the small intestine, which causes the lining of the intestine to lose its ability to absorb nutrients, vitamins, minerals, etc... If he continues to eat gluten, he can become anemic, lactose intolerant, and have diarrhea or irritable bowel, tummy pains, vitamin deficiency, etc... ...Read more

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How obsessive do I have to be in avoiding gluten for celiac disease?

Obsessive: For most cases. Pretty obsessive. Sometimes for mild or asymptomatic carriers you could get by with some now and then. ...Read more

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If I have celiac disease and eat gluten, what will my symptoms be and when should I expect them to start?

Celiac: That is one of the problems with celiac disease. It can take a long time, months even before symptoms show and then symptoms can be from skin to neuro psych to GI . I would suggest you speak with a health care worker about your concerns. ...Read more

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How often can I eat gluten if I have celiac disease?

How often can I eat gluten if I have celiac disease?

Never: It would likely be in your best interest to never eat gluten at all. If you have celiac disease, even a tiny amount of gluten can do harm to you. Once your gut is damaged by gluten, healing can take 6 months or more. Casein, the protein in milk, looks similar to the gluten molecule, and cross reactivity can happen. Some people also do best being casein free. ...Read more

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What to do if I have recently began a high protein diet. I am not overly strict but was wondering if my diet could include bread at any point?

What to do if I have recently began a high protein diet. I am not overly strict but was wondering if my diet could include bread at any point?

Bread: In general, moderation goes a long way. (i know, the term "moderation" is so overused and hard to define. Still...). A high-protein diet combined with a small portions of bread can be a useful approach to managing weight. You might consider using breads that are lower in glycemic load, such as sprouted wheat (or "flourless") breads (available at trader joe's or ezekiel brand). ...Read more

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Is it possible to have days/weeks of diarrhea due to eating odd food. In my case gluten-free substitutes? I don't have celiac and I'm not gluten-free.

Is it possible to have days/weeks of diarrhea due to eating odd food. In my case gluten-free substitutes? I don't have celiac and I'm not gluten-free.

Unusual: Most food reactions do not last more than a day or two unless they are from an infection (bacteria, parasite, virus). If your problem lasts more than a week and still not improving, best to check with your doctor . I suspect that you might have had bowel issue before and thus prompting you to try a gluten-free diet. If so, you need to consult a doctor soon. ...Read more

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What should I eat if i had a Crohn's flare-up with gluten and dairy sensitivities and just had heart attack?

What should I eat if i had a Crohn's flare-up with gluten and dairy sensitivities and just had heart attack?

Heart attack: The mediterranean diet is a very effective diet for preventing additional coronary events. You should consult a dietician for expert advice on how to structure a diet within the general parameters of the med diet which will fit with your crohn's and sensitivities. ...Read more

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I'm not 100% sure I have celiac disease but i was just wondering if you have it is it ok to eat a mcchicken sandwich without the bun with the fries?

I'm not 100% sure I have celiac disease but i was just wondering if you have it is it ok to eat a mcchicken sandwich without the bun with the fries?

You decide: If you have CD, every time you consume a gluten product like a flour based sandwich, your body makes new antibodies that attack and injure your gut tissue.The injury is patchwork,like a quilt.When the bad patches get to widespread your symptoms get much worse and problems continue.Only stopping gluten lets your body heal.You need to finish finding out if you have it.If not, no need to avoid gluten ...Read more

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I have been diagnosed with contact dermatitis and was told that I may be gluten-sensitive. Does it help to reduce gluten or must I go gluten-free?

I have been diagnosed with contact dermatitis and was told that I may be gluten-sensitive. Does it help to reduce gluten or must I go gluten-free?

Gluten sensitivity: Doesn't cause rash. The diagnosis of gluten sensitivity is still controversial. People complain of bloating, gas, cramping. Celiac disease, however can cause a rash-little blisters on the elbows for instance. The symptoms of gluten sensitivity (not rash) can get better with avoiding gluten and other fermentable carbohydrates. ...Read more

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What happens if I have gluten intolerance, do I have celiac disease?

Maybe: While oftentime the 2 terms are used interchangeably, there are many patients who do have issues due to gluten ingestion but do not have full blown celiac disease. Typically patients complain of bloating, diarrhea, rashes, itchy skin, failure to thrive after eating barley, rye, wheat and other similar products that contain gluten. Best to consult a GI doc and a good dietician. ...Read more

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I have gluten intolerance; but does this mean I have celiac disease?

I have gluten intolerance; but does this mean I have celiac disease?

NO: An intolerance is different from an autoimmune disease. Celiac is an autoimmune disease where antibodies attack the lining of the intestines. In both cases, you will stay away from wheat gluten, but they are not the same process. You can be tested for celiac by a blood test and an endoscopic biopsy. ...Read more

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What happens if I were to have a gluten intolerance, does that basically mean I have celiac disease?

What happens if I were to have a gluten intolerance, does that basically mean I have celiac disease?

Not necessarily: Celiac disease is a more severe form of gluten intolerance. See a doctor experienced in the diagnosis and management of celiac disease for proper diagnosis and management. ...Read more

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Can you please explain why celiac disease is considered dangerous, and gluten intolerance not dangerous?

Can you please explain why celiac disease is considered dangerous, and gluten intolerance not dangerous?

Probably same: Celiac disease is also called gluten sensitive enterophy or gluten intolerance. One would need to further clarify the meaning of "gluten intolerance" to make sure this is not being misinterpretted. ...Read more

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How are gluten intolerance and celiac disease different?

How are gluten intolerance and celiac disease different?

Celiac is an allergy: Celiac disease is gluten allergy, a strong allergic reaction to gluten (a protein in grains such as wheat, barley, malted barley, rye, spelt, etc...). Gluten intolerance is not an allergic reaction, but an intolerance of gluten that leads to tummy symptoms such as gassiness, bloating, loose stools, etc... Gluten intolerance does not cause damage to the intestinal lining like celiac disease does. ...Read more

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How are gluten intolerance and celiac disease diagnosed?

How are gluten intolerance and celiac disease diagnosed?

Celiac: Typically people get blood work for specific celiac antibodies but there is a lot of debate on how accurate a negative result is. Most accurate is an endoscopy with biopsy looking specifically for the celiac antibodies or pathology. ...Read more

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How are gluten intolerance and celiac disease typically treated?

Celiac: Strict avoidance of any gluten containing products with supplementation of vitamins and minerals for whatever is lost with the elimination of gluten from the diet. ...Read more

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Can infants have celiac disease or gluten intolerance?

Yes: Yes, but may not show symptoms for years. While milk fed, will not seee any symptoms until those foods are introduced. ...Read more

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How can you treat gluten intolerance and celiac disease?

Avoidance: Currently, the only treatment for celiac disease and gluten issues is to eliminate gluten containing foods (wheat and other grains) from the diet completely and indefinitely. ...Read more

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Whats the difference between gluten intolerance and celiac disease?

Gluten intolerance: Celiac disease or sprue is an autoimmune disease and gluten intolerance is not even though the literature is sometimes confusing. ...Read more

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Can you tell me how common gluten intolerance and celiac disease are?

1/1000 : The range of listed frequency is from 1/250-1/4000 births. There is ethnic variation with a higher frequency among those of european descent. ...Read more

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I was diagnosed with gluten intolerance but does this mean I have celiac disease?

Celiac is autoimmune: An intolerance is different from an autoimmune disease. Celiac is an autoimmune disease where antibodies attack the lining of the intestines. In both cases, you will stay away from wheat gluten, but they are not the same process. You can be tested for celiac by a blood test and an endoscopic biopsy. ...Read more

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Is raynaud's disease correlated/associated with gluten intolerance/celiac disease? If so why/in what way?

No: Raynaud's does not usually involve the intestinal tract. Its symptoms are sensitivity to cold causing pain, coldness, and color changes in the hands and feet. ...Read more

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Celiac disease, gluten intolerance, or ulcers, how do I know which i have?

Get tested: Discuss your concerns with your physician. A series of blood tests can begin the process but additional GI tests including endoscopy ( looking through a scope) or intestinal biopsy may be needed as the workup progresses.These studies could confirm or exclude this diagnosis. ...Read more

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Does celiac disease or gluten intolerance relate with nausea?

Possibly: Celiac and gluten intolerance can present with nausea. Do you have other symptoms such as weight loss, bloating, or diarrhea? If so I would go in for an evaluation by your doctor. ...Read more

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Gluten intolerance/celiac disease, can it cause me to miss periods?

Not usually: No, not typically. If your celiac is very severe and out of control, this can result in severe iron deficiency anemia or malnutrition/underweight status. These could cause irregular periods. ...Read more

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Can a thyroid condition cause a gluten intolerance or celiac disease? Can the thyroid cause any other food intolerances?

Can a thyroid condition cause a gluten intolerance or celiac disease? Can the thyroid cause any other food intolerances?

Association: Celiac sprue is an autoimmune disease. Those with celiac sprue are more likely to develop thyroiditis. Those who first present with thyroiditis are much less likely to get celiac sprue. If you have an over or under active thyroid then it might affect the way your digestive tract works. You could develop constipation, diarrhea, reflux. Different foods might bother you more if you suffer from this. ...Read more

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Gluten (Definition)

Wheat barley rye contains gluten, a protein molecule that in susceptible people can cause reactions and long term illness. There is celiac, the most well known and severe gluten disease. There is gluten sensitivity, affecting more people, but usually milder. There is wheat allergy, less common than the others. The treatment, for now, is to avoid all gluten in ...Read more


Dr. Gabriel Niles
217 doctors shared insights

Food Intolerance (Definition)

Also known as non-allergic food hypersensitivity, this refers to difficulty in digesting certain foods. It is important to note that food intolerance is ...Read more