Doctor insights on:
Is Gastroparesis Caused From Celiac
connective tissue :
Connective tissue disease: test for sjogren's (blood & sialogram) autoimmune thyroid,
explore with your doctor : omeoprazole & Erythromycin & domperidone. Botox injections into pylorus muscle for stomach pain and nausea.
Avoid raw veggies, grind food up when things are very bad.
There does not need to be one primary autoimmune disorder. ...Read more
Can a small bowel series diagnose Chrone's , Gastroparesis and Dumping syndrome? I know celiac disease has a blood test but it is a possible also.
35 yr-old started with paresthesias 4 yrs ago, that generalized to include autonomic symptoms and gastroparesis, looking for effective treatment.....?
Neuro exam?: Interesting case, but I'd like to know about her neuro exam. By the history, her symptoms haven't progressed in a length-dependent manner (especially given the facial sensory involvement) and this points me toward a sensory neuronopathy aka sensory ganglionopathy. These patients would be expected to have proprioceptive impairment-- if she is still a dance instructor, I doubt her proprioception is impaired. If her neuro exam and nerve conduction study are truly normal, I suspect any additional testing will be normal as well. ...Read more
Celiac disease: Inflammation is a non-specific descriptive term. Celiac disease (if not controlled via strict gluten free diet) will increase inflammatory cells along the intestinal lining. If you have biopsy-confirmed celiac disease, stay gluten-free in your diet. Unless you have other chronic gi-related conditions, a strict gluten free diet will prevent gut inflammation in celiac disease. ...Read more
Celiac disease: Celiac disease can cause a whole host of problems, and is one of the great mimics. It can cause headaches, weight loss, anemia, infertility, abdominal pain. And some patients do complain of a change in their body odor. I would ask your doctor to check your blood tests for the typical antibodies associated with celiac disease, and if you carry the diagnosis, explore possible gluten contamination ...Read more
It is known that celiac dz is associated w autoimmune diseases (antibodies against one's own tissues, eg diabetes-I).A letter in the Scandinavian Journal of Rheum in 2010 reported evidence of scleroderma-like activity in celiac disease. Raynaud's is found in cases of scleroderma, an auto-immune disease that causes scarring that can impede blood flow to fingers.
2010, Vol. 39, No. 5 , Pages 438-43 ...Read more
Yes: If you continue to consume gluten with a diagnosis of celiac disease, the gluten will damage the surface of the small intestine thus impairing your ability to absorb many nutrients leading to weight loss. However you need to consult your doctor to document the diagnosis since there are other conditions which can cause unexplained weight loss. ...Read more
Genetics: If you are born with genetic mutations, hla types dq2 or dq8, this predisposes you to develop celiac disease. Then it is usually an environmental trigger, like abnormal gut microbes or infection that triggers it from being a genetic predisposition into an active condition. The condition starts with damage the the microvilli that line the gut and eventually ends with total villous atrophy. ...Read more
Celiac disease: In Celiac disease the body reacts to gluten (in wheat and gluten like proteins in rye and barley) in the small intestine causing damage. This limits the intestine's ability to absorb some nutrients. Classically people have loose stool, bloating, and abdominal discomfort but more often are just found when screened for other reasons (like symptoms of a nutritional deficiency like iron or bone loss). ...Read more
Maybe unrelated...: Celiac disease (cd) is an immune-mediated enteropathy that inflames & destroys the lining of the small intestine--triggered in genetically-determined persons by dietary exposure to gluten (protein in wheat, barley, rye). Lots of immunologic & inflammatory symptoms can result. However, dizziness in a 56 year old lady can be serious, unrelated to cd, & deserves cardiovascular & neurologic work-up. ...Read more
Lots of things do: Your nausea may have little to do with the gut. Biliary ; pancreatic disease may be present. Gas/bloat syndrome? Consider "central" causes like: motion sickness, vertigo, migraine headache, brain problems (some very serious). Also, rule out infection (? Urinary tract), food poisoning, medication side effects, pregnancy, ; even stress. Yes, celiac disease may contribute, but best get checked. ...Read more
Not directly, but...: People who manage their diet to avoid gluten may risk becoming deficient in a variety of necessary nutrients. It's possible to learn how to have a varied, full range of foods, but it takes time and interest. Sun-sensitivity is a symptom of pellagra (a Niacin (vitamin b3) deficiency). It can be quite serious so eat tuna, salmon, or ground beef if you can, or snack on peanuts daily. ...Read more
Harms sm. intestine: Celiac disease leads to inflammation and damage of the lining of the small intestine, which causes decreased absorption of nutrients, vitamins, iron, etc... The intestinal lining loses its microscopic "villi", which are tiny protrusions that maximize the absorptive surface area needed to absorb nutrients. A patient gets diarrhea, anemia, lactose intolerance, tummy aches, irritable bowels, etc... ...Read more
It can: Many patients with celiac disease suffer from anxiety, panic attacks, depression, and irritabity. Some actually describe that they can feel decreased mental acuity when ingesting gluten and call it the "gluten fog". Interestingly enough, gluten can also be related to sleep disorders such as insomnia and restless leg syndrome. ...Read more
If you have celiac disease, you might be low in vitamin D3 as the gut absorption might be decreased
Low vitamin D3 has been associated with depression. Depression can cause low appetite, like a lot of other conditions
If you have gastro symptoms due to your celiac (pain, diarrhea) that might affect your appetite as well ...Read more
Giardia lamblia: Giardia lamblia, a single call protozoan (think paramecium) parasite is found in fresh water. It takes up residence in the small intestine causing symptoms mimicking celiac disease. The organism may be detected in a stool specimen. Sometimes endoscopy is necessary for diagnosis. Treatment is curative. ...Read more
Yes: If you mean abdominal symptoms and diarrhea then the answer is "yes.". ...Read more
I am suspecting that my child(1 year) has a celiac disease , I am far from the hospital can I get virtual diagnosis cause it has been 6 months?
Needs an eval: I find it unlikely the kid would have CD at 1 yr but it can happen.As a lifelong label with important implications (risks of other diseases) it requires a thorough basic evaluation.This would also include initial blood screening tests for tissue transglutaminase IgA & an IgA level.To be accurate the kid would need to ingest a gluten for the 3 wks prior to testing. A biopsy to confirm is standard ...Read more