Doctor insights on:
Vitiligo And Gluten Intolerance
My wife has had a lot of autoimmune issues -gluten intolerance, severe post pregnancy pupps rashes, vitiligo. We think these are connected. Any cures?
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
Intolerance or more?: Gluten intolerance (about 10% of people) may cause bloating, diarrhea, nonspecific complaints. Celiac disease, among its many manifestations may result in diarrhea. In the latter, exposure of intestine to gluten causes inflammation of affected gut lining, with a decrease in absorptive surface of that gut, & resulting malabsorption of food--best & most enduring fix being to avoid eating gluten. ...Read more
Unlikely : The problem with gluten intolerance is it's ability to cause minor symptoms that overlap with many other conditions not be recognized in it's lesser forms.The full blown celiac disease is likely an endpoint to those with the worst expression, but the diagnostic gut lesions improve on a gluten free diet only to return if re-introduced. Gluten can be avoided for life and still be a good one. ...Read moreSee 1 more doctor answer
Yes/recognition: This is a disorder that has likely existed since the introduction of gluten source grains. However, we have not always had the lab tests/procedures available to focus our workup to the proper diagnosis. Lab testing has shown many that have sensitivity without full blown celiac disease. (biopsy proven) It is also trendy to go gluten free for all sorts of mythical benefits in humans (& even pets) ...Read moreSee 1 more doctor answer
Celiac disease: Gluten intolerance is called celiac disease. It is caused by the body forming antibodies (iga) to gluten. You have to have exposure to gluten before these antibodies can form. Fetuses may be exposed to gluten in utero but don't seem to make antibodies until they are born. Babies antibodies at birth come from the mother (igg from blood and IgA from breast milk). ...Read more
Simple testing: Lactose intolerance can be objectively assessed by breath testing or subjectively by response to lactase replacement or lactose avoidance/then reintroduction. Serum testing to tissue transglutaminase antibody and/or anti-endomysial antibody are sensitive markers for gluten sensitive enteropathy. These markers can also assess a celiac patient's compliance with gluten avoidance. ...Read more
Testing: Gluten is composed of multiple proteins that can trigger antibodies and lead to a variety if symptoms.Gluten antibody tests (blood tests) can show the existence of IGA and IGG antibodies to components of the gluten protein.Sensitivity can be mild or major, with the most affected showing changes found on intestinal biopsy. ...Read more
Gluten: Some symptoms can be abdominal pain, vomiting, diarrhea; but sometimes no symptoms appear in the age and the child doesn't grow well which can be the first important clue. I just had a 7 year old last week that didn't grow or gain any weight from the previous checkup and ended up with celiac's (awaiting confirmation from a endoscopy) based on blood results. ...Read moreSee 1 more doctor answer
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?
Can a gluten intolerance have an onset later in life (starting in your 20s) or is it more typical that one would have an intolerance from birth?
Never from birth: The body has to first be exposed to a protein (in this case gluten) before it can develop antibodies against it. This may take place after the first exposure or after the 10, 000th. So, one never sees it from birth, rarely in infancy, but commonly in children and adults. ...Read moreSee 1 more doctor answer
Would going almost 18months eatinga gluten filled diet cause irreversible damage ina person with intolerance?Found out recentlyihad gluten intolerance
Got celiac sprue?: "gluten intolerance" is loose term. Some people feel better cutting out foods containing gluten- grains, because they cut down on poorly digested carbohydrates, not because of lass gluten. True gluten disease needs a gluten free diet - for life. 18 months of a gluten filled diet won't cause irreversible damage. ...Read moreSee 1 more doctor answer
Education: Improvement is based on gluten avoidance. You need to learn to scan the content info on foods you buy and visit websites that describe the gluten free lifestyle. Chance exposure will occur in some odd places, like gravies and other produce.Most beers and many other drinks may have gluten. As you educate yourself you will find substitute foods and many gluten free items. Life is OK but different ...Read moreSee 1 more doctor answer
Weight loss: If you are experiencing unexplained weight loss, gastrointestinal symptoms especially after having eaten gluten (usually in wheat), and even nerve problems (numbness, you should considered being tested for gluten intolerance. A simple blood test may provide the diagnosis (although not as definitive as an intestinal biospy) but you must be eating gluten for the test to be accurate. ...Read more
See your doctor: A detail history will be taken by your doctor, along with a physical exam. Then diagnostic tests should be done, including measuring anti gliadin antibodies. A total IgA also needs to be measured because if this is low you tests for celiac disease can be erroneously normal. A small bowel biopsy is confirmatory. ...Read more