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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain Despite On Gluten Free Diet While Having Celiac Disease?

Hello! Thank you for your time. I have Celiac Disease. I ve been gluten free since last Sept. I ve had symptoms off and on since I was diagnosis. Right now my upper abdomen hurts, burns, and it feels like I need to have a bowel movement even though I m not constipated. I m thinking Leaky Gut Syndrome. I have an appt with GI Dec 21st
Wed, 20 Mar 2019
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General & Family Physician,  's  Response
Hello,

I have gone through your question very carefully. As you said, you are on a gluten-free diet but still, you have symptoms. This may be refractory cases which is a little rare.

So, firstly, I would like to give you some tests:

1. Biopsy of the duodenum and jejunum

2. Thyroid Function Tests (T3, T4, TSH)

3. Serum Ferritin.

Now I would like to provide you some details about gluten-free diets. Allowed fresh foods.

Many naturally gluten-free foods can be a part of a healthy diet:

Fruits and vegetables, Beans, seeds and nuts in their natural, unprocessed forms, Eggs, Lean, nonprocessed meats, fish and poultry.

Most low-fat dairy products. Grains, starches or flours that you can include in a gluten-free diet include:

Amaranth, Arrowroot, Buckwheat, Corn and cornmeal, lax Gluten-free flours (rice, soy, corn, potato, bean). Hominy (corn), Millet, Quinoa, Rice, Sorghum, Soy, Tapioca (cassava root), Teff, Grains not allowed.

Avoid all foods and drinks containing the following:

Wheat, Barley, Rye, Triticale (a cross between wheat and rye), Oats (in some cases). Strictly follow the above module.

In each food package, Gluten-free or not is mentioned. See those before eating.

If despite having a gluten-free diet, you have these symptoms, immunosuppressants or steroid has to be prescribed.

With the results of the tests, please post another question, I may follow you up. Meanwhile, be cautious about the diet and follow the above module which I gave.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Dipan Samanta, General & Family Physician
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What Causes Abdominal Pain Despite On Gluten Free Diet While Having Celiac Disease?

Hello, I have gone through your question very carefully. As you said, you are on a gluten-free diet but still, you have symptoms. This may be refractory cases which is a little rare. So, firstly, I would like to give you some tests: 1. Biopsy of the duodenum and jejunum 2. Thyroid Function Tests (T3, T4, TSH) 3. Serum Ferritin. Now I would like to provide you some details about gluten-free diets. Allowed fresh foods. Many naturally gluten-free foods can be a part of a healthy diet: Fruits and vegetables, Beans, seeds and nuts in their natural, unprocessed forms, Eggs, Lean, nonprocessed meats, fish and poultry. Most low-fat dairy products. Grains, starches or flours that you can include in a gluten-free diet include: Amaranth, Arrowroot, Buckwheat, Corn and cornmeal, lax Gluten-free flours (rice, soy, corn, potato, bean). Hominy (corn), Millet, Quinoa, Rice, Sorghum, Soy, Tapioca (cassava root), Teff, Grains not allowed. Avoid all foods and drinks containing the following: Wheat, Barley, Rye, Triticale (a cross between wheat and rye), Oats (in some cases). Strictly follow the above module. In each food package, Gluten-free or not is mentioned. See those before eating. If despite having a gluten-free diet, you have these symptoms, immunosuppressants or steroid has to be prescribed. With the results of the tests, please post another question, I may follow you up. Meanwhile, be cautious about the diet and follow the above module which I gave. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dipan Samanta, General & Family Physician