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3
30th October 23:48
External User
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can someone answer me a quick question celiac(possibly) (celiac gluten-free diet x-ray panic)
Mike,
IF you've got celiac disease (CD), you didn't just get it. You've had
it all your life. You might be able to look back to when you were a
kid or in early ****s and start remembering some things that will
begin to pop out at you as you study more about CD, because it will
often pop up in childhood, not be diagnosed (few docs knew what it was
back then or just believed it was extremely rare), and then it can go
underground, so to speak, through adolescense and earlier adult years.
Personally, I didn't begin to get really sick until I was just over 30
- I thought. But I later realized, looking back, that while the blood
was not present as an adult, I had a few bouts with blood (and not
just a little, at times) as a kid around age 12, and all sorts of
other things that are often signs of CD as a kid - it just wasn't
diagnosed properly. In fact, I spent my entire Easter vacation from
school in the hospital and they were about to go in and start looking
for what the problem was in my small intestine, even though the x-ray
studies never showed anything conclusive. Fortunately the bleeding
stopped long enough for them to hold off on the major surgery (looking
for something called Mekels diverticulum at the time - which was only
just their theory). I was discharged with the understanding that I'd
tell my mother if I ever had bloody stools again. You think I ever
told her when it happened again?!? Not on your life! Even at ate 12,
I decided that nobody was going to cut out a few feet of my small
intestine just to find out IF I had what they suspected. I never told
a soul again (fortunately it was never as bad as the night that landed
me in the hospital). And since that was 1960, I can look back and see
that I made an outstanding decision to keep my mouth shut. They'd
never have figured out what it was back then anyway, but I'd have had
to go through major surgery and lose some of my small intestine just
to confirm that they couldn't figure out what was wrong with me.
Fast forward to slightly over age 30 (more than 20 years ago) when it
resurfaced with a vengeance: I also had a distinct pain in my upper
right abdomen, just barely under the lowest rib. I was checked for
liver problems (none), gall stones (not even a little tiny grain of
sand), and nothing explained the pain in that area. At times I
noticed what seemed like a fairly hard mass in that region when the
pain was present, but not always. The first time I felt it, I was in
a panic, thinking I had a huge tumor that I'd never noticed before the
pain started. It turned out that my entire GI tract was so affected
by the damage done in my small intestine, that I was having spasms in
the large intestine where the ascending colon makes the turn into the
transverse colon. I was "merely" feeling muscle spasms in that spot
(why there, I still have no idea). Even the colonoscopy didn't really
pick up anything in that area. I was in such bad shape by then that
much of what I ate literally went completely through undigested.
You can get all sorts of symptom lists here and on web sites, but at
this point, don't lose any sleep over it - just go through the
diagnostic routine(s), but MAKE SURE your physician is highly
experienced with celiac disease, or go find one who is. S/he needs to
know which blood tests are worth using, and which ones aren't, and
needs to know that the "gold standard" is an endoscopic biopsy of the
small intestine. (Yeah, I went through a couple of colonoscopies
before they figured out they'd looked in the wrong end. <<<grin>>>)
Assuming it's not thyroid cancer - and even that's quite manageable in
most cases - you can relax. Either thyroid problems or CD can be
quite well managed once they're properly identified and appropriate
treatment begins. In the case of CD, it's just a bit of a steep
learning curve at first to learn how to read labels on food
(especially if you don't live in a country that requires gluten to be
identified or ruled out in a food). But once you've learned what you
can eat - and where - over a period of time you'll begin to settle
into a very normal routine and CD can become more of a minor
inconvenience rather than a major life issue for you. And fortunately
these days there are some really good alternative ingredients for all
of my favorite foods that I went without for nearly 10 years (pizza,
chocolate brownies, sandwiches, etc.). I feel like I eat rather
normally, and just have to be careful which restaurants I eat in, how
they prepare food, what possible cross-contamination issues may exist
in certain restaurants (or even our own kitchen), etc. Again, that
comes with time, and what's life-changing at this point, really can
become rather "normal" seeming down the road if it's CD.
Of course, that requires that you absolutely, positively, NEVER
"cheat" on your diet. If you get a definitive diagnosis, don't ever
play the common game of "denial" that comes with any life-changing
condition, where you start feeling really good, begin putting on
weight again, and wonder after a few months or a year or so if MAYBE
they got the diagnosis wrong, and you decide to just "try" a little
bread, pizza, cake, whatever, to see if you can tolerate it again.
You may even thing you're getting away with it for a while, making you
feel even more bold - until it hits you again. No, if you do get a
positive diagnosis for CD, just get into a gluten-free routine and
eventually it will become relatively commonplace for you, and won't be
all that big a deal. If you're married and your spouse is
understanding about which utensils she uses in cooking which diet
(assuming she doesn't go gluten free), and learns to read food labels
right along with you and is sensitive and supportive, you'll adjust
nicely with a little time.
Just remember: if it is CD, finding out now sure beats finding out
later when many of the possible "side effects" can also have kicked
in, perhaps the worst being non-Hodgkins lymphoma (a virtual death
sentence once it's finally diagnosed in the places CD patients usually
get it). Fortunately, if you go truly gluten free, the studies I've
read seem to indicate that the likelihood goes back down toward the
same likelihood as the general population. At you're age, it's likely
that you've caught this in time (again, assuming it really is CD), and
can live a nice, long, happy life. The cancer connection simply
serves as a great reminder to me that I don't want to get lazy in my
diet. I don't get easily noticeable symptoms at first, though I'm way
past the denial stage where I tried to go slowly back on
gluten-containing foods. For that reason, it's easy to get complacent
and slack off on vigilance since I'm not blessed with a more immediate
response to let me know right away that I messed up.
Again, don't panic. Just be sure your gastroenterologist is well
experienced in working with CD - and don't be afraid to ask questions
along those lines. It's YOUR body, no his/hers, and you pick the
best, most experienced person you can find.
Best wishes,
C.R.
(Been there, done that! And lived comfortably to tell about it.)
<<grin>>
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