Will A Gluten-Free Diet Help

Will a gluten-free diet help if you have Microscopic Colitis (MC)? https://my.clevelandclinic.org/health/diseases/17227-microscopic-colitis Possibly. About 50% of MC patients also have celiac disease.

older woman sitting on gray couch in front of bookshelves holding her stomach

Microscopic Colitis is so named because your colon may look normal until tissue is examined under a microscope. This can make it hard to diagnose. And while you’re trying to get a diagnosis, symptoms may be disrupting your life.

MC is an inflammatory bowel disease that causes frequent, watery diarrhea and abdominal pain. Many patients lose weight. Others gain. It’s easy to end up dehydrated. And forget eating meals out, or even leaving your home for an extended period of time until you get it under control.

Once diagnosed, your doctor may recommend changing some medications and adding others, adding supplements, and identifying food intolerances. There’s no standard list of trigger foods although the most common are alcohol, caffeine, gluten, dairy, and sugar.

It’s easy to identify alcohol, caffeine, dairy, and sugar, but eliminating gluten is sometimes confusing. To do so, you’ll need to avoid wheat, rye, barley, and malt and their derivatives. That means look for these problematic items on a label:

Barley Grass

Barley Malt

Beer (there are GF varieties)

Bleached Flour

Bran

Bread Flour

Brewer’s Yeast

Brown Flour

Bulgur Wheat

Cookie Crumbs

Cookie Dough

Couscous

Durum wheat

Edible Coatings

Edible Films

Edible Starch

Enriched Bleached Flour

Enriched Bleached Wheat Flour

Enriched Flour

Farina

Farina Graham

Farro

Filler

Flour

Fu

Germ

Graham Flour

Groats

Hard Wheat

Hydrolyzed Wheat Gluten

Hydrolyzed Wheat Protein

Hydrolyzed Wheat Starch

Kamut

Maida

Malt

Malted Barley Flour

Malted Milk

Malt Extract

Malt Flavoring

Malt Vinegar

Matza

Matzo

Matzo Semolina

Orzo Pasta

Pasta

Pearl Barley

Triticum

Roux

Rusk

Rye

Semolina

Semolina Triticum

Spelt

Sprouted Wheat or Barley

Tabbouleh

Unbleached Flour

Vital Wheat Gluten

Wheat

Wheat Bran Extract

Wheat Germ Extract

Wheat Nuts

Wheat Protein

Whole-Meal Flour

The following items sometimes contain gluten:

Artificial Color

Baking Powder

Boxed Cereals

Broth

Caramel Color

Caramel Flavoring

Clarifying Agents

Coloring

Dextrins

Dextrimaltose

Dry Roasted Nuts

Emulsifiers

Enzymes

Fat Replacer

Flavoring

Food Starch

Food Starch Modified

Glucose Syrup

HPP

HVP

Hydrolyzed Plant Protein

Hydrolyzed Protein

Hydrogenated Starch Hydrolysate

Hydroxypropylated Starch

Maltose

Miso

Modified Food Starch

Modified Starch

Natural Flavoring

Salad Dressing

Natural Flavors

Non-dairy Creamer

Oats

Seasonings

Soba noodles

Soy Sauce

Soup

Stabilizers

Starch

Tomato Paste

Vegetable Gum

Vegetable Starch

Vitamins

Wheat Starch

Beyond these common triggers, you may need to keep a food journal over a period of time in order to isolate other foods you cannot tolerate.

With the use of medication and dietary changes, it may be possible to resume most of your usual activities with confidence. For help dealing with lingering problems, MC support groups are available.

Is Your Gluten-Free Tummy Tied in Knots?

Is your gluten-free tummy tied in knots? You’ve given up your favorite Hawaiian bread, yeast rolls, biscuits & gravy, cake, crackers and doughnuts, but your tummy still feels like it’s tied in knots. That doesn’t seem fair! What’s going on?
knots
Before you grab a doughnut while pondering this question, keep in mind that gluten is not the source of all abdominal pain – even for a person with Celiac Disease.

In December, I contracted rotavirus (don’t believe anyone who says adults don’t get it). After a couple of miserable rounds of it, I could finally get off the couch and eat! The problem was, my system could no longer break down many foods. Almost two months down the road, I still have to avoid nuts and seeds, raw greens, and beef unless it’s shredded. I am slowly improving, but still often one food choice away from significant pain.

I have a friend who spent the bulk of 3 months on the bathroom floor after gall bladder surgery. Removing the source of the problem did not mean an instant end to her tummy troubles. She followed her doctor’s dietary recommendations, but her system adjusted much more slowly than anticipated.

One of my former employees has Crohn’s Disease that caused significant pain before she began a monthly regimen of chemotherapy. Now she has few restrictions and little pain.

There are many other medical conditions that cause stomach and abdominal pain – Inflammatory bowel disease, irritable bowel syndrome, hiatal hernia, ulcer, kidney stone, endometriosis, pelvic inflammatory disease, appendicitis, bowel blockage, hepatitis, gastroesophageal reflux disease (GERD), parasitic infection, and urinary tract infection.

Sometimes the aftermath of another condition causes the stomach lining to become inflamed or swollen causing gastritis that results in abdominal pain.

The point is, you can be getting healthier after removing gluten from your diet and still experience tummy pain. I know, that sucks. And it makes things confusing. It’s one of those unfortunate, frustrating possibilities.

Another possibility is that you have learned through traumatic experiences to reroute emotions like terror, rage, horror, or helplessness to portions of your body where you then experience those emotions as physical pain. Most of us have experienced a sinking feeling in our gut as a result of fear or stress. Imagine if you multiplied that feeling in intensity, duration, and/or repetitiveness. The resulting feeling could be that your tummy is tied in knots.

The original response to a stress may have been emotional, but the resulting response to similar situation becomes physical pain. Untangling the messages of somatic experience can take time. Sometimes it is difficult to determine the origin of physical pain.

I’m aware that I’ve shared lots of words with you that are not definitive for determining why your tummy is tied in knots. Hopefully, something you read here will give you a starting point for describing your pain to your physician or therapist.

In the meantime, if you have Celiac Disease or gluten intolerance, I encourage you to stay the course with your gluten-free regimen. You may be getting better even if your tummy is tied in knots.