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You are here:  Experts > Health/Fitness > Women's Health > Family, Internal Medicine, General Medical Questions > wheat allergy

Family, Internal Medicine, General Medical Questions - wheat allergy


Expert: John Thai, M.D. - 8/14/2009

Question
Hello!  I have a family history of celiac disease (gluten allergy).  I have GI problems myself, but they are not too severe as of yet.  I went for a month without eating wheat at all, and now it seems as if when I eat wheat my digestive system cannot tolerate it at all.  I did not have these problems with wheat with this severity before the wheat-free month.  I understand that in persons with celiac disease, the gluten in wheat destroys the lining of the intestine.  So, I began to wonder...since I do seem to have a mild intolerance to wheat, and if I were to eat only a small amount of wheat or gluten in my diet, would my intestine still be in danger of being damaged, even in small amounts?  

So, here is my question for you:  Are there levels of intolerance per gluten intolerant person in which some persons can eat varying amounts of wheat without risk of damaging their intestinal lining, or does every gluten intolerant person need to totally exclude wheat from their diet the rest of their lives?

Thanks so much for your help!  I so appreciate you!
--Mariah

Answer
hi mariah,

certain individuals can be intolerant to foods in which they cease to eat and restarted weeks or months later. however, it generally can be resolved from a slow reintroduction to the product. your case, on the other hand, is a bit more tricky as celiac disease can present at any age. it is more common in children. however, it can occur in a 30 or 80 year old as well. it is more common in adults after 60 year old on average.

as of my knowledge, there is no facts supporting a small gluten meal which will not risk some sort of damage in an intolerant person. so excluding gluten for the rest of their lives may be the only effective and appropriate measure.

my only advise would be to adopt a gluten-free lifestyle which may reverse the damage associated with celiac disease. my second advise would be to obtain blood tests (transglutaminase IgA, endomysial IgA, and reticulin IgA) to rule out celiac disease. up to 10% of patients with celiac disease, however, may turn up negative for these blood tests.

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