Expert: Dr Alan Galbraith - 9/6/2009

Question
Hi Dr.
Although my bloodwork came back normal for celiac, my doctor says I might have gluten sensitivity which is causing my abdominal distension (not fat).
He said to avoid gluten for at least a month.
Also there are no drugs but I should take more vitamin D.
I am wondering about the mechanism involved in the distension-why does it happen? Is it an inflammatory response? Its not gas as I take gas relief pills.
Thanks for any help and any other advice you can offer.

Answer
Dear Van

It is an inflammatory response which is quite complicated in its cause and effect. To put it simply, gluten harms the surface cells of the intestine making the absorption of water and digested foodstuffs difficult. This then leads to distension and usually diarrhoea. It may not be gluten in your case but your doctor obviously wants to exclude that cause before doing any other follow-ups. Without knowing what is actually causing your problem it is really futile to suggest any treatment at the moment. Let's see how you go in the next month.

Regards

Dr Alan Galbraith