Gluten Intolerance crept up on me in my mid-70s, and it took me 3 years to diagnose it – I wrote it off to bowel problems related to age. Gluten is basic to bread, bread crumbs, batter, cake and lots of other food. Gluten Intolerance affects almost 10% of the population, and clearly it can come on with aging, often linked to stress.
It is rarely referred to recently on the site, and I am wondering how many bowel accidents are in fact related to it. There is a worse variety of reactions known as Celiac Disease, but straight intolerance has changed my life (or at least my shopping and cooking).
Check it out, if you are dealing with diarrhoea!
I am also glad you pointed out the difference between an "intolerance" and an "allergy" or a diagnosis of Celiac Disease.
While someone with an intolerance might be able to have a cookie they certainly have problems with a bowl of pasta..
When caring for my Husband I kept a journal (sounds so much more adult than a Diary🤣) And as a day to day note I wrote what he ate and if he was having problems with constipation or even what I called "constipated diarrhea"
So keeping notes is a good thing when you are dealing with any problem, it makes it easier to connect the dots as you get more info.
"This is actually an area of ongoing research. Some people clearly develop symptoms when they eat wheat-containing foods, but they do not have Celiac disease and do not have a wheat allergy.
This condition is often called non-celiac gluten sensitivity (NCGS) or non-celiac wheat sensitivity.
The interesting part is that in some people, the problem may not actually be gluten. Possible explanations include:
1. Sensitivity to Other Components of Wheat
Wheat contains more than just gluten. It also contains:
- fructans (a type of carbohydrate)
- amylase-trypsin inhibitors
- other proteins
Some people who think they are gluten intolerant may actually be reacting to fructans.
Fructans are part of a group called FODMAPs. These can cause:
- bloating
- gas
- abdominal pain
- diarrhea
- especially in people with Irritable bowel syndrome
2. Changes in the Gut Microbiome
Researchers suspect that some people have gut bacteria that process wheat products differently, leading to:
- inflammation
- gas production
- altered bowel function
3. Increased Intestinal Sensitivity
Some people have a digestive tract that is simply more sensitive to certain foods. The gut nerves may overreact even when there is no measurable tissue damage.
4. Temporary Intolerance After Illness
Sometimes after a stomach virus, food poisoning, major illness or gastrointestinal infection people become temporarily sensitive to foods they previously tolerated well.
5. Autoimmune or Inflammatory Conditions
People with:
- Hashimoto's thyroiditis
- Type 1 diabetes
- other autoimmune disorders
sometimes report increased sensitivity to wheat-containing foods even when celiac testing is negative.
What Symptoms Do They Get? Symptoms can include:
- bloating
- diarrhea
- constipation
- abdominal pain
- fatigue
- brain fog
- headaches
- joint aches
Unlike celiac disease, there is no villous damage in the small intestine, no characteristic celiac antibodies, no increased risk of intestinal lymphoma.
Before someone decides they are "gluten intolerant," doctors usually recommend testing for celiac disease while still eating gluten. Once a person goes gluten-free, it becomes much harder to determine whether celiac disease was actually present.
In practice, many people who say they are gluten intolerant end up finding that they're really sensitive to wheat, fructans, or high-FODMAP foods, rather than gluten itself. The symptoms are real, but the underlying cause may be different from celiac disease."
"Foods High in Fructans (Often the Real Problem)
Wheat-based foods:
Bread
Pasta
Crackers
Tortillas made with wheat flour
Bagels
Pizza crust
Cereals containing wheat
Onion family (These are among the biggest triggers):
Onions
Garlic
Shallots
Leeks
Many people who think they are gluten intolerant actually react strongly to onions and garlic.
Other high-fructan foods
Artichokes
Asparagus
Brussels sprouts
Cabbage (for some people)
Chicory root/inulin
Some protein bars and fiber supplements
Foods Usually Safe on a Low-Fructan Diet
Grains and starches
Rice
Potatoes
Corn
Oats (if tolerated)
Quinoa
Proteins
Beef
Chicken
Fish
Eggs
Vegetables
Carrots
Cucumbers
Lettuce
Spinach
Green beans
Bell peppers
Fruits
Blueberries
Strawberries
Grapes
Oranges
Kiwi
A Common Pattern- Someone says: "Bread kills my stomach." Then they discover sourdough bread causes fewer symptoms, pasta is sometimes okay, but garlic bread is terrible.
That often points more toward fructans than gluten itself."