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Coeliac Disease - more common than people think
By Deborah Condon
Coeliac disease is more common than most people realise. In fact, there is a major lack of awareness of the condition in this country, with the result that many people with it have not and may never be diagnosed, according to the Coeliac Society of Ireland.
Coeliac disease is a condition in which there is an abnormal reaction by certain cells in the immune system to gluten. This can result in symptoms, such as diarrhoea, chronic fatigue, anaemia, weight loss and recurrent mouth ulcers.
Gluten is a general term used for a type of protein that is found in wheat and related grains, such as barley, rye and oats. When it is consumed, the lining of the small intestine becomes damaged, reducing the person's ability to absorb certain nutrients, such as iron and calcium - these are essential to the body.
Gluten is a type of protein found in wheat
Ongoing damage to the lining of the intestine also increases the need for continuing tissue repair. This in turn can increase the risk of cancer of the intestine. Gluten sensitivity may also manifest in other ways, for example a person may develop a skin condition called dermatitis herpetiformis.
Speaking to irishhealth.com, Emma Clarke Conway of the society explained that because there are no official records about the disease in Ireland, the exact number of people affected is unknown. Estimates indicate that between seven and nine people per 1,000 are affected, or almost 1% of the population.
However many people remain undiagnosed because the condition may not be obvious.
"For example, people may not be tested for coeliac disease but they may be advised to stop eating wheat. This may improve their symptoms, but as a result they may never be diagnosed with the condition", she said.
While the exact cause is unknown, there is clear evidence of a genetic factor. In other words, some people will be born with a predisposition to developing the condition. The actual onset is then triggered in susceptible people by what the society refers to as 'an environmental event'.
"This can refer to a range of things, from stress on the body to becoming pregnant", Ms Clarke Conway said.
It has also been suggested that the introduction of gluten to the diet during weaning - either too much or too early - may contribute to the onset, as may a variety of viral infections.
The diagnosis of coeliac disease may involve blood tests, however these are insufficient to make a definite diagnosis. The only definitive way to diagnose the condition is to have a biopsy. A sample of tissue from the lining of the small intestine is taken. The procedure takes just 10 to 15 minutes.
The condition does not appear to be gender-specific. However according to Ms Clarke Conway, as women are more inclined than men to visit their GP if they are experiencing health problems, there are probably more women who have been diagnosed with the disease. The condition can also affect people of any age.
There is no cure for coeliac disease, however it can be effectively controlled by diet alone, therefore it is essential that those affected know what they can and cannot eat. So if a person is diagnosed, what exactly can they include in their diet?
Many foods are naturally gluten-free, such as unprocessed fruit, vegetables, milk, eggs, rice, fish and meat (except sausage meat). The main foods to be avoided include bread, cakes, biscuits, pizza, pasta, spaghetti, as well as certain soups, sauces, gravies and breakfast cereals.
Unprocessed vegetables are naturally gluten-free
When cooking, breadcrumbs should not be used and do not dust meat, fish or poultry with flour. Sauces and gravies that are thickened with flour or starch containing gluten, should be avoided. Wheat products such as wheat flour, wheat bran, noodles, spaghetti, macaroni and ravioli, should also be avoided.
The following are gluten-free products that can be used as substitutes for some of the foods above:
-Ground rice.
-Rice flour.
-Cornflour.
-Maize flour.
-Potato flour.
-Soya flour.
-Arrowroot.
-Rice.
-Sago.
-Tapioca.
-Maize.
-Buckwheat.
-Millet.
-Commercial gluten-free flours and breads. (These must comply with the international standard for gluten-free food.)
The availability of gluten-free products is not a major problem here, with most major supermarkets, including Superquinn, Tesco and Dunnes Stores, stocking such products.
According to Ms Clarke Conway, one of the biggest problems with the diet, apart from getting used to it perhaps, is cost. Gluten-free products are relatively expensive.
"If, for example, you are used to eating a sandwich for your lunch every day and you are diagnosed with coeliac disease, you will have to spend a couple of euro on one loaf of (gluten-free) bread and the slices are smaller than your average loaf. Every day items like these can prove expensive, especially for older people", she explained.
Unless gluten-free, bread must be avoided
The Coeliac Society would like to see more financial support offered to people with the disease.
People with a medical card can however avail of gluten-free products for free because essentially these foods are their medicine. However some of these products contain trace amounts of wheat and if a person is extremely sensitive, they may react to these trace amounts. As a result there have been calls for wheat-free products to be made available to medical-card holders as well.
With over 3,700 members and growing, the society holds regular meetings around the country. It also publishes an annual food list booklet, which provides updated details of what foods can be eaten.
For more information on coeliac disease or to obtain a copy of the food list booklet, contact the Coeliac Society at (01) 872 1471 or email coeliac@iol.ie
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Anonymous
Posted:
02/02/2005 17:25 |
| Note that you can also get gluten free flour and make your own bread with this. |
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Anonymous
Posted:
02/02/2005 19:02 |
| Food stuffs are now more available in local supermarkets. |
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mimat Posted:
03/02/2005 12:01 |
| I am one of those very sensitive coeliacs and have been advided by the Coeliac clinic in St Jame's to eat only wheat free products. I cannot get those products on my medical card and so I do not eat them. The wheat free products cost the same as sGluten free products, but are too expensive for me to buy. The Minister for Health could be urged to look into this matter. Contamination is another problem. People readily understand not to give coeliacs gluten containing food, but often don't realise that the breadcrummy butter dish or jam jar pose problems. Draining the gluten free pasta with the same collander that drained the ordinary pasta is out etc. |
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mimat Posted:
04/02/2005 11:42 |
| Gluten free is not the same as Wheat free. Gluten free priducts still contain a miniscule amount of the gluten. As a sensitive coeliac I have been advised to eat only Wheat free products, which are available in the supermarkets, which is I buy them. The point I am making is that since I am entitled to a medical card( I do work and pay taxes)why are only Gluten free products available to me, even though the Wheat free products cost the same? |
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Anonymous
Posted:
04/02/2005 18:41 |
| I would seriously recommend that ANYONE who's told they have Irritable bowel disease should be properly tested for coeliac disease. I was told I had IBD 10 years before I was tested for coeliac disease and by the time I found out I had numerous irreversable health problems at the age of 27. I wish I'd known before and maybe my system wouldn't have gone as crazy as it did. I didn't have any of the classic symptoms of coeliac disease, apart from bloating. I had severe constipation and bloating, fatigue, cracks on the corners of my mouth, and very dry skin. If you're a coeliac and you're eating wheat, oats, barley and rye, you can actually be malnourished as your bowel is so damaged by the gluten it cannot absorbe vitamins and minerals. If you've a suspicion, get tested! |
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Erja(UOI23219) Posted:
07/02/2005 00:53 |
| I am still in the situation where I'm not sure what causes my symptoms, but I've been told by different doctors for last 12 years that I just have IBS and that I sholud just add more fiber in my diet. They also tell you that bad eating habbits can cause it. I'm a person who's living on fruits, berries and vegetables & meat and I've been like this for most of my life and it really feels insulting when doctors in general treats you like some stupid person who does not know what to do, yet I know my diet is good and healthy. I've tried to eat more Brown bread and my symptoms just went worse again!!! I have uncle, who does homeopathic treatments, and he then told me that try to be without grains and I did and results have been amaizing. I do not know is it coeliac disease or just grain allergy, but one thing I do know that I do feel so much better without. I'm just waiting at the moment to be send to specialist by my own doctor, which sounds like winds are turning for better for me |
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Anonymous
Posted:
07/02/2005 09:15 |
| What sort of irreversible health problems can coeliac disease cause if left untreated for a long period of time? |
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Alan(IZK24118) Posted:
08/02/2005 11:34 |
| I'm not a coeliac but have IBS and an intolerance to wheat, having only found out about this i'm having problems finding things to have for my lunch everyday, I find dinners are fine, but i'm used to having a sandwich for lunch and i've tried the wheat free bread but I really don't like the taste of it, how do you all manage? |
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Anonymous
Posted:
08/02/2005 12:08 |
| Why don't you try bring in salads with tuna or chcken and ad rice rhater than having bread with it. |
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Alan(IZK24118) Posted:
08/02/2005 13:40 |
| I have been having wheat free pasta and salads, but i'm hungry a little while later, and there is only so much that you can shove into yourself! Thanks for the suggestion though! |
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Anonymous
Posted:
10/02/2005 14:21 |
| Does anybody know if there is a connection between coeliac disease and a recurring vitamin B12 difficiency? |
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Anonymous
Posted:
11/02/2005 22:39 |
| I do not have coelic disease but i am allergic to wheat as well as other food items including dairy. I have found the tesco range of free-from foods very good as all of these are labelled free from wheat,dairy,gluten etc.I also recommend a cook book that I have "the everyday wheat-free and gluten-free cookbook" by Michelle Berriedale-Johnson. The recipes are clear and easy to read with a calorie breakdown per portion.The health food shops have a range of wheat-free breads but they do taste better toasted. If you live in Cork city there is a wonderful range of wheat-free bread available in the English Market which is baked locally and this is just like real bread! there is a health food shop just off the market which also stocks it. Well worth a visit if you live nearby. |
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gale(galea) Posted:
12/02/2005 19:58 |
| Yes, I have heard about the connection between vitamin B12 and coeliac disease. I have been diagnosed for 18 years but despite a gluten free diet continued to suffer from mouth ulcers until I started taking a B12 supplement a few years ago. |
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Alan(XTQ21355) Posted:
13/02/2005 09:59 |
| I recently discovered that i am sensitive to gluten. i have not been diagnosed as a coeliac but i have been on a gluten free diet for almost 4 months now and the results have been astounding. i was feeling symptoms such as fatigue, bloating, flatulence and mental tiredness. i went to see a kinesiologist with these symptoms and she advised the gluten free diet. I am 29 and have returned to full-time education and i was really struggling to concentrate and keep up with the work until i changed my diet. i agree that it is sometimes difficult to know what to eat. i have found many websites with lots of information on gluten free foods and most major food companies and supermarkets will have their own website contain advice on gluten free products. i also agree the gluten free bread isnt great but its ok when toasted with jam or as french toast (with eggs). |
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ROTTMAN Posted:
16/02/2005 10:41 |
| My mother was very ill as a baby & lived on chicken, jelly & bananas for nearly three years. 25 years later she was very ill again, had all sorts of tests and was told it must be in her mind. Eventually they found that all the villi in her duodenum had disappeared, & she was given 6 months to live but put on a gluten free diet. I am glad to say she survived the villi grew back & a thesis written about her because it hadn't been known before that the villi grow back. I would say to anyone with any problem like this DO NOT BE FOBBED OFF! keep going back to your doctor until they found out for definite what is or is not wrong with you!!! |
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Anonymous
Posted:
27/02/2005 02:36 |
| I have just figured out that my 13 month old baby has a gluten intolerance by cutting it out of her diet. What can my doctor doctore do about it? |
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Trisha(REI25270) Posted:
02/03/2005 12:52 |
| I have just been diagnosed with a Wheat & Dairy intolorance. I have a 1 year old daughter and am wondering if she will develope it because of me? |
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Anonymous
Posted:
31/03/2005 08:44 |
| Hi All, I have just been told that I have intolerances to gluten and dairy, along with a list of other things. I have been on the new diet for just over a week and have only had one day of pain which is very unusual. I was diagnosed with IBS 2 yrs ago in Oz, no one in Ireland suggested it even though I have been sufffering for 11 years, I am 26 now. It was a natropath that suggested this diet, and even though it's hard, it's definitely worth it. My turning point was when I got sick recently and was put on steriods on a long term basis, very hard on tummy. The other medicine for the pain, I have no stopped taking altogether. Does anyone think I still need to be tested for coeliac? |
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Anonymous
Posted:
31/03/2005 09:00 |
| If you are intolerant to gluten / wheat products, then yes, you should be tested for coeliac disease - as untreated it can have irreveribly damaging effects on the liver. |
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Alan(XTQ21355) Posted:
31/03/2005 13:44 |
| i've just received the results of my blood test for coeliacs disease and it came up negative. however, i do beleive that i am sensitive to gluten as i've been on a gluten free diet for 6 months now and the symptoms of fatigue, poor concentration and flatulence have almost disappeared. I'm no expert but to my knowledge you dont have to be a coeliac to be intollerant or sensitive to gluten. i would agree that complementary therapies are very useful in determining food intolerances. some doctors believe this too and some dont. |
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Anonymous
Posted:
01/04/2005 09:27 |
| Just a Tipp I have been trying a few new things, and last night I can accross a good combo. 2 cups of spelt flour to 4/5 cup of water, you make up a dough and seperate to 8 piece. very very sticky, you will need load of extra flour, try to roll real thin, sprinke frying pan with just fkour,, wait till it urns brown and then add paper thin dough in rough cirle, 3 mints per side. Fab with Hummoue, Indian food or as a wrap for lunch. Hope you enjoy.. took me a while to get a good one. Aoife : ) |
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Anonymous
Posted:
01/04/2005 09:56 |
| Aoife, what a delicious idea. I'm not wheat or gluten intolerant but I have a friend who is. Researching together, I came across a huge range of ingredients that non-coeliacs never normally seek out. Which I think is a pity as they can form delicious and unusual recipies. I have now introduced them to my household and a wide variety of friends and family. |
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Anonymous
Posted:
20/04/2005 15:13 |
| Hi there. I have been just put on a wheat-free and dairy-free diet. I thought I wouldn\'t be able to eat anything but after looking in the local health food I was amazed at what I can eat. Also my local supermarket has a lot of ranges of food too. I have tried the wheat-free pasta and I cannot find any difference in taste. Also the brown rice tastes much nicer than the white. The bread is not great but some bakerys do a rye soda bread and rye loaf, which I find delicious, and soya bread. |
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Anonymous
Posted:
20/04/2005 16:13 |
| You can also make your own bread using tritmyl - gluten free flour. Be carefl tho' on a dairy free diat to get sufficient sources of natural calcium. |
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gemma(VOD27718) Posted:
24/04/2005 23:22 |
| I am a 23 year old female was diagnosed with coeliac 1 year ago and some of the symptoms have returned, including bone pain. Does anyone know if the symptoms can return when on a gluten free diet? |
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Anonymous
Posted:
25/04/2005 10:13 |
| Bone pain should not be a symptom of coeliac disease. |
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gemma(VOD27718) Posted:
26/04/2005 00:04 |
| I was told by my doctor and it is on some internet sites that bone pain can be a symptom. I think it's due to a vitamin deficiency. |
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Anonymous
Posted:
26/04/2005 10:29 |
| Vitamin D or calcium deficiency should not be a symptom of gluten intolerance. Make sure yo are gettin plenty of milk / dairy and plenty of daylight exposure for vit D absorption. Take (but do not rely solely) on supplements if you need to. |
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rachael(IDU29310) Posted:
03/06/2005 00:04 |
| Can a coeliac eat rye like ryvita etc??Ive recently been diagnosed and am wating for the health benefits of the gluten free diet. there is also a recipe with spelt flour on here. I thought speltflour was from wheat?? Can we eat spelt too? How about barley? I definitely cannot eat oats as the symptoms recur. Does this mean some coeliacs can eat certain things and others cant? From a confused coeliac!!! |
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Anonymous
Posted:
03/06/2005 09:21 |
| Hi Rachel, it depends on your degree of intolrance. Some can eat wheat provided it's modified to be gluten free - like trytamil flour, for example wheras other must completely avoid wheat altogether. You can eat ryvita provided it does not also contain (untreated) wheat flour. Spelt is not the same as wheat, is gluten free and is digrested moe slowly. |
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rachael(IDU29310) Posted:
04/06/2005 00:29 |
| Thank you for ur comments. however coeliacs disease is not an intolerence to gluten it is an auto immune disorder. So degree of intolerence is not an issue. All coeliacs are advised to avoid wheat, rye (so this means ryevita!) barley and oats. Spelt is a form of wheat and is to be avoided also as far as i have read. Im still a little confused as to what to eat but am very aware and have read alot. Knowledge is inconsistent however. |
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Anonymous
Posted:
07/06/2005 09:41 |
| Yes, it is an auto-immune disease but I have been advised that it causes gluten intolerance. Some wheat however, is treated, so as to be gluten free. |
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sara(saramac) Posted:
10/06/2005 13:49 |
| I went to a kineisiologist about 4 weeks ago and was told my body couldn\'t handle gluten, I am so grateful to have found this woman! I am hypothyroid and hypoadrenal. The fatigue and \'brain fog \' are symptoms of both of these conditions too. Since being on gluten free I have lost a couple of inches from around my middle, no more fatigue and my thinking seems to be much clearer and sharper. I\'m swimming 10-12 laps daily. Before I couldn\'t do 1 full lap due to fatigue & breathlessness. I\'m over the moon! I still have yet to be coeliac tested. P.S apparently people with thyroid problems often develop gluten intolerance. |
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Anonymous
Posted:
10/06/2005 14:13 |
| Hi Sara, I'm not sure what Kinesiology is but I am chronically hypothyroid. Diagnosed 4 years ago but I suspect the condition pre-dates the diagnosis by quite a number of yeas. I also have an adrenal imbalance (Did you find it extremely difficult to get it diagnosed) in relation to adreno/cortisol imbalance. I am managing well on 500mg thyroxine daily but would be vey interested in haring more about your Kinesiology and how it helped to diagnose our gluten intolerance as I also (on the about.com website) heard hat hypothroid sufferers were more prone to this. Would appreciate any info you can provide |
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Niamh(SKI27670) Posted:
13/06/2005 11:07 |
| This discussion just shows the lack of information, understanding and help that is available. Personally, I have been tested for Coeliac disease and was cleared but continued to suffer from all the usual symptoms. However, since cutting out wheat - mainly bread and pasta tbh my symptoms have virtually disappeared and I am now aware when my body doesn't 'agree' with a food. Being 'full' after a meal has become a totally different experience - I don't get kept up for half the night! |
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Anonymous
Posted:
13/06/2005 11:19 |
| Niamh, you can be free of coeliac disease (an autoimmune condition which prompt gluten intolerance) and still have an alergy to gluten whereby you find it indigestable. |
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Alan(XTQ21355) Posted:
14/06/2005 10:52 |
| I also discovered that i had a gluten intolerance through Kinesiology. It has made a resounding difference in my life as I am now brimming with mental and physical energy. There are only around 30 qualified Kinesiologists in Ireland that are registered with ASK, (the Association of Systematic Kinesiology in Ireland). |
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Anonymous
Posted:
14/06/2005 11:41 |
| Sara or Alan, perhaps you could explein to me what Kinesiology is and how it diagnosed your gluten / wheat intolerance? |
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Alan(XTQ21355) Posted:
15/06/2005 11:25 |
| Testing through Kinesiology is quite simple and it involves a simple muscle test whereby your body will tell the practitioner what it likes and dislikes. thats it in very basic form. You should have no problem browsing the internet and finding all the information you need about Kinesioogy. |
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Anonymous
Posted:
15/06/2005 12:04 |
| I have looked up kinesiology and fail to understand how it diagnoses gluten intolerance (other anything that's directly connected wiht the muscles - muscle damage, strength etc.) |
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Alan(XTQ21355) Posted:
16/06/2005 09:17 |
| Kinesiology will pick up any intollerance your body may have and not only gluten. The practitioner will use a gluten source and probably place it on your neck, and then the muscle test will either show strenght or weakness in the muscle thus a like or dislike for the particular food or chemical. therefore it is really your body responding through the muscle test to tell you what it doesnt like or what doesnt agree with it. You should find your local practitioner and ring them to get a clearer view on what its all about. |
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Anonymous
Posted:
16/06/2005 22:55 |
| I have a wheat and dairy allergy and it is impossible to eat out. Restaurants need to keep up as a lot of people are allergic to same.I read a book called 'eating right for your bloodtype'and blood type 'b'doesn't suit wheat or dairy. When off wheat be careful to stock up on iron (b12) as wheat free food lacks this. Fair play to the cafe bordelli rest. Georges st. where you can get amazing gluten free pasta. hurrah. a forward thinking place. |
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Alan(IZK24118) Posted:
17/06/2005 10:09 |
| There is a little place in Lucan called Pregos and it does pasta, pizza and lots of other stuff for coeliacs, the prices are pretty much the same as normal but it's nice to be able to eat out with others and not have to interogate the waiter before you order!! |
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Anonymous
Posted:
17/06/2005 10:57 |
| There is no empirical sciuentific evidenceto suppor thte notion that alergies are dependant on blood types. |
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Anonymous
Posted:
18/06/2005 21:01 |
| Since beer and stout are made using wheat"I think" do they also affect coeliacs. |
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Alan(IZK24118) Posted:
20/06/2005 11:25 |
| Beer and stout are not made with wheat, they are made with hops and barley. Therefore coeliacs cannot drink them but people with a wheat intollerance can. |
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Anonymous
Posted:
20/06/2005 23:15 |
| thanks for that information,and to follow up what about wine and spirits eg whiskey,vodka and brandy. |
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Alan(IZK24118) Posted:
21/06/2005 09:14 |
| Not too sure to be honest but I know Gin is out for sure. Other than that you should just send a mail to whomever makes the tipple you are after and ask them. |
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Anonymous
Posted:
21/06/2005 09:19 |
| Wine and Brandy are made from grapes |
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Anonymous
Posted:
23/06/2005 10:45 |
| Gin is not made from wheat but juniper berries so this should not afect those wityh wheat or gluten intolerance. |
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Anonymous
Posted:
28/06/2005 13:48 |
| you will see in the Coeliac Society booklet wine and spirits are ok - this is a great book and should be kept close by at alltimes |
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Anonymous
Posted:
30/06/2005 11:28 |
| I'd like to clear a few things up on this discussion - Coeliac disease should be diagnosed by a blood test (your GP will do this) and then a biopsy of a tiny piece of tissue from your upper bowel (painless procedure). If anyone has a suspicion of Coeliac disease they should ask their GP for a blood-test. Some GP's will try to fob you off, because they aren't knowledgeable about the condition, but do persist. You HAVE to be eating gluten for at least 4 weeks before you get this test done. If you're on a gluten-free or restricted gluten diet, and you get the test done, it may come back negative, when in fact, you could be a coeliac. Coeliacs cannot eat wheat (unless treated, and some coeliacs are even sensitive to this), oats, barley, or rye. Spelt has gluten, wheatgrass can have gluten, ryevita has gluten. Some coeliacs will react in minutes to the minutest, microscopic amount of gluten (300 parts per million). Others may have little or no reaction, but it will be causing an auto-immune reaction in their intestines. I know some coeliacs who say they "can have a beer" now and then, but really they are fooling themselves - the risk of developing bowel cancer for coeliacs is much higher for one. There is also a link between coeliac disease and diabetes, and osteoporosis. The person who said that Vit D/Calcium deficiency doesn't happen in coeliac disease is incorrect. It is quite common in undiagnosed coeliacs. |
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Anonymous
Posted:
30/06/2005 12:11 |
| Coeliacs who wrisk osteoporosis and diabetes should monitor their blood glucones levels and take plenty of natural calcium vit, get out in the natural light daily, take weight bearing exercise and for the ladies HRT when apropriate. |
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Eve(COZ31186) Posted:
08/07/2005 12:43 |
| I am 31 years old and whilst I have always had general problems with my wieght, (stomach in particular), energy levels and general health (in particular low resistance to any colds, bugs etc) I have been suffering quite severly of late. I have been suffering bad pain and bloating in my stomach and have also had sever constipation. I noticed in paticular that after eating some spaghetti the other night my stomach immediately blew up (as if I was 8 months pregnant) and there was a great deal of discomfort. My doctor has given me lactulose, senna and fybogel, none of which have made a great deal of difference. Does this sound familiar to any of you Coeliac sufferers? |
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Alan(IZK24118) Posted:
08/07/2005 14:01 |
| Your symptoms sound exactly like mine!! While you should definitly get tested for coeliac's (and make sure to push your doctor on this because they always huff and puff on doing the test) in the meantime drop wheat from your diet and see how you feel over the next week or so. That means you will need to check the labels of nearly everything to make sure it does not contain any wheat or rusk. It takes a little getting used to but once you do you could start feeling a lot better, expecially your staminia and concentration. Remember to go to your doctor and good luck! |
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Eve(COZ31186) Posted:
08/07/2005 14:31 |
| Thanks Alan. I am booked in for some blood tests next week, will this show up any of this? |
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Alan(IZK24118) Posted:
08/07/2005 17:11 |
| No problem, but if you're booked in for blood tests you should read the post " Anonymous Posted: 30/06/2005 11:28" just above, it details the tests done for coeliacs!! Don't give up anything if you're going in cause it could interfere with the results. The best of luck to you, I hope everything turns out ok. |
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debbie(MYV31303) Posted:
11/07/2005 18:51 |
| Does anyone out there have the same or similar symptoms to me?After a horrible sicky pregnancy i started to vomit quite regular-i was diagnosed with ibs about 10yrs ago. I suffer from bloatedness, wind, vomiting that usually starts in the morning, pains in muscle in legs(calf), headaches, pains in left side of stomach , tiredness, diorreah. After two years of being in & out of hospital & referred to a professor - i then discovered a cousin of mine had coeliac & some symptoms similar to myself. I requested a coeliac test from my doctor & am still waiting for the results (two weeks on) after another bout of sickness i have tried a gluted & wheat free diet & see a big improvement already (4 days on). Also the other day i found out that another cousin of mine has coeliac disease - both these cousins are my dads sisters sons -my dad & his sisters are from the west of eire - apparently it is quite common in people from there? I would love to hear any opinions/stories out there...... |
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marie(RIJ31677) Posted:
26/07/2005 14:07 |
| I suffered various health problems from a child, new problems as the years went on, l'll put them in order from year 1 - 34. 1-4 a crying baby (always unsetled) 4-13 tierdness, poor consentration levels,sore ears, toncilytus every year,poor eating habits, just a sad child, crabit & frustrated. 13 onwards is when the severity all started, as a female a terable monthly cicle,very painfull, enxiety, nervus tension and constant abdominal pain, depresion, dioreah & constapation, shooting pains ect, l need say no more on this part.The doctors put it down to ibs (Bull Sh..) At the age of 15 I started to get joint pain & stifness and then my joints started ceasing up, clicking and cracking especialy my knees-ankles & rists ( My jaws too) and the doctors wanted to put me on steriod injections and I refused,(synus problems) at the age of 19 I started to wont to take my own life so started drinking anything and every thing including Pils ( beer / Lager)of which is loaded with barley ect, they just a tipickle adolecents (Bull Sh..) at the age of 22 I met my partner who did wieghts so he put me on a build up diet of pasta ect well my abdominal area became even worse & my mental health spirled but I did put wieght on 6.5 stne - 8.6 stone so I was happy about this, we went start a family and i new it wouldnt hapen but I wont go into detail but I cant have children now ( I told the doctor this would happen when I was 19 and never went back to them, all the symptoms ( including a furry ulcerated tung )above continued all tegeather up until 4 weeks ago ( I also ended up in hostpital in oct last year with a riped bowl scans, cameras up, exrays, they said nothing the matter with you, your clear Bull Sh..) so 4 weeks ago sevearly I'll, I made an apointment with the doctor, ready to go to town with them this was on the friday, made the appointment for the monday, so i went to the chemist for something to releave my abdominal pain ect, he took one look at me & told me i had a wheat allergie not to touch it, by the sunday all pain had gone apart fron the left hand side, as i now no as my lower bowl, but fiscaly & mentaly I was cured, 4 wks on and its just a miricle, I say to everybody out there with any of these symptoms eat natural food, gluten free food. No processed foods or frozen foods apart from frozen gluiten free chips, dont eat out of chippies or resturants until you learn about your diet, dont eat normal bread, pasta or rice or main brand cearials, get gluten free, eat plenty of read & white meat to replace rotten protien with healthy protien, eat plenty of green especialy brocholy, eat free range eggs as caged hens are stuffed with wheat and crap to fatten them up, buy gluten free stock cubes dont touch bisto, if if your bowls realy damaged go on to goats milk for a while. For any men out there, there maybe no pain but wieght loss & big beer belly and some of the above symtoms get to your doctor, when going to a doctor dont be fobbed off, you pay your taxes, you pay there wages, the crap they put into cheap found is destroying every one of us, artificial ingreediants we are not artificial beings, get my drift, wheat oats barly, yeast ect its in everything, were overdosing on it. When you try it you must stick to it cheating will cause panic attaches your heart rate will rise. Plan your diet and investigate your foods at the shops before starting. ( no pastries ) hope this helps, it causes diebietis, athrytus, infertility,type in wheat allergies into your searcher and surf what you find, good luck n god Bless to you all, thats how good i feel now. |
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Anonymous
Posted:
26/07/2005 16:46 |
| Marie, Gluten free food is actually processed - to remoe the gluten. Frozen veg should be fine to eat. In fertility can have multiple causes but diabietis is caused by insulin exhaustion (pancreas produced too little or no insulin). Arthritis is caused either by wear and tear or an auto-imune problem. onsidering your symptoms - similar to some of my own. It is well worht gettign your thyroid chedked out. Mine was vastly underactive and being tested and treated changed my life. |
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marie(RIJ31677) Posted:
26/07/2005 22:28 |
| yes I totally agree with you in everything you say and understand the reasons why athritus, diabietis and the thieriod glands and other bodily internal organs my body was in such a bad way that I had been looking through medical books to try and find what was happening to me because I could not rely on the NHS, by the way I'm from Scotland, it would take me probebly 34 days to explain so I'll try to summerise my theory. wheat, oats, barly, yeast ect they are in almost everything we intake daily like fruit juices, biscuits, chochlate bars, tined sauces, tined veg, tined anything, rice & pasta, bread, cerials, crisps, cakes, you no what Imean it is in everything its even put in to the animals that are fatened for large produce, we are overloading our bodies, this then effects our digestive system and every other orgen in our bodies causing our bodies to over protect itself, our nervis system is our emune system, yeast ect, it's put into bread to make it expand you eat to much like at the rate we do eat it, it's going expand our bodies and everything in it, we are what we eat after all, this would be ok in third world countries were there lucky if they get a cup of rice a day, all of my symtoms have gone and do not no if there will be any long term damage. Have you ever heard of (unleavined or leavined bread)I could go on, on the subject of artificial ingriedients this is put in our food, stabelisers, bla bla we are not arificial beings should I need say anymore. I have friends that where having every day problems with thereselves and there children, there lives where a mess now they have started eating healthy natural food, with some similar symptoms as me, it's a miricle to them to, I have researched myselve in to nutrition and body chemistry so I can advise them that natural is the same as humens, i cant change the world but I can help the people who I care about, and also wheat allergie causes more than the above mentioned, surf your searcher on wheat allergies, also another thing, the further back in time you go the longer people lived, why with all this good food being produced and plenty of money to spend it on, why are we living shorter lifes, science and mans gread is killing us destroying our every day lifes to fill there own pockets, as I say I hope people take in what I'm saying, the every day food we eat is poision on the long term, how many of you out there strugle to adjust in todays life, what you put in is what comes out. |
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marie(RIJ31677) Posted:
26/07/2005 22:33 |
| Also for my thieroid, I was a we gymnast until i was 16 but my joints whent very poor and always were, I can do more now than i could when I was 16, having the means I go out every day helping people with allsorts of problems and I do not reap any benifits apart from joy when i see there lives change. |
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Anonymous
Posted:
27/07/2005 10:34 |
| Marie, I'm not sure how doing gymnastics and having weak joints relates to your thyroid? |
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Eve(COZ31186) Posted:
27/07/2005 11:35 |
| Hi! Good progress for me. I had some blood tests done and they came back fine, so when I told my doctor that I had been eating food without wheat in, HE suggested that I get tested for Coeliac disease, he said I needed to know what I was dealing with as it was a life sentence - so I was pretty impressed with him. What I am after now is some recommendations as to some good books I can get my hands on which will help me with what I can and can't eat. Even if my test comes back negative I am going to stick to the diet as I feel so much better even in just a few days. I had some Wheatabix and toast for breakfast this morning as I am aware that I need to be eating it for the tests to work properly and my stomach has reacted immediatley, as I knew it would. What did surprise me was that I didn't want to eat these things as I felt so good. That to me was a huge thing as I have always been such a Carbohydrate junkie, so that to me was a really good sign. Marie - I'm glad you have got to the bottom of this. It has obvioulsy made a huge difference - lets hope I get the same! |
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Anonymous
Posted:
27/07/2005 12:07 |
| Hi there again, I understand you will be on medication for your thyroid inbalance, to be able to do gymnastic and other sport activities to the best of your ability you have to be both fisacily & mentaly fit, my mother had an underactive thyroid and most of the symptoms I had, so I understand how your medication reverses your health problem with regards to your thyroid, that maybe your long term damage, I will live my life opened minded to what long term damage I may suffer and pray that there will be none, my thyroid glands amongst other parts of my body where affected so may have caught this in time, hopefully I'II be one of the lucky ones, you may not understand what I I'm saying but please beleave me, If I help 1 person with being in this chat, it will be another brought back to life as I was after praying hole heartedly for my life I got my answer, I no within my heart and soul that the junk food put out to us now is no good so thank you for your question I hope I answered it well for you because I care so much for people and that cant be a bad thing can it? |
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marie(RIJ31677) Posted:
27/07/2005 13:13 |
| Hi eve, I'm so Happy for you, a women after my own heart? you eve, my doctor told me to go on a gluten free diet only too and it was so hard the first couple of weeks but I thrive now on a good diet, I'll tell you what I eat. Breakfasts: Gluten free brown bread with a free range egg, tea or coffee with goats milk. Or Gluten free corn flakes with goats milk. Lunch: Toest n (hienze) beens Then a couple of tangereens Tea or coffee Dinner: A lovely peace of steak fried in olive oil with mushrooms unions & mixed peppers with nice patatoes and i always add a bit of brocholy. OR Uncle bens Gluten free rice with nice free range chicken breasts cooked in loyd grssmans various gluiten free sauce mixes (check them under the engredients there not all gluiten free) I always add a bit of brocholy. Supper:Toest n tea with a couple of Glutien free biscuites there like short bread biscuits? For snacks in between I have gluten free chocholate bar or ready salted crisps (walker do flavoured suitable for ceoliacs but I dont eat them anyway) Take a day out just to investigate your supermarkets food, thats what i did because it was driven me coockoo. And in only my opinion, If something plays tricks with my tummy I dont touch it again? No matter what my doctor says |
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sue(BCD34231) Posted:
08/09/2005 11:15 |
| Hi all im new to this website, im so glad i found it, i have read all your comments on IBS, coeliacs disease and how wheat affects both these, after suffering with IBS for 5 years and the doctors not being very concerned about it, i took your advise and cut out wheat, what a big difference it makes, i am at the moment 9 days pain free!! i cant beleve it, it has made so much difference to my life, i can fit into my clothes instead of wearing laggy waisted clothes, im due to have a bowl xray soon again thats all my doctor has done besides give me the spasmonal and colpermin which after 5 years still dont work! i cant eat nuts or eggs does any one else find these foods upset your IBS? and do you think i should ask for a test to see if i have coeliacs disease? as i have other symptoms too but dont want to bore you all with them. once again thank you for all yur info, sue |
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Alan(IZK24118) Posted:
08/09/2005 12:15 |
| Hi Sue, glad you're feeling better!! I've had IBS since I was 14 and I have never once had any medication that worked! So I have stopped looking for them. I find ordinary aloe vira tablets work well for me, so you could try them, you can get them from any health food shop or chemist. But really it's just down to managing your diet, staying away from fried & spicy foods. Good luck with your x-ray!! |
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sue(BCD34231) Posted:
08/09/2005 13:39 |
| Hi Alan thanks for you advise, i will try that and see if it helps, kind regards sue |
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Robin(AZG34685) Posted:
17/09/2005 21:25 |
| I am amazed by what I have just read! My family has a history of all of the major symtoms described above however no one has every been tested and we've all been told it must be IBS. I have been watching my young cousin suffer for years as my Aunt tried to find help for her bowel problems. I am glad to learn that there are other people who have this problem - even if it is accross the pond. |
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Anonymous
Posted:
22/09/2005 20:20 |
| I'm a 22 yr ols who up until recently was told i had ibs . i had all the symptoms even some i didnt know were to do with this e.g really bad mouth ulsers,fatigue dry skin the whole lot not to mention severe bloating. ( i look like im pregnant and its very embarrasing). i went for two blood tests so far and they both have come up borderline. so my doctor told me to go on the diet any way. I am finding it difficult at lunchtime as some of you out there but the difference is i dont eat salads or veg so im very limited . thaks for opening my eyes and hopefully in a few months ill start to notice a difference!!!!!! |
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Anonymous
Posted:
23/09/2005 14:07 |
| Anon 20:20 I wpould be extremely concerned for you if you don't eat ANY vegetables or salad at all. Not only for your digestive health which would be badly adffected by this but also for your overall health. |
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Anonymous
Posted:
26/09/2005 19:48 |
| I have very healthy diet with lots of fruit and veg and all that and i get adequate sleep yet i find i am extremely lethargic throughout the day,and my concentration is a disaster.I find the only time i can read is at bedtime beacuse for some reason its the only time i can concentrate!are these symptoms characteristic of Coeliac Disease? |
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Anonymous
Posted:
27/09/2005 10:10 |
| 19:48 - these sound exactly like the symptom of hypothyroidis. Get your thyroid chedcked out asap. |
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sue(BCD34231) Posted:
13/10/2005 10:07 |
| Hi all me again! well im well on my way now to hopefully a diagnosis, ive had my colonoscopy( not nice) but i feel a little happier, im off to see a consultant>>> 5 years to late but hey at least im going! Im still on a wheat and gluten free diet, my doctor said ive cracked it! and to keep on it, but if it wasnt for this web site i would never have tried it after being told wheat intollerance was all in my mind!! Ive had a couple of set backs but you learn if you are in pain not to eat what ever it was up set you, i have lost 1/2 a stone in weight and for the first time in years im slim>> ha ha! feels great when you can fit in smaller clothes. i have had loads of blood tests so i have to see if they show any thing up. keep smiling u lot regards sue |
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Alan(IZK24118) Posted:
13/10/2005 13:47 |
| Hi Sue, i'm glad that you're feeling better. It's such a huge load of the mind when you can actually put your finger on why you are not feeling well. I hope all your test results go well. |
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curleymand Posted:
13/10/2005 18:24 |
| I have been coeliac for 5 years now but I was recently told that I was lactose intolerant by a kinesiologist. I'm finding it hard now to cut out both gluten and dairy from my diet as alot of the gluten free products I eat, like my juvela bread and biscuits, contain dried milk. I've bought the goats milk, yoghurts and cheese but feel like I won't have anything left to eat if I cut out all my gluten free foods that have milk in them. I suppose I'm hoping that I won't be that sensitive to dairy, and that changing my milk cheese and yoghurts will be enough to make a difference! I'm also worried about my calcium levels as I'm not eating as much of the goats products as I would have of the cow's products since I don't particularly like them! I've been advised to take prebiotics, fish oils and a digestive enzyme supplement so I'm reluctant to take more tablets, i.e a calcium tablet. |
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Anonymous
Posted:
14/10/2005 09:47 |
| Curley, do go to your GP to be tested for lactose intolerance also. Also be careful about taking calcium tablets, these must be combined with vitamin D in the correct level and are not as bioavailable to the body as actual food. There is evidence to suggest that calcium deposts build up in kidney and gallbladder stones. |
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Emily Posted:
02/11/2005 09:21 |
| I have Irish ancestors so I assume my Coeliac Disease came from them. If you have CD please have a DEXA scan (bone density) to find out if you have osteopenia or osteoporosis. Coeliacs very often have poor bone density, especially if you are diagnosed as an adult. You can help improve your bone density by eating calcium foods, taking exercise and taking daily calcium & Vitamin D supplements prescibed by your doctor. |
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annie b Posted:
17/11/2005 16:19 |
| hi found out through kinesiologist I am a severe Coeliac with intolerance to dairy ,sugar, chicken and salmon also. I have suffered with psoriasis, migraines and asthma for years also. Through research on net i've discovered link between all of these. Has anyone any similar symptoms and advice on clearing psoriasis?? Thanks |
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Anonymous
Posted:
18/11/2005 08:43 |
| Annie - you should find out if your K8inesiologist has any recognised medical qualifications as an alergy to all dairy and sugar anbd fowl and seafood is extremely rare. To be sure, so get yourself checked out by getting a referral for alergy testing. |
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Anonymous
Posted:
22/11/2005 11:42 |
| Hi everyone, I am 27 and i was diagnosed(by biopsy)with coeliac disease over two months ago.For years i visited (and spent a lot of money in the process)my local doctor with an endless list of complaints including bloating,stomach pains,headaches, constipation,fatigue,anaemia,depression,leg pains,bad skin etc.I was adamantly told that i had I.B.S. without my doctor bothering to investigate why the symptoms never improved.I always felt ill and was even hospitalised twice with a compacted bowel.However i was treated like a hypochondriac by my own doctor which i feel is a disgrace considering the amount of money that both myself and parents had spent.Eventually i insisted that i wanted to see a bowel specialist as i knew that this was not normal.I urge anyone to do the very same.If left untreated it can cause many problems such as osteoporosis,bowel tumours,pernicous anaemia etc.Coeliac disease is an intolerance to gluten,which is a component of wheat.gluten is what makes bread doughy.You also cannot have rye,barley or oats(due to contamination)or anything made from these.This means cereals biscuits,bread,cakes,pizza etc.also check sauces,gravies etc. Coeliac disease unfortunately never goes away and will always be there.the diet has to be maintained for the rest of your life or the symptoms will reappear.by eating anything with gluten in it can damage the intestine.so this means having even having your own tub of butter in the fridge,your own toaster or just change the tinfoil under the grill after everyone else had used it.even a crumb could cause damage so you have to be so careful. The best thing anyone can do is join the coeliac society of ireland and they will send you,what i call the bible,a small book which gives a guide of all the normal supermarket brands you can have.and there are a lot more than you will realise. Anyone that is diagnosed with c.d,try not to lose hope as it does get easier once you know more about it and where to go to eat.The main thing is that you will feel so much better for knowing and sticking to the diet. p.s if anyone is looking for places to go when in need of lunch..spud u like (in jervis street shopping ctr,liffey valley etc)have a gluten free menu if you ask for it.also 'its a bagel' in the epicurean ctr liffey street do g.f bagels and soups.Its all down to a little research.good luck everyone.. |
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Emily Posted:
22/11/2005 16:57 |
| Testing for CD Anyone with borderline blood tests for CD MUST have a biopsy CD test to see if they have CD, you will not know if you have it without biopsy. You MUST be eating gluten (normal diet) when tested for CD - if you don't no reaction to gluten will be seen, it will look as if you don't have CD even if you are a coeliac. |
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Emily Posted:
22/11/2005 16:58 |
| CD and thyroid problems CD is associated with thyroid problems (you can have both if you are a coeliac). Thyroid problems don't cause CD. |
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Emily Posted:
22/11/2005 17:02 |
| Alcohol for coeliacs There are gluten free beers available, see : http://coeliac.info/suppboard/viewtopic.php?t=112 Also all spirits are gluten free (even if origins are gluten grains) because no gluten is carried over during distillation. |
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Emily Posted:
22/11/2005 17:04 |
| Kinesiology cannot diagnose CD. Only blood tests for CD and biopsy from CD can diagnose CD. Ask your doctor to test for CD if you think you have it or if you have a blood relative with CD. You MUST be eating a normal (gluten-containing ) diet for CD testing, otherwise no reaction to gluten will be present. |
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Emily Posted:
22/11/2005 17:07 |
| Bone pain Gemma, I had bone pain before diagnosis of CD. This was due to osteopenia (poor bone density) which was found on a DEXA scan. When my bone density was back to normal (with gluten free diet, calcium and Vitamin D supplements and exercise) the bone pain went. All coeliacs should have a DEXA scan to check their bone density. |
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Homer Posted:
15/12/2005 01:24 |
| Hello I will soon be a coeliac for 40 years I have tempted to break the gluten free diet on an occasion unfortunately I did it once and I advise DO NOT GO OFF THE DIET i PAID DEARLY FOR IT FOR SEVERAL DAYS AND WAS LUCKY.I have nevr did it again.The best advice is folloe the gluten free diet book and at the same time check every food product for there ingredient's.If you are not a member of the coeliac society of Ireland do it NOW they are a great team and great resource to help us.Don't be tempted to even have a taste of gluten you are only harming your self.AWARENESS SPREAD THE WORD BUT DONT FRIGHTEN PEOPLE. |
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Anonymous
Posted:
20/12/2005 17:47 |
| People on this page are obviously a little on the confused side when it comes to coeliac disease.YOU CANNOT EAT PRODUCTS THAT ARE MERELY JUST'WHEAT FREE'!GLUTEN IS A COMPONENT OF WHEAT!!IT MUST STATE THAT IT IS GLUTEN FREE! I think people need to get their facts straight as this is very misleading information and could be putting peoples health at risk. |
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Anonymous
Posted:
20/12/2005 17:57 |
| Rachel, Yes, Coeliac disease is an auto- immune disorder but this in turn is what causes the gluten intolerance so yes it is an issue!you are supposed to follow a gluten free diet.You need to do some research and perhaps buying a book would be a good place to start as these types of comment are just confusing people. |
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Anonymous
Posted:
21/12/2005 10:17 |
| But if gluten is a component of wheat surely then wheat-free must by it's very definition, also be gluten free. But of course gluten-free need not be wheat-free. Hence the difference between a coeliac - who is gluten intolerant and someone with a wheat alergy. |
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curleymand Posted:
28/12/2005 22:48 |
| Wheat free products may not contain the gluten that is found in wheat but they may include other ingredients that coeliacs need to avoid such as oats, rye, barley etc. Rye bread is suitable for a wheat free diet but not a gluten free diet, as is bread/cakes made with spelt flour. There are alot of confusing messages on this discussion board. Please be careful about what advice you take. |
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Emma(YCK44538) Posted:
30/03/2006 22:47 |
| I am so thrilled to have found this post! I live in NZ and have been diagnosed with IBS since I was 16 (I'm 23 now), but recently had blood testing done for Coeliac disease which came up negative but showed a lactose intolerance and B12 deficiency. While I accepted this for a time, my bloating, constipation, random bouts of Diarrohea, wind, fatigue didn't let up. At this stage I was at my wits end, and having heard about a gluten-free diet I decided to try it... WOW! My symptoms almost completely disappeared so at this stage I was still in the process of seeing specialists etc. and my gastroenterologist has requested a biopsy and colonoscopy as the recent bloods came up essentially normal. My question is this: With my biopsy 5 weeks away, should I re-introduce gluten into my diet for the sake of the testing? Any advice would be so appreciated, I have also recently started to get bad acne... is this related to Coeliac disease at all? Thanks! |
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Emily Posted:
03/04/2006 09:21 |
| Alan, a kinesiologist cannot diagnose Coeliac Disease. You might have CD but you need to be properly medically tested to be sure. Only by eating a normal (gluten containing) diet & having blood tests and biopsies taken during a gastroscopy can coeliac disease be correctly diagnosed (when a reaction to the gluten is seen). Also spelt (spelta) is a type of wheat & not suitable for coeliacs. |
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Homer Posted:
05/04/2006 19:27 |
| Hello everyone on this site. I have given a look at my coeliac condition life.I have just finshed glancing at some of the insights that have been placed on this site.NO TWO Coeliacs are alike and we all differ in symptoms this depends on your intolerence to GLUTEN.It is brilliant to read the information given by coeliacs as it helps others.I read about the lack of awareness on coeliac condition in Ireland.Which was mentioned earlier.Just to let everyone know there is and has been running know an awareness thanks to R.T.E & tHE AFTERNOON SHOW.Also the Bella Magazine in conjuction with Irishhealth.com.The coeliac society Ms.Emma Conway Clarke,who is under a lot of pressure at the societies busiest time of year they still put in time to help us.And I have assissted the awareness campaign which is still on going I am using the MEDIA any way I can.And thank god the word is getting around.Thanks to all involved and with there continued support.Homer |
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jackie(UHE45713) Posted:
22/04/2006 19:36 |
| My 7 year old godchild has just being diagnosed with coeliac what are the foods he can eat and are there any recipes for cooking food for a coeliac |
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Eve(COZ31186) Posted:
24/04/2006 08:47 |
| Hi Jackie, over the last year alone the range of Gluten and Wheat free peoducts available in Supermarkets (tesco is best at the moment)has increased a huge amount. Although it is still a long way off being brilliant and expensive I try to buy as much as possible as I am convinced that the more I buy the bigger the range will become and the more awareness will spread. I have also contacted the major cereal suppliers about making more coeliac friendly stuff and clearly labelling the stuff they do make. I work for a big business so know for a fact that if they think this is something they will be able to make money from, then they will jump on it quicker than you can say pass the rice flour!! What I am trying to say is 'lets make more noise people'!!! My boyfriend has told me that as I was so embarrased about making a fuss I would just rather go without. Also, I had a nice suprise last week when I went for a chinese meal and the waiter knew more about it than me and told me everything I could and couldn't have. He also said he gets loads of people like me in his restaurant. I know it feels lonely but I am confident it will get better, and quicker. Good luck to you all, I really wish you well!! |
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Homer Posted:
24/04/2006 16:17 |
| Hello Jackie UHE45713 Posting 24/04/2006. If you have not already Join the Coeliac Society Of Ireland. irishhealth.com have a site for all information you need.Also e-mail info@coeliac.ie & www.coeliac.ie. Be careful what you read about the condition and if in doubt contact the society. |
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Homer Posted:
25/04/2006 01:57 |
| Hello Everyone Since last November I have taken on the voluntary position of helping "Awareness of Coeliac Condition In Ireland.I liase with the communications officer of the coeliac society before I send out to the media information concerning the content.Believe it or not this is still on going as I address media for free press.The coeliac society of Ireland some weeks ago wer o R.T.E Afternoon show Dr.Nicholas Kennedy Gastroentrolist at St.James's Hospital and a mother and her daughter who are coeliacs were present for an informative chat with the hosts of the show.They also had a chef preparing some gluten free meals which made me hungry.This show was a success.Mr.Brenda Craen of North East Access Radio N.E.A.R.fm101.6.Also interviewed Ms.Emma Conway Clarke via Telecon this show was also a success and had a repeat airing the following day.Citywide News Editor also placed the article in all editions of the paper.I am currently awaiting on the Northside people to publish the article in all editions soon I Hope.And finally Unison which is the agent for the Independent & Metro & all editions of the Herald to publish the article. I am emphasing should anybody feel unwell due to a meal at home or take away go to your G.P.for a bloodtest and screening for coeliac Condition.e-mail info@coeliac.ie. or www.coeliac.ie for support and help. DON'T SUFFER IN SILENCE Regards Member of the coeliac society society of Ireland |
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jackiechan Posted:
25/07/2006 00:35 |
| hi,i have vitamin b12 deficiency the past 8 years,at the time they thought i might have had coeliac disease because this tends to be connected.So i had an endoscopy which showed all clear wich meant my b12 problem was an autoimmune disease.I was diagnosed with underactive thyroid 2 years ago at aged 22 years and i suffer from all the symptoms even though my medication replaces what im missing.I have been suffering with bowel problems the past 5 years and have been told i have ibs, medication hasnt helped so i am awaiting an appointment for a colonoscopy.Do you think its still possible to develop CD even though tests showed all clear in the past. |
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Mary Posted:
25/07/2006 16:48 |
| With reference to your underactive thyroid, this can be connected with coeliac disease so do make sure your thyriud meds adequately replace what your own body is no longer producing. i.e. are you on a sufficient dose of meds? Make sure you get your levels tested - both T4 T3 and free (OR REVERSE) T3 as this tests how much thyroid hormone is available at cellular level. |
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Homer Posted:
26/07/2006 02:28 |
| Hello jackiechan I have read your symptoms and each one and all if you are undernourished still may may be Coeliac Condition. My advice is to get in touch with the Coeliac Society of I reland ph.01-8721471 for more information. |
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nelson Posted:
31/07/2006 18:17 |
| I'm suspecting I might have Coeliac disease and might go to my gp to have a blood test. I suffer from depression and everytime I eat bread I feel absolutely exhausted and bloated. Beer is the same, I leave the house and my wife says how good I look. I have 3 or 4 beers, come home and she says I look all puffed up and bloated. The worse things that affect me are those soft white finger bread rolls. If I eat a few of those I have to lie down. Lastly my stools are not properly formed. (nice info I know!) I went on the Atkins diet about 6 months and all my symptoms got much less severe. I stupidly stopped it but I'm beginning to think this diet unwittingly helped me with Coeliac management. Does it sound like I've got this disease? |
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Anonymous
Posted:
01/08/2006 14:48 |
| A friend of mine has similar symptoms as you describe whenever she eats white bread and other foods containing wheat such as biscuits, cakes, pasta and beer. She is not coeliac and is now on a wheat free diet rather than a gluten free diet which is what I am on as a coeliac. You should have the blood test done to check for the disease but having those symptoms does not mean you have it. You could just have an intolerance to wheat. |
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Emily Posted:
02/08/2006 17:14 |
| Just to repeat, anyone who thinks they might have CD MUST be eating a normal (gluten-containing) diet when tested. If you are a coeliac & you do not eat gluten foods any test results will look as if you don't have CD. An undiagnosed coeliac 'needs' gluten foods in their diet to show a reaction to the gluten when being tested for CD. It is this reaction which proves you are a coeliac. Also all blood relatives of a coeliac should be tested for CD because this condition runs in families. |
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Homer Posted:
03/08/2006 01:34 |
| Hello nelson & annoyninmous Based on the info you have forwarded to this site. Go to your G.P.and have a letter sent to your nearest coeliian condition specialist this is very important for your health.Also contact The Coeliac Society Of Ireland 01-8721471 r by e-mail info@coeliac.ie Dont wait around do it today |
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Mac Posted:
15/02/2007 17:16 |
| A previous comment inferred that it is okay to eat bread made from spelt. Spelt is an organic substitute for wheat and contins gluten and should be avoided by both coeliacs and the wheat intolerant. |
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Fiona Posted:
07/02/2008 22:34 |
| Hi all, I have just been reading your posts as I think my partner is coeliac. He has been suffering from stomach problems for 3 years. He's had all the tests including coeliac and nothing has shown up. He is now waiting for a bed in Beaumont. A number of his relations are coeliac and now also have Crohns. We have just returned from holidays where we met a woman who did this "muscle-testing". She told him his body was intolerant to gluten, dairy and tomatoes. Has anyone else ever been tested for coeliac and it came back negative to later find out that they do actually have it? |
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Homer Posted:
09/02/2008 12:49 |
| Hello Fiona It is an unfortunate end result to be tested for what we now like to call it"The Coeliac Condition". And the patient is a Coeliac which their is no cure as yet Galway University has been working on a Medicine / Tablet to allow Coeliac's tolerate gluten when consumed by mistake or not enough evidence to show up the condition , As far as I know Trinity College are also experimenting to find a Medicine / Tablet also. You Mentioned that their are other diagnosed Coeliac's in your Partners Family, it is possible your partner is showing symptoms of Coeliac but may not be. Course of action would be for your Partner to remain eating gluten & when unwell go to the Doctor , for referral for testing again they will do a blood test & maybe follow it up with an endoscope test ie: Have a biopsy of the stomach lining take for testing. And yes hundred's have been mis diagnosed through no fault of the medical team. It is important your partner remains consuming Gluten product's as this help's the specialist to diagnose the condition. It maybe some other ailment close to the Coeliac Condition that is making your partner unwell. In relation to the other Member's of the family who are Diagnosed are they member's of the Coeliac Society Of Ireland if not they shoul be this is a vital & important service for Coeliac's. This is very important as the society keep Coeliac's with upto date information & sometimes Manufacturer's of Gluten free product's give samples for you to try out to see if you like them fIONA LET ME KNOW HOW YOU GET ON REGARD'S, HOMER |
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Homer Posted:
07/03/2008 01:26 |
| Hello Update on Coeliac Condition. Trinity College have made a break throgh which looks promising for Coeliacs. It was reported on R.T.E 6 1 News earlier this week. If you havent seen it I accessed via R.T.E. 6 1 News Website I dont know how long they keep it on file so if your interested go to the Website A.S.A.P. |
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Annie Posted:
11/03/2008 21:53 |
| Please explain to me why someone would be advised to continue eating gluten if there is even a possibility of them being Coeliac? That does not make sense. The best course of action is to eliminate gluten in total from the diet and then see what happens. If the person improves, then you have your answer without any invasive procedures. It would be a much safer and much more intelligent approach rather than to force the issue and make yourself quite sick. |
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Anonymous
Posted:
12/03/2008 09:48 |
| Because Annie., in order to diagnose the Coeliac condition, gluten needs to continue to be consumed - otherwise doing an endoscopy will be rather useles. When coeliac syndrome is diagnosedl then the best course of action is to eliminate gluten in total from the diet. Otherwise the 'see what happens' approach to self-diagnosis can miss other allergies or conditions, which may be potentially serious if left untreated, which a proper clinical diagnosis would spot. This is why a clinical diagnosis and medical test is so important. Just to note, an endoscopy is no more invasive than any internal clinical examination and quite safe. It is your health - be sensible about it. |
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Homer Posted:
12/03/2008 10:11 |
| Hello Anne Your question answered. Yes while you eat gluten it brings out the symptoms of coeliac when the bllod test is being done it will show / highlight coeliac in a patient. On the other hand if no gluten is present & a patient is a coeliac but a mild condition it is hard / invisible too see the end result. I do agree with you Anne I am 41 years with this ailment. And I made a mistake on my Niece luckily Ididnt cause to much stress but thats the facts. I hop this helps you. If not Contact the coeliac society of Ireland 01-8721471 they can help you further. |
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Fiona Posted:
12/03/2008 10:53 |
| Hi Homer, thanks you for your answer regarding giving up gluten before being diagnosed. My partner has already had the endoscopy and every other test that you can have and the hospital cannot find anything wrong. As soon as he gave up gluten he felt so much better. He then went for an allergy test and this showed up that he was allergic different foods including; wheat, oats, barley, rye, gluten and yeast as well as cow's milk, cheese and others. He is now being treated for these sensitivities using homepathic drops and serraplus tablets. We are going to see if this works, but so far so good. I realise that we shouldn't assume he has coeliac but when he's eating the gluten free diet the pain is gone. |
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Cathy07 Posted:
11/10/2008 00:40 |
| Hi just wondering if everyone who has been dianosed coeliac has felt better, ie no symptoms, slept better, more energy etc after going on gluten free diet? I only ask because I had no symptoms to start with and was only diagnosed by chance. Having stuck to a gluten free diet ( I didn't realise how often I had lunch out!!!) sometimes with difficulty I really feel no different. I still don't sleep well, I still have problems if I take calcium tabs and 6 months later I really can't feel any advantage to this very restrictive diet, has anyone being mis diagnosed or am I clutching at straws? ( I should have said I had both blood tests and a biopsy) |
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Homer Posted:
14/10/2008 15:17 |
| Hi Cathy07 I have a few Questions for you. If I had doubts about being coeliac I would get a 2nd opinion. How old are you? The reason I ask is to get an idea of your struggle with Coeliac. I was diagnosed 42 years ago I am now 47. And understand the difficulties a newly diagnosed patient goes through. Coeliac Condition is not easily daignosed , so your Doctors is taking no chance on your health. Where your tests for Coeliac all positive? IE: confirmed you are a Coeliac? Are your food preparation area's & utensil's Free from Gluten Contamination? When you eat out do you phone first to find out if the restaurant not only caters for a Coeliac , but there kitchen is not Contaminated with Gluten? There are different levels of Coeliac some Patients are really sensitive to gluten other Patients would not be as sensitive. BUT THE IMPORTANT RULE IS COELIAC CONDITION IS A LIFE LONG CONDITION & yes if you are only starting the diet it could be a short time before you start feeling more energy , a proper night's sleep. This is a big change in your life , I cannot tell you when your symptom's are going to calm down & when you will feel better for it. just make sure you keep to your G.F.diet do not break the diet without medical advice from a specialist. Your Calcium supplement is to help keep your bone density & prevent Arthritis , did you have an x-ray call a dexascan. Or where you just put on a calcium supplement , if you have concern's again with taking a supplement I would ask your specialist's. Calcium is a very important supplement for Coeliac's. Have you / or are you keeping regular appointments with your dietitian. Also are you a member of The Coeliac Society Of Ireland, 7 Brunswick Street , Dublin 7. E-Mail info@coeliac.ie www.info@coeliac.ie Phone Number 01-8721471. If you have not done, so I would A.S.A.P. 1 VERY IMPORTANT ITEM. I am not a Doctor / Specialist. I am a Coeliac Patient & there are no 2 Coeliac Patient's alike. The above is my experience. I hope it helps' God Bless |
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Dee Dee Posted:
13/11/2008 23:37 |
| Hi, I am being tested for Coeliac Disease. I am 24 and I don't know of anyone with the disease in my family. I have all the major symptoms for many years now but I have just being making excuses for them. Is it possible that I actually have it or would it be more likely that I have IBS? |
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Homer Posted:
18/11/2008 01:16 |
| Hello Dee Dee Re Your posting 13/11/2008. I.B.S. Irritable Bowel Syndrome. Where is the confusion between Coeliac Condition & I.B.S. Have you been to a specialist & Diagnosed with Coeliac? Dont be offended by the following. If you are / Have been in denial of having the Coeliac Condition you will probably have upset your digestive system as well of feeling unwell, Nausea,Fatigue ie Lack of Energy. So I understand if you are of the thought you have I.B.S. And this may not be right you need to see a specialist to Identify is your Digestive system upset because you were / are eating GLUTEN. This will upset Bowel Movements. Follow this up start with your G.P. & Get a letter to see a specialist. For both Coeliac & I.B.S. You can contact the Coeliac Society of Ireland Ph.01-8721471. They can advise you further. I hope you are not feeling unwell & if you are I hope you get well soon. God Bless Regards Homer |
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Dee Dee Posted:
20/11/2008 23:17 |
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Hi Homer!
Ya I have been to my GP finally! It was the diarrohea I got really sick of. He took blood and sent them off for testing on Coeliac Disease, deficiancy of Vitamins K, B12 and Iron and for thyroid problems. He has also sent off for a colonoscopy. Don't worry about offending me, I am quite a hard person to offend!! I don't on if it is so much as denial but I was always making logical reasons for all the symtoms I was getting. For the diarrohea I was blaming it on my body was stressed. The weight loss was from the diarrohea, the cramps were menstrual pains etc etc etc! Looking back on it now its sounds so stupid! The reason I am in doubt about the Coeliac Disease is that no one in my family has it.
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Homer Posted:
21/11/2008 14:44 |
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Hello Dee Dee Just a thought for you to consider You mentioned that no other member has the Coeliac Condition. They dont have to. I am the only member in my family with the Coeliac Condition. So dont think this as an avenue of you not having the condition. I am glad to hear you are being investigated for Coeliac I hope your reslts come back that you have not got it, then the specialist will go further invesigation to Diagnose your Digestive problem. Also I am glad to hear you are getting a colonscopy this will give the medical team a good picture of what is going on. Also you are having blood tests done. all above menioned tests will give the team a very good look at your Gastro Digestive system. And with all your results they will have a clear prognosis of what is ailing you. And taking stock of your health & what way you are ill , you called this Logical thinking which is very good for positive thinking, I relation to your Menstruation pains these are noticeably different & you should be able to identify this different pain. Iwould like to hear back from you when your results are finalised & whether or not the specialist has a diagnosis for you. If he has not & continues to investigate your ailment. Let me know. Are you currently on a GLUTEN FREE DIET? If you are & have not been diagnosed with coeliac you should be on a normal diet earing food with GLUTEN IN IT. This will give a better picture from the results of yor test's. Finally would you do me a favor & send your replies in large font as I am going partially blind due to a broken nose. Regards Homer.
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Anonymous Posted:
21/11/2008 15:59 |
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Dee, I just wanted to say my cousin has coeliac syndrome and there is no trace of it in anyone else in the family. Good advice from Homer and if you are having eriod pain do go an see a gynae so the problem cna be identified there as well. Homer, sorry to hear about your poor nose. Hope it heals soon |
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Homer Posted:
22/11/2008 02:26 |
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Hello Anonymous thank you for taking in my experience. I am 42 years diagnosed a ceoliac and I liasion with the coeliac society of Ireland. I advise all those affected to contact the coeliac society of Ireland for further advise & join as a member. Ph nr.01-8721472 you wont be given the wrong advice it will help Regards Homer |
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Halo Dublin Posted:
28/11/2008 01:10 |
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Hi Everyone, I am delighted this topic of Coeliac Disease has came up. My sister who is now 65 has CD since she was 3. As she is older than me I was told by my mother how to care for my sister. My sister spent her childhood in hospitals as CD was not known in the medical professional at the time. She spent her early years in Harcourt street hospital, her condition meant she was not putting on weight as everything was going through her and then she would lapse into a coma. In the hospital the nurses would give her toasted bread as they did not know what was causing her condition. At one time when she was at home, the G.P. confirmed she was dead, the neightbours were all praying for her but with alot of determination from my mother she believed different and discovered my sister was in a coma again. The Sunshine Home amd Harcourt street Hospital would sent a telegram to my mother to bring my sister in when there was a foreign specialist visiting them for any clues as to what was causing her problem. My mother would walk to the hospital (10 miles) carrying my sister as she was too weak to walk and she was extremely thin, and my mother did not have the bus fare. There were two other children with the same complaint and sadly they died. They found rotten bananas helped but were scarce during the war, but there was a mercy plane used to get these bananas. When she was 12 she was sent to the Meath Hospital where a Professor monitored her and brought in a specialist from Europe who was researching this condition and he started a trial of cutting bread from her diet. By the time she was 16 her condition was given a name (CD) and my mother was given a list of foods she could eat cutting out Gluten. She gained a healthy weight and got stronger and then she got a job and has been great ever since, as long as she stays on this diet. When my mother died it meant I would be looking out for her, as she did not go to school she only know a little reading and writing. She makes her own bread with gluten free flour, but I was worried I did not know enough so we went to a lecture run by the CD Society. In the middle of question time I spoke a little about my sisters condition and I don't know why but everyone was laughing at what I had to say, my sisters growth was stunted by CD and I dont thing they believed me that CD existed back during the war. I got my sister and walked out of the lecture. I know a lot of people say they are CD when they have an allergy which is not the same. Also, gluten free flour in the super markets are placed on the shelves beside ordinery flour and this means it is contaminated, all this food should be stored in a kitchen press away from other foods. I am sorry for this long comment but this is as brief as I can get it to make sense. |
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dog breath Posted:
12/01/2009 21:17 |
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i have been diagnosed with cd but i still eat bread and cakes often with no reaction. is this safe? |
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curleymand Posted:
14/01/2009 11:34 |
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Dogbreath- it is most definitely not ok that you are still eating bread and cakes when you've been diagnosed a coeliac. You may not be feeling the symptoms but the damage will still be caused to your intestine and bowel. I was told by my doctor on diagnosis of coeliac that not sticking to the gluten free diet over time could lead to bowel cancer. You need to accept that you can't eat the same things that you used to and for your own health change over to the gluten free cakes and bread. There are some kinds that are ok, and the sooner you do it the sooner you'll get used to the change in taste. It does take a while but it's for your own good isn't it? I'm happy to suggest some alternatives if you'd like. Good luck! |
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Anonymous Posted:
14/01/2009 14:01 |
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If you have no symptoms or noticeable systemic reaction to eating gluten-containing products, I would wonder if the CD diagnosis was correct. Would you consider being re-tested by your GP or consultant? |
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Homer Posted:
15/01/2009 18:59 |
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HELLO SORRY I LOST MY LAST INPUT / ADVICE ON THE COELIAC CONDITION. MY NAME ON THIS SITE IS HOMER. PLEASE LOOK FOR THE REPLIES I HAVE ADVISED IN THE PAST, I AM NOW 43 YEARS A COELIAC PATIENT. AND HAVE A WEALTH OF ADVICE. I HAVE ALSO SUPPLIED HELP / SUPPORT INFORMATION VIA THE COELIAC SOCIETY OF IRELAND USE THIS INFORMATION. IF YOU ARE CONSUMING GLUTEN IN YOUR DIET ON A DAILY BASIS & YOU ARE FEELING ILL. GO TO YOUR G.P. FIRST FOR REFERAL. & CONTACT THE ABOVE SOCIETY. info@coeliac.ie FOR SUPPORT A.S.A.P. PLEASE FORGIVE MY UPPERCASED TYPING I HAVE POOR VISIBILITY. I AM ALWAYS AVAILABLE TO HELP WHERE I CAN SO YOU MAY ASK THROUGH THIS SITE FOR FURTHER INFO. I CHECK THIS SITE ON A REGULAR BASIS & ALSO VOLUNTARY SUPPORT THE SOCIETY. I HAVE SENT THIS MESSAGE THIS WAY AS I FEEL I AM REPEATING MYSELF BUT PLEASE DO ASK EITHER ME OR THE SOCIETY PH.01-8721471. |
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Broken Posted:
11/03/2009 21:08 |
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well I seem to be collecting autoimmune diseases as if it was a hobby like stamp collecting! I have hypothyroidism, crohns, sjogrens, raynauds and now ?coeliac disease, which an eminent doc in london thinks i have. Sjogrens means I have to cut out sugar due to thrush, crohns means I need a low fibre diet and now coeliac which means gluten free, this is gonna be one hell of a minefield for me. Other problems with health abound. Doc in London says ataxia and muscle wasting can be caused by coeliac disease and coeliac d is common, well, can happen when you have sjogrens. Life is great - if you dont weaken! seriously though, not a happy camper at present. |
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WAYFORWARD Posted:
14/03/2009 23:51 |
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HELLO BROKEN POST 11/3/2009 I AM A COELIAC, I JUST WANT TO LET YOU KNOW YOU ARE NOT ALONE, COELIAC'S IMMUNE SYSTEMS ARE NOT AS STRONG AS A HEALTHY PERSON, AND WE COELIAC'S FALL PREY TO VARIOUS OTHER AILMENT'S AS A RESULT OF OUR CONDITION. THERE IS SUPPORT FOR YOU. THE COELIAC SOCIETY OF IRELAND 7 BRUNSWICK STREET DUBLIN.7 PH. DUBLIN 8721471 OR E-MAIL: INFO@COELIAC.IE . OR WWW.INFO@COELIAC.IE CONTACT THEM THEY ARE GREAT FOR SUPPORT. BEST WISHES |
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Mary Posted:
20/08/2009 12:40 |
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I would like to know how you succeeded in getting an appointment at the James's Coeliac Clinic? I cannot seem to get through to them by phone to make an appointment. Can anyone help? Thank you. |
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Carrie cork Posted:
29/10/2009 08:11 |
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I'm 18 and have had a various load of health problems since I was young from weight gain and bowl disorders to problems with my monthly cycle and joint problems. I also suffered periodical depression. My great aunt lived with undiagnosed coeliac disease until she was diagnosed with terminal cancer caused by coeliac a few years ago. Recently my mother has been working on her family tree and the disease can be traced back through the generations. In December 2008, even though I had had all the vaccines, I got the mumps virus. Mumps, while being severe in symptoms usually lasts two weeks or so. I was bedbound and ill for 3-4 months and even then some of the symptoms remained: constant fatigue, problems with my stomach, joint pains, and a really bad immune system. I was sick every other week. The doctor thought I was joking by the end. I had so many blood tests taken, and they all showed up clear. I also got a blood test for coeliac but it came back negative. In August, exhausted and sick of the illnesses and tests, I gave up gluten. I have never felt better. It's like someone pressed the "fix" button. I accidentally ate a product with gluten in it two weeks ago and within 2 hours I was sick again for two days - shivery, weak, exhausted at 3pm, and feeling sick to the stomach. I am afraid to start eating gluten again to get a biopsy done because it makes me so sick. Coeliac has shown up multiple times in every generation of my mother's family except for mine, where I am the only one so far who shows signs of it. I heard that in America you can get tested for the gene instead of the biopsy test. Will this be available in Ireland soon? It is very likely, because of the family history and the variety of the symptoms that I have coeliac disease and not just an allergy to wheat and barley(beer affects me also). As a student it's pretty tight on the pocket but I can't use my medical card to buy gluten free food until I have a proper diagnosis. For me, after this year, it's not worth eating gluten again for tests to prove it. Will it be years before the genetic testing will be available in Ireland? |
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Mary F Posted:
30/10/2009 12:37 |
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Hi Carrie, do you know that being Coeliac you need to cut out Wheat, barley, rye, oats, and really the only common cereals you can eat are rice and corn. The coeliac society book is a must for every Coeliac as there are wheat and malt extracts in many products, such as Soy Sauce - get the gluten free one, this means no Chinese takaways, ice cream - unless you know that the brand is gluten free, chocolate toppings and sauces such as Cadburys hot chocolate powder and topping on cappucinos - these are not gluten free. But you can get ones that are - hence eating out is a problem with these sorts of things. If sausages are cooked on the same tray as rashers - you can't have the rashers in case of contamination. The Coeliac Society have it all documented in a handy sized book that you can carry around with you. You have to watch out for cross contamination at home but it is all doable. Go to a qualified Nutritionist to get all your nutrients up to optimum levels as blood tests do not measure these accuratly for Coeliacs. B12 is a common one and iron/ calcium/magnesium, etc. These are important for your digestive system and for your bones. I am still recovering 1 year after diagnosis because I was taking gluten unknowingly until I got the Coeliac book last March and now my system is healing I am taking supplements under the supervision of a Nutritionist. I was delaying meals e.g. breakfast and evening meal and I think this has slowed up my healing as the low blood sugar levels from this were making me feel weak and giving me cloudy vision etc. I will cut down on caffeine too to see if it makes a difference at the healing stage. Best of luck! By the way the message boards on the Coeliac site are brilliant. Mary |
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WAYFORWARD Posted:
02/11/2009 21:59 |
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Hello I am only over spinal surgery & have had to transfer to Beaumont hospital. I am doing well. When I was being looked after by the coeliac clinic in Saint James's Hospital for 30 years or more. I have learned a lot about CD, I am a member of a weight management support group. Since I am in the Northside of Dublin 5 & 17. I am currently in the planning stages of a support group for Northsiders, the information will mainly be on the subject of Coeliac Condition, I will be liaising with the Coeliac Society for the early meetings until I get my feet grounded. This support group will also be open to diabeties since it is linked to Coeliac. I have no details of a venue as yet, & it will take place in the new year. Coeliac society members will be kept upto date as new info comes in. And I will be placing the same news on this site if permission is given by Irish Health.Com Warm Christian Love, & Good Health to you From Wayward |
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