I have been suffering from small bowel obstructions on and off for about six months now. Has anyone found relief from dropping gluten from their diet?
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It's important to understand that bowel obstructions are rarely caused entirely or exclusively by food. There is usually a structural, motility, or functional issue at play.
If your small bowel obstructions are due to a structural problem (as mine have been - I have adhesions), a dietary change in and of itself will not cure the issue. Obviously, if you are prone to obstructions, you should avoid highly fibrous foods such as raw vegetables, fruits with skins, nuts, seeds, etc - meaning you should follow a low residue diet. At most, dietary changes may reduce the frequency and severity of obstructions, but it will not "cure" the structural issue. On that note, I do not see how simply eliminating gluten will prevent obstructions, other than possibly reducing some of the bulk (though arguably, there are many other non-gluten based foods that have even greater bulking effects - rice, for instance, as well as potatoes, peanut butter, etc, so you'd have to avoid those too).
If the obstructions are due to a motility or functional issue, then eliminating gluten could have some benefit, BUT you would also have to eliminate all other bulking foods from your diet and thus follow a low residue diet. Unless you have proof that gluten-based foods are causing too great a bulking or constipating effect, I really don't see how eliminating it will have any significant impact on your issue. There are perhaps other (contested) benefits from avoiding gluten, but I doubt forgoing it entirely will prevent future obstructions.
The only way I see a gluten free diet as possibly being helpful to prevent obstructions is if you have celiac disease. In that case, gluten actually damages the lining of the intestine and this can cause ulcers, strictures and obstructions.
If you think this might be a problem, you should get the antibody blood test before going gluten free. If you are not eating gluten the test may show a false negative.
Jan
My surgeon ordered the test the day I dropped gluten from my diet and I went and had blood drawn the same day. I have had so many abdominal surgeries that I would stick to a low residue diet just to avoid more surgery.
Thanks ladies, I do appreciate your help and advice :-)
I think that should be fine. You just need to be eating gluten for a few weeks before the test. Hopefully, one day of gluten fasting should not matter. Antibodies should not clear that fast.
Even if you are negative for celac, you can still be gluten intolerant, where you get the bloating and indigestion. That alone can add to your misery if you have narrowed areas from adhesions, just like lactose intolerance.
But, it is still good to rule celiac out or in.
Jan