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Medical student's apparent celiac disease responded to giardiasis treatment

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232 points BostonFern | 2 comments | 16 Oct 24 03:25 UTC | HN request time: 0.001s | source
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spondylosaurus ◴[16 Oct 24 05:17 UTC] No.41855836[source]▶
Wild. So how exactly did cutting gluten out of his diet mask his symptoms that effectively? Does gluten somehow feed/provoke the giardia? Or were the dietary changes mostly irrelevant?
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1. ejstronge ◴[16 Oct 24 05:28 UTC] No.41855891[source]▶
This isn’t an uncommon presentation - disease processes that lead to inflammation of the small bowel can be expected to resemble gluten sensitivity.

Gluten consumption, on its own, can cause small bowel inflammation and this effect is well known (see https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5677194/)

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2. spondylosaurus ◴[16 Oct 24 05:37 UTC] No.41855941[source]▶
That's interesting—I know that NCGS is somewhat controversial and its causes aren't totally understood, so this makes me wonder how many people with NCGS have some other, undiagnosed underlying condition that the gluten's aggravating.