Wheat is one
of the most common causes of food related allergy or intolerance, yet we have been
eating it for thousands of years.
Wheat
intolerance is not the same as coeliac disease or an allergy to gluten. Coeliac disease is an autoimmune disease
whereby the body rejects gluten present in wheat, barley, rye and contaminated
oats. It affects the lining of your
small intestine and may have a genetic component. A strict gluten free diet for life is a very large
aspect of the treatment for coeliac disease.
If you suspect that you or your child may have coeliac disease, please speak
to your doctor.
For further information
on coeliac disease, visit Coeliac UK on http://www.coeliac.org.uk/coeliac-disease/what-is-coeliac-disease
Wheat
intolerance on the other hand is not as clearly understood. Again it is separate to wheat allergy whereby
food allergies illicit an immune response whilst intolerances do not.
Intolerance
to wheat may be characterised by abdominal pain, bloating, wind, diarrhoea or
constipation. Symptoms may occur several
hours after eating a food consisting wheat.
In some children and adults, symptoms may not occur until days after consuming the offending food. This can be frustrating as it may be
difficult to pin point exactly which foods cause pain and discomfort without
the expert guidance of a specialist dietitian.
You may have already
consulted your GP who was not able to explain the cause of your abdominal pain
and other related symptoms. You feel
misunderstood and confused as the symptoms may have only appeared in the past
year. Or you’ve been diagnosed with
irritable bowel syndrome. This can certainly
be associated with wheat intolerance, and yet you are not sure if wheat really
is the problem. The bad news is that it
is difficult to obtain an accurate diagnosis for food intolerances. So what can you do?
From experience,
the only way to know for sure is to exclude.
An exclusion diet consists of excluding the troublesome foods (i.e.
wheat) from your diet for a minimum of 6 – 8 weeks. It is best to follow these diets under the
guidance of a specialist dietitian. Do
it alone and you run the risk of needing to repeat the exclusion diet because
you included hidden sources that slipped in un-noticed. Inexperience with exclusion diets can also
lead you to exclude the wrong foods without careful consideration to vital
vitamins, minerals and macronutrients.
What to look out for
If you are
considering a wheat free diet did you know that wheat, rye and all foods
containing these grains must be excluded as part of the exclusion diet? Did you also know that thickeners, edible
starch and things like batter may contain wheat?
Always check
processed meats, cheese spreads, breakfast cereals, ice cream, flavoured
crisps, stock cubes, ketchup and salad creams to name a few.
Foods labelled
as gluten free may not necessarily be wheat free, so always read the
ingredient list to check for hidden sources of wheat.
If you do
suffer from irritable bowel syndrome and would like to trial a wheat free
exclusion diet, then ask your doctor to refer you to a specialist dietitian. The dietitian can guide you safely on how to
exclude and then re-introduce wheat back into the diet to confirm the
intolerance.
If wheat is a problem then I won’t be
surprised if after the trial, you decide to never go back..
If you have
questions about following a wheat free exclusion diet, then feel free to post
your thoughts below.
Please comment below, I really look forward to and love, read all of your comments!
Please comment below, I really look forward to and love, read all of your comments!
Interesting, I've suffered from IBS for years and never thought of wheat being a problem. 6 weeks without wheat sounds difficult but when you have a bad bout with IBS it would be worth it.
ReplyDeleteThanks for sharing this informative post!
You are very welcome Lisa. Thank you for visiting my blog.
ReplyDeleteThere are many triggers for bad episodes of IBS, the key is identifying what these are for you. For example, coffee, alcohol, stress or wheat etc The good news is that some people can tolerate small amounts of wheat from time to time, but everyone is different and it's important to recognise that.
If you do try a wheat free diet, let me know how it goes for you. I hope you have positive results with the exclusion diet.