Chapter 11

One end empty, other end full

  • (Age: 69 years, female)

    I am a female, just turned 69 years. I was diagnosed with celiac disease (then known as sprue disease) in 1969.

    From very early childhood I had been sickly, pale, underweight and lost a great deal of school due to lack of appetite and vomiting. I recall crying many times with stomach cramps and suffering from cankers on my tongue.

    My relief would come when my parents were able to get me to a doctor and he would give me IRON, sometimes a red liquid, sometimes a thick syrup-like medication. Very quickly I would respond and would be excited as food now smelled and tasted good.

    During my teen years this condition seemed much better. Still I was not of average size. At age 18 years, I had my first menstrual period and I grew inches.

    I was married at age 24 and felt well, had five children in seven years (all Sections).

    Around 1968, I ran into problems; very tired and losing weight. I went often to my doctor seeking help. I was teaching in school at the time. The worst part of my day would begin around 3:30 p.m. Gurgling would start in my stomach, an overall miserable feeling. I could eat a good dinner, but shortly after I would have to change into something loose, as I would become very bloated. At times this was accompanied with severe diarrhoea.

    This continued for months, yet I was able to teach.

    Finally, I gave in to going to an out-of-town hospital where I could be checked by a specialist. I spent close to three weeks in hospital. During that time I was asked to sit before huge room full of doctors to answer questions.

    I was later told that my case was borderline rare. I was asked to return in three months. I had gained eight pounds and was feeling fine.

    Again, I returned a year later.

    My specialist made the comment, “You don’t look like the same patient I treated over a year ago.”

    Good doctors are a gift from God.

  • Clinical Pearls

    The time from first symptoms to diagnosis of celiac disease is often a decade. This unacceptably long period can be reduced by increased awareness and use of screening antibody testing.

    Even in children, iron deficiency anemia (especially beyond infancy) should prompt a workup for celiac disease.


Copyright © 2007 by Mohsin Rashid
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