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Newly diagnosed coeliac - what do I need to know?

100 replies

PoorlyDS · 30/04/2023 21:59

Google is a minefield. DS was on hospital (earlier thread ) with suspected appendicitis and bowel infection but got better and came home. Then bloods follow up showed coeliac. It was positive on a retest and although we are waiting on a genetic test to confirm , we are 99% sure it'll be the same diagnosis.
Aside from my feelings of guilt and upset for him and plundering the GF aisle , I'm feeling overwhelmed and so so sorry for him.
I need practical tips - I cook so meals will be fine I think but what have I not thought about? Sauces like mayonnaise? Ketchup? I use marigold bouillon which I think is ok and aim to perfect my GF cakes as I am a decent baker but practical stuff? New toaster? His own fridge shelf ? Maybe we all go GF?
My poor boy. I know it could be far worse but it is life changing so be kind please. Give me your tips/ resources/ Facebook groups ? Thank you 🙏

OP posts:
Seeline · 30/04/2023 22:06

It's a free from aisle - not everything will necessarily be GF so you have to check every label.
Lots of ordinary foods are GF by accident - so check the labels.
Lots of coeliac can't tolerate oats, even those labelled as GF, so be careful.
Always take GF food and snacks with you - especially on motorway trips.

RowTheBoat · 30/04/2023 22:16

Cross contamination is a big issue.
Dedicated GF toaster, oven trays, chopping boards (these can be used to prep sandwiches on too). I also have a separate pasta pan and colander to drain as pasta water is particularly tricky to clean off thoroughly.
Must use a dedicated butter / jam etc as crumbs from the knife can get into these products. Clearly label both the GF products and non gf products so you don’t get them mixed up.
You may want to send a packed lunch into school, school should also be aware and have a health plan.
Play doh contains wheat, we avoid.
I have a separate cupboard for GF items.
Check your cutlery drawer regularly for crumbs.
Lots of things that you wouldn’t expect are labelled “may contain gluten”, these all need to be avoided.
You can get GF bread on prescription, try a few brands to see what is the nicest.
Always have snacks in the car / days out as often there is nothing available.
Check with the doctor or dietician if supplements are required as absorption is usually impacted.
Some restaurants such as Pizza Express are coeliac certified so there are options if you plan ahead.

Izzy24 · 30/04/2023 22:19

Coeliacs in the UK is a really useful facebook group.

PoorlyDS · 30/04/2023 22:20

Seeline · 30/04/2023 22:06

It's a free from aisle - not everything will necessarily be GF so you have to check every label.
Lots of ordinary foods are GF by accident - so check the labels.
Lots of coeliac can't tolerate oats, even those labelled as GF, so be careful.
Always take GF food and snacks with you - especially on motorway trips.

This is my big question- if there's no bold allergen for gluten/warning message can I assume GF? Trying to think of an example. So say there's a label that only has milk as an allergen but doesn't call out anything else , would that be ok?
Got a spare toaster and was reading a study about cleaned toaster being less risky than thought. Got him his own "butter" as he loves Flora buttery and easy to keep separate. Have cleared a cupboard for cereal etc.
Thank you- this is all so helpful

OP posts:
YellowFleece · 30/04/2023 22:22

No Walkers crisps or Hula Hoops!

RowTheBoat · 30/04/2023 22:27

Legally they have to put in bold any allergens. You’re looking for gluten, wheat, barley, rye and oats. There may also be a message underneath that says may contain one of the above and these should also be in bold.
If it’s not there (or for eg only milk is listed) it’s good to eat.

MuchTooTired · 30/04/2023 22:28

Knorr stock cubes are gluten free, oxo and some supermarket ones contain gluten.

what food does he enjoy eating currently?

Becky Excell does some great gf cookbooks! If the label doesn’t contain any gluten or a warning of may contain gluten then it’s safe to eat, so there is actually quite a lot of food out in the ‘normal’ section that’s gf.

Girlinglasses · 30/04/2023 22:34

Keep an eye out for brands changing recipes, things like stock cubes, gravies etc, sometimes randomly slightly tweak their recipes and end up not gluten free!!

Traditional soy sauce isn't gluten free.

Cross contamination as others have mentioned- especially when eating out, e.g. chips cooked in the same oil as something containing wheat.

Try to substitute with naturally gf products where possible rather than the gf version (not always possible obviously) but for example would he eat rice/quinoa with bolognaise instead of pasta? Could you use corn tortillas to make wraps instead of sandwiches? Gf pasta and bread can be pretty dry (although some are better than others).

Also, usually if a product doesn't have any gluten allergen in bold, and doesn't contain the line "may contain gluten"/ "produced in the same factory as products containing gluten" it should be fine!

Get B12 checked regularly- he may need injections.

Counterintuitively, Italy is great for catering to coeliacs (as is Ireland) as both countries have high rates of coeliac disease.

Good luck, it's a huge adjustment but once you get used to it it gets much easier.

RowTheBoat · 30/04/2023 22:35

Watch out for unexpected gluten in some products such as:
chips, crisps, croutons, gravy, soups, stock cubes, Pringles, breaded ham, sausages, burgers, frozen veg, chocolate bars, Mars bars, malteasers, sweets, most ready meals, many jarred sauces. The more processed something is the more likely they’ll slip some sort of gluten in.
It will seem overwhelming at the start but you will quickly build up a list of products to avoid, different brands will have different ingredients.
Also coffee shop milk if they use oat milk at all and haven’t cleaned the steamer before yours.

Bonelly · 30/04/2023 22:41

Some good people to follow on Instagram. Wonder if you'd all be better following at home. Wouldn't be beyond the realms of possibility that gluten isn't great for one or all of you, intolerance wise

Amortentia · 30/04/2023 22:44

@Girlinglasses Get B12 checked regularly- he may need injections.

Yes to this and also Folic Acid deficiency too. Most of my family struggle to absorb B9 so have to take a prescription dose.

PointeShoesandTutus · 30/04/2023 22:45

First thing to say is it will be ok. As a coeliac diagnosed in childhood, I can't remember what I'm missing out on! So when people say for example 'oh but doughnuts...' I don't have any memory of doughnuts, so don't care!

Eating out is much better now. Don't be afraid to be bold and firm - YES it is coeliac, NOT a preference. Pizza Hut and Pizza Express are both great. Wagamama's is great. McDonalds is dire! A lot of fish and chip shops now have a dedicated separate GF fryer.

Watch out for sauces, especially soy sauce creeping into things. Some thick milkshakes are thickened with gluten containing starches.

Oh and if you want doughnuts (or anything else GF!) https://wildcraftbakery.com/ is amazing - they have a cafe if you're anywhere near Yorkshire, but they do mail order too.

Home of Gluten free Delights

From oozy cinnamon buns to divine whoopie pies, from fluffy focaccia to wholegrain sprouted buckwheat bread there’s nothing quite like our quality Gluten Free bakes.

https://wildcraftbakery.com/

SmurfHaribos · 30/04/2023 23:01

Hi OP. You might like to ask Mumsnet to move this to the Autoimmune Disease page.

Join Coeliac UK.

Make all the family meals GF - less chance of cross contamination and it will make your child feel less different.

Play dates round other people’s houses will be safer if they don’t eat - people tend not to understand that even a crumb from a chopping board will make your child very sick. This was very difficult for me and my child to accept and it has been very difficult and upsetting.

You will find people are happy to be inclusive about many things but sadly not about Coeliac disease - they can regard it as a fad that the child should grow out of.

Be your child’s advocate at restaurants - always speak up for them, it will make it easier for the next Coeliac that comes along.

Educate people wherever possible - repost Coeliac UK pays on your social media page. Not many people realise it’s a serious auto-immune disorder, most thing it’s just a fussy diet.

Don’t worry about the TTG levels taking a long time to settle. It took my daughter 4 years to come down to normal. Normal TTG levels vary across the country so it’s different to compare levels on social media. In our area normal is less than 20. DD was 4000 at diagnosis but that may be low or high to someone in another area.

Have as much iron in the diet as possible. DD was less than 10% of normal iron levels at diagnosis and she could hardly walk 50 yards. She had to be excused from PE for some moths as she was so breathless on exertion. Red meat is the
best way to get iron into the body. My DD is still on iron supplements 5 years after diagnosis.

Your child will need lots and lots of calcium for the rest of their life. We use Osteocare liquid from GP. Many Coeliacs are lactose intolerant, try almond milk (supermarket own brands as they are cheaper plus have calcium added) as it’s sweeter so easier for children to tolerate.

Many Coeliacs are intolerant of oats as the protein is very similar to gluten. Unfortunately many GF products use oats as a substitute for wheat flour so watch out for the ingredients.

The Coeliac UK app is very good in the early days when you aren’t confident about shopping. You can scan the barcode and it tells you if it’s safe.

Be careful eating out as many cafes and restaurants have gluten free food but it’s right next to muggle food so the crumbs cross contaminate or they use the same serving utensils. Stick to Coeliac UK accredited restaurants in the early days and eventually you will find others locally that you feel confident in. Coeliac UK have a good eating out app. Trip Advisor is also useful when you are out and about.

You will need separate chopping boards as tiny crumbs of gluten can get stuck in the cracks.

Get some GF stickers for your home and put them on things in the fridge eg open packets of ham, jam, pesto etc.

You will need separate toasters or use toaster bags. Toaster bags are useful if you stay away.

You will need separate butter/spreads/jam etc. Plaster them in GF stickers and educate other household members.

If possible keep gluten to a separate in your kitchen. All our family meals are gluten free but the muggles in our family still have gluten sandwiches and cereal - we keep these in one section of the work surface.

There is a free-from section in the supermarket but you can use plenty of things that are gluten free in other sections but not labelling as such eg pesto - there is special gluten free pesto but normal supermarket own brand pesto is gluten free.

Avoid all ‘may contain’ foods as they often do contain.

Gluten free food is very expensive -3-4 times muggle equivalent. It’s because there is not the same demand/economies of scale, plus it costs to get certified as gluten free. Some parts of the country you can get bread and flour on prescription. Otherwise use supermarket own brands wherever possible.

Marmite has gluten in but supermarket own brand yeast extract is gluten free.

Becky Excell has some great cookbooks plus a good website - gluten-free cuppa tea.co.uk

Join your local Facebook Coeliac page. If you can find other mums and kids it’s very helpful.

Good luck. You will soon be an expert!

notapizzaeater · 30/04/2023 23:18

How old is your son ?

Eating out is much much easier, our go to are McD - Big Mac no bun with fries and some of the mcflurries or a GF subway.

We had to avoid oats for the first few months then introduced them back in.

The bread is an acquired taste and almost always tastes better toasted.

I just cook GF pasta etc for everyone.

GF yorkshires - 4 eggs, 90g plain flour (I prefer Asda) heaped tablespoon cornflour, milk to double cream consistency- whisk cook as normal.

Join FB groups, we have a great local one fir eating out.

Notaposhette · 30/04/2023 23:18

Pomm Bears and Tyrells are gf.

undergroundstation · 30/04/2023 23:22

Watch out for wooden spoons, wooden chopping boards and things like crumbs in the cutlery drawer.

SleazyLizzard · 30/04/2023 23:40

No double dipping in jam, peanut butter etc. Use a separate toaster. It’s easier to buy everything gluten free, eg Heinz ketchup and beans. And have smaller separate areas for gluten/gluten free bread and pasta.

M and S and Asda are excellent for gluten free supplies, M and S have a lot of good savoury products such as pork pies and sausage rolls, which are harder to find than cakes.

Read every label and don’t ever eat gluten again, especially at a friends or restaurant. Never let them make you a gluten free meal (which takes a lot of effort and thought) and then say what the hell I’ll have something with gluten in. They will not take you seriously again plus it’s an insult.

Always thank people and waiting staff for the extra effort they put in for catering for you and always tip.

SleazyLizzard · 30/04/2023 23:42

Last time I went to Spain the Mac Donald’s was gluten free, I was told the Spanish ceo was coeliac and felt that all coeliacs should be able to have a burger. You have to ask and wait a bit longer, but it’s worth it, hopefully since COVID they are still doing it.

SleazyLizzard · 30/04/2023 23:49

if you are making toasted sandwiches, line the sandwich maker with baking paper each time you use gluten or gluten free bread, this will avoid cross contamination, plus you won’t need to clean it.

PoorlyDS · 01/05/2023 09:41

This is all so very helpful thank you and just what Mumsnet is good at. Thank you. Truly.
DS is 16 and I had no idea about the calcium or iron needs. We've only had a phone call at this point and not even been told to go GF yet but with GCSEs looming I wanted to do it so he feels as good as he can. I've had a cry today for him He's more pragmatic and just living in today's moments tbf. I'm trying to be nonchalant with him about how easy it'll be but he knows it's serious and is committed to eating GF. He's a great boy.

OP posts:
PoorlyDS · 01/05/2023 09:46

undergroundstation · 30/04/2023 23:22

Watch out for wooden spoons, wooden chopping boards and things like crumbs in the cutlery drawer.

Excuse for new utensils and chopping boards ? I like. What boards do you use ? Plastic?

OP posts:
RedSnail · 01/05/2023 09:50

If you’ve not been told to go GF yet are you sure you’re okay to cut it out? If he needs any further tests like an endoscopy to confirm the diagnosis he would need to be eating gluten before that.

PoorlyDS · 01/05/2023 09:51

RedSnail · 01/05/2023 09:50

If you’ve not been told to go GF yet are you sure you’re okay to cut it out? If he needs any further tests like an endoscopy to confirm the diagnosis he would need to be eating gluten before that.

Hoping to get phone call tomorrow to confirm if we need to go GF or leave it. He can go back on it if they say so I suppose.ly just feels wrong making him stuff with gluten in if he is ultimately going GF

OP posts:
LoveMyKeeks · 01/05/2023 10:17

Hi OP.

I've been coeliac since 2012 and run a business baking GF cakes and treats. Baking the sweet goods will be fine, and a lot of the sweet food (made at home) doesn't taste much different (if at all) from normal food. You just have to remember that GF flour takes on more fluid so I usually add a little more egg/milk. I also agree that Becky excell cookbooks are the best. Her recipes are great and really easy to make.